Associations between public e-cigarette use and tobacco-related social norms among youth

Agaku, Israel; Perks, Siobhan N.; Glover-Kudon, Rebecca

doi:10.1136/tobaccocontrol-2018-054728

Cited by 43 publications

(23 citation statements)

References 24 publications

(21 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Identifying youth who are susceptible to e-cigarette use might help in prevention efforts. Current studies reveal that e-cigarette secondhand aerosol (SHA) exposure was associated with susceptibility to e-cigarette use 40 .…”

Section: Discussionmentioning

confidence: 99%

How secondhand smoke exposure affects tobacco use and smoking susceptibility of adolescents: Sex and school differences

Yang

Yan

et al. 2021

Tob. Induc. Dis.

View full text Add to dashboard Cite

INTRODUCTION Secondhand smoke (SHS) exposure affects tobacco related health behaviors during adolescence and persists into adulthood. This study aimed to investigate the influence of SHS exposure on tobacco use among adolescents stratified by school and gender, and provide recommendations for controlling tobacco use in youth. METHODS Through stratified random cluster sampling, 12278 selected students (aged 13-18 years) from schools in China were administered questionnaires. Multiple logistic regression was used to analyze whether SHS exposure would increase the smoking risk and susceptibility of adolescents. RESULTS The prevalence of SHS exposure among the participating students was 74.8%. Adolescents exposed to SHS were at higher odds of being susceptible and currently smoking. Students with SHS exposure at both home and public places accounted for 36.6%, greatly increasing the current smoking risk and smoking susceptibility. Home SHS exposure had greater impact on the current tobacco use of boys (OR=2.13; 95% CI: 1.50-3.03) and junior school students (OR=4.67; 95% CI: 2.41-9.06). Exposure from public places increased the risk of current smoking in boys (OR=4.20; 95% CI: 2.31-7.65) and smoking susceptibility of vocational school students (OR=1.51; 95% CI: 1.07-2.15). Students with highlevel exposure to SHS had 2.25 times higher odds of e-cigarette use. CONCLUSIONS The prevalence of SHS exposure is still high among adolescents in China and is associated with increased risk for tobacco use regardless of gender and school level. Effective smoke-free strategies should be developed and strictly implemented. Boys and junior school students constitute vulnerable populations exposed to SHS at home.

show abstract

Section: Discussionmentioning

confidence: 99%

How secondhand smoke exposure affects tobacco use and smoking susceptibility of adolescents: Sex and school differences

Yang

Yan

et al. 2021

Tob. Induc. Dis.

View full text Add to dashboard Cite

show abstract

“…The South African Social Attitudes survey is a nationally representative, in-person survey of the noninstitutionalised civilian adult population aged ≥16 years. 17 The survey is supported by the Human Sciences Research Council using all the 11 official South African languages. SASAS uses a stratified multistaged cluster procedure.…”

Section: Data Source and Measuresmentioning

confidence: 99%

“…(2) Both SHS exposure in public areas and e-cigarette advertisements can modify social norms, both injunctive norms (perceived acceptability) and descriptive norms (perceived prevalence). 17 The presence of visual cues in advertisements and/or public spaces where smoking occurs could also trigger relapse among ex-smokers. (3) The physical similarities between some marketed e-cigarettes and regular cigarettes might make it hard to tell them apart from a distance.…”

Section: Data Source and Measuresmentioning

confidence: 99%

E-cigarette advertising exposure among South African adults in 2017: findings from a nationally representative cross-sectional survey

2021

Self Cite

View full text Add to dashboard Cite

ObjectivesIn South Africa, the Control of Tobacco and Electronic Delivery Systems Bill seeks to regulate e-cigarettes as tobacco products, including their advertising, promotion and sponsorship. Population data on e-cigarette advertising in South Africa are needed to inform public health programs, practice and policy. We examined self-reported e-cigarette advertising exposure during 2017.DesignCross-sectional.SettingHousehold-based survey.Participants3063 individuals who participated in the 2017 South African Social Attitudes survey, a nationally representative, in-person survey of the non-institutionalised civilian adult population aged ≥16 yearsExposure‘In the past 12 months, have you seen advertisements or promotions for e-cigarettes (including e-shisha, e-pipe) on any of the following media: newspapers/magazines, billboards, in the malls or any other source?’Main outcomesBeliefs and attitudes regarding e-cigarettes.FindingsParticipants’ mean age was 37.7 years. Overall, 20.1% reported exposure to e-cigarette advertisements. By age, exposure was most prevalent among those aged 16–19 years (24.6%). Top sources of exposure among those exposed were stores, 40.7%; malls, 30.9%; and television, 32.5%. Of those aware of e-cigarettes, 61.2% believed ‘e-cigarette advertisements and promotion may make adolescents think of smoking traditional cigarettes’; 62.7% believed that ‘e-cigarette advertisements and promotions may make ex-smokers think of starting smoking cigarettes again’; and 59.5% supported the statement that ‘e-cigarette smoking should be banned indoors just as traditional cigarette smoking’. Notably, teens aged 16–19 reported the lowest prevalence (49.0%) of those believing that ‘e-cigarette advertisements and promotion may make adolescents think of smoking traditional cigarettes’, whereas this percentage was highest among those aged 55–64 years (73.2%).ConclusionComprehensive regulatory efforts are needed to address e-cigarette advertising, marketing and sponsorship in order to protect public health. The urgent enactment of the new tobacco control legislation, The Control of Tobacco Products and Electronic Delivery Systems Bill, can help reduce youth exposure to e-cigarette advertising in South Africa.

show abstract

“…However, concerns regarding the emergence of e-cigarettes have centred largely on debates regarding effects on young people, in particular via their acting as a new gateway to nicotine addiction ( 19 , 24 ), or renormalising smoking ( 25 – 27 ). Substantial debate has centred on whether e-cigarettes should be regulated in the same ways as tobacco, including whether their use in public places should be prohibited.…”

Section: Introductionmentioning

confidence: 99%

Changes in childhood experimentation with, and exposure to, tobacco and e-cigarettes and perceived smoking norms: a repeated cross-sectional study of 10–11 year olds’ in Wales

et al. 2021

View full text Add to dashboard Cite

Background Today’s primary school children have grown up in a climate of strong smoking restrictions, decreasing tobacco use, and the emergence of e-cigarettes. Children’s exposure to tobacco declined substantially in years following the introduction of smoke-free legislation, with smoking uptake and perceived smoking norms declining. There is debate regarding whether emergence of e-cigarettes may interrupt trends in children’s smoking perceptions, or offer a means for adults to limit children’s exposure to tobacco. This study examines change in children’s tobacco and e-cigarettes experimentation (ever use), exposure to secondhand smoking and vaping, and perceived smoking norms. Methods Data from four, repeat cross-sectional surveys of Year 6 primary school pupils (age 10–11 years) in Wales in 2007, 2008, 2014 and 2019 (n = 6741) were combined. E-cigarette use and perceptions were included in 2014 and 2019 surveys. Analyses used binary logistic regression analyses, adjusted for school-level clustering. Results Child tobacco experimentation and most indicators of exposure to tobacco smoke indicated a graded decreasing trend over time from 2007 to 2019. Exposure to e-cigarettes increased from 2014 to 2019, as did pupil awareness of e-cigarettes (OR = 2.56, 95%CI = 2.12–3.10), and parental use (OR = 1.26, 95%CI = 1.00–1.57). A decrease in child e-cigarette experimentation was not significant (OR = 0.80, 95%CI = 0.57–1.13). Children’s normative perceptions for smoking by adults and children indicated a graded decrease over time (OR = 0.66, 95%CI = 0.54–0.80; OR = 0.69, 95%CI = 0.55–0.86; respectively from 2014 to 2019). However, fewer reported disapproval of people smoking around them in 2019 relative to 2014 (OR = 0.68, 95%CI = 0.53–0.88). Higher exposure to tobacco cigarettes and e-cigarettes in public places, cars and households were associated with favourable normative perceptions for tobacco smoking; however in models adjusted for exposure to both associations of e-cigarette exposure were attenuated. Conclusion Children’s experimentation with and exposure to tobacco, and their perceptions of smoking as a normative behaviour, have continued to decline alongside growth in exposure to e-cigarettes. Although a large majority of pupils reported they minded people smoking around them, there was some evidence of diminishing disapproval of secondhand smoke since 2007. Further research is needed to understand whether use of e-cigarettes in cars and homes is displacing prior smoking or being introduced into environments where smoking had been eliminated.

show abstract

Associations between public e-cigarette use and tobacco-related social norms among youth

Cited by 43 publications

References 24 publications

How secondhand smoke exposure affects tobacco use and smoking susceptibility of adolescents: Sex and school differences

How secondhand smoke exposure affects tobacco use and smoking susceptibility of adolescents: Sex and school differences

E-cigarette advertising exposure among South African adults in 2017: findings from a nationally representative cross-sectional survey

Changes in childhood experimentation with, and exposure to, tobacco and e-cigarettes and perceived smoking norms: a repeated cross-sectional study of 10–11 year olds’ in Wales

Contact Info

Product

Resources

About