Association Between Electronic Cigarette Use and Openness to Cigarette Smoking Among US Young Adults

Coleman, Blair; Apelberg, Benjamin J.; Ambrose, Bridget K.; Green, Kerry M.; Choinière, Conrad J.; Bunnell, Rebecca; King, Brian A.

doi:10.1093/ntr/ntu211

Cited by 118 publications

(92 citation statements)

References 24 publications

(26 reference statements)

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“…[7][8][9][10][11][12][13] E-cigarette users, representing several age groups and geographic locations, had 2 to 4 times the odds of indicating an intention to use cigarettes as never users, 7,8 results consistent with those we reported in the CHS. 9 To date there have been 3 reports from prospective cohort studies examining the relationship between e-cigarette use and subsequent initiation of combustible cigarette use in adolescence, including a study of 9th-grade students (mean age 14.1), 14 a second study of 9th and 10th-grade students (mean age 14.7), 15 and another small study of 16-to 26-year-olds, with few never-smoking e-cigarette users at baseline that was not able to examine associations within specific developmental periods in this age range.…”

supporting

confidence: 83%

E-Cigarettes and Future Cigarette Use

et al. 2016

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supporting

confidence: 83%

E-Cigarettes and Future Cigarette Use

et al. 2016

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“…Odds ratios for use of various alternative tobacco products as a risk factor for using another type of alternative tobacco product varied from 1.52 (95% CI 1.12, 2.07) to 60.97 (95% CI 31.38, 118.45) among respondents 27 . Additionally, studies associate e-cigarette use with increased intention to smoke cigarettes, openness to trying cigarettes, and the actual initiation of cigarette smoking [31][32][33] . However, despite these findings, it should be noted that a significant proportion of US adolescent hookah users in this sample also have never used cigarettes (33.7%) or e-cigarettes (36%).…”

Section: Discussionmentioning

confidence: 99%

Increasing hookah use among adolescent females in the US: analyses from the 2011-2014 National Youth Tobacco Survey (NYTS)

Shearston¹,

Park²,

Lee³

et al. 2016

Tob. Prev. Cessation

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INTRODUCTION The use of hookah (waterpipe) is increasing rapidly among US adolescents, nearly doubling from2011-2014. Further information is needed about characteristics of those who use hookahs and how key characteristics associated with use may be changing. METHODS Data from the nationally representative 2014 National Youth Tobacco Survey (NYTS), n=22,007, were analyzed to determine adolescents' characteristics independently associated with use of hookahs, using bivariate and multivariate analyses. Additionally, NYTS 2011-2014 data were analyzed to investigate changes in prevalence of hookah use over time, by sex. RESULTS Among adolescents in 2014, female sexand past 30-day use of cigarettes or e-cigarettes were each independently associated with higher odds of past 30-day use of hookahs (AOR=1.41, 95% CI1.15-1.72; AOR=4.01, 95% CI3.19-5.05; AOR=6.85, 95% CI 5.29-8.88, respectively). Hispanic adolescents (AOR=1.91, 95% CI 1.51-2.42) and adolescents who live with someone who uses hookah (AOR=8.56, 95% CI 6.02-12.18) had greater odds of past 30-day use. From 2011 to 2014, use among males and females increased, with a percent change of 87% for males (1.60% to 2.99%) and 175% for females (1.21% to 3.33%). CONCLUSIONS These data demonstrate the magnitude of adolescent hookah use, particularly among adolescents who use electronic or traditional cigarettes. Most strikingly, rates of female adolescent use have increased much more rapidly than has male use, and adolescent females are for the first time more likely to smoke hookahs than adolescent males in the US nationwide. These findings urgently call for better understanding of the changing correlates of hookah use, including polytobacco use.

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“…Though surveys have shown that only a small proportion of young non-smokers use ENDS on a regular basis, a few recent studies have suggested an association between ENDS use and openness to cigarette smoking. 60 Though its extent and significance are not clear, the history of the tobacco industry, their current interest in ENDS and their marketing that appears to be targeted at youth causes concern.…”

Section: Proportionate Regulation Under Existing Lawmentioning

confidence: 99%

E-cigarettes: promise or threat?

Nachiappan¹,

Selvavinayagam

2017

Int J Community Med Public Health

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Use of the electronic cigarette or electronic nicotine delivery system (ENDS) is increasing globally. Its vapour delivers nicotine without the 6000 odd chemicals released during cigarette smoking and the associated harm. Experts are divided on whether ENDS promise reduction in tobacco use or threaten tobacco control. This review presents up-to-date evidence. Two trials showed an increase in cessation, but not a reduction in cigarette use. Eight cohort studies showed no increase in cessation, and two cohort studies and a recent trial showed an increased reduction in cigarette use. A US population study showed association between ENDS use and smoking cessation. Nicotine addiction and potential harm to non-smokers who use ENDS are key concerns. Nicotine affects lung and brain development. An increase in accidental poisoning, though mild, is reported in children. No significant short term health effects are reported. When heated, ENDS may emit potential toxic and carcinogenic substances such as aldehydes, acrolein, flavouring agents etc. at very low levels - but their long term impact is not known. ENDS bring potential benefits to smokers, but there are concerns about their potential for nicotine addiction, gateway effect and renormalisation of smoking. However, in the UK and the US, a rise in ENDS use is associated with a fall in the prevalence of smoking. Countries differ in their approach to ENDS. India seems to be edging towards a total ban. India should collect local data and conduct research to monitor the impact and make informed, evidence based decisions, where needed.

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Association Between Electronic Cigarette Use and Openness to Cigarette Smoking Among US Young Adults

Cited by 118 publications

References 24 publications

E-Cigarettes and Future Cigarette Use

E-Cigarettes and Future Cigarette Use

Increasing hookah use among adolescent females in the US: analyses from the 2011-2014 National Youth Tobacco Survey (NYTS)

E-cigarettes: promise or threat?

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