Changes in Electronic Cigarette Use from 2013 to 2015 and Reasons for Use among Finnish Adolescents

Kinnunen, Jaana M.; Ollila, Hanna; Lindfors, Pirjo; Rimpelä, Arja

doi:10.3390/ijerph13111114

Cited by 41 publications

(60 citation statements)

References 38 publications

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“…Medium nicotine content was found to have the opposite effect of low nicotine content. They also found that younger non-smokers preferred no nicotine or low nicotine e-cigarettes while smokers preferred medium and high nicotine e-cigarettes [ 22 ], echoing the findings of another study in this area [ 37 ]. Another study also found smokers and heavier e-cigarettes users tended to prefer nicotine [ 48 ].…”

Section: Resultsmentioning

confidence: 61%

“…Nicotine strength depends on e-cigarette type and varies widely, for example, from 0.27 to 2.91 mg/15 puffs [ 26 ]. Nineteen studies addressed consumer preference for nicotine and/or the interaction of nicotine with flavors [ 16 , 22 , 24 , 28 , 29 , 33 , 37 , 42 , 43 , 46 – 48 , 50 , 53 – 56 , 65 , 70 ]. One study showed that almost all e-cigarettes sold in most U.S. retail outlets (excluding vapor shops and online ones) contained nicotine [ 46 ].…”

Section: Resultsmentioning

confidence: 99%

“…Another study examined 33 countries and found that only 1% of the adult smokers exclusively used non-nicotine e-cigarettes and that the most popular concentration of nicotine was 18 mg/ml [ 24 ]. A study of Finnish adolescents found that e-liquids with nicotine were more popular with ever smokers while e-liquids without nicotine were more popular with never smokers [ 37 ]. A study found that nicotine was the second most commonly used vaped substance for U.S. youth, after pure flavoring and ahead of marijuana [ 47 ].…”

Section: Resultsmentioning

confidence: 99%

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A systematic review of consumer preference for e-cigarette attributes: Flavor, nicotine strength, and type

2018

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ObjectiveSystematic review of research examining consumer preference for the main electronic cigarette (e-cigarette) attributes namely flavor, nicotine strength, and type.MethodA systematic search of peer-reviewed articles resulted in a pool of 12,933 articles. We included only articles that meet all the selection criteria: (1) peer-reviewed, (2) written in English, and (3) addressed consumer preference for one or more of the e-cigarette attributes including flavor, strength, and type.Results66 articles met the inclusion criteria for this review. Consumers preferred flavored e-cigarettes, and such preference varied with age groups and smoking status. We also found that several flavors were associated with decreased harm perception while tobacco flavor was associated with increased harm perception. In addition, some flavor chemicals and sweeteners used in e-cigarettes could be of toxicological concern. Finally, consumer preference for nicotine strength and types depended on smoking status, e-cigarette use history, and gender.ConclusionAdolescents could consider flavor the most important factor trying e-cigarettes and were more likely to initiate vaping through flavored e-cigarettes. Young adults overall preferred sweet, menthol, and cherry flavors, while non-smokers in particular preferred coffee and menthol flavors. Adults in general also preferred sweet flavors (though smokers like tobacco flavor the most) and disliked flavors that elicit bitterness or harshness. In terms of whether flavored e-cigarettes assisted quitting smoking, we found inconclusive evidence. E-cigarette users likely initiated use with a cigarette like product and transitioned to an advanced system with more features. Non-smokers and inexperienced e-cigarettes users tended to prefer no nicotine or low nicotine e-cigarettes while smokers and experienced e-cigarettes users preferred medium and high nicotine e-cigarettes. Weak evidence exists regarding a positive interaction between menthol flavor and nicotine strength.

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Section: Resultsmentioning

confidence: 61%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A systematic review of consumer preference for e-cigarette attributes: Flavor, nicotine strength, and type

2018

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“…Of three studies examining current use, two studies found potentially positive impacts (one from Finland examining use by education [48], and another from Ireland examining use by neighbourhood deprivation [49]) while a third study (from the US) found unclear impacts by education [50]. For e-cigarette ever use, the first two studies showed unclear findings [48,49], as did a fourth study from France [51]. A fifth study (from Canada) found potentially positive impacts for ever use [52].…”

Section: Young Peoplementioning

confidence: 99%

Potential for non-combustible nicotine products to reduce socioeconomic inequalities in smoking: a systematic review and synthesis of best available evidence

Lucherini

Smith

Hill

2019

Preprint

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Background While some experts have emphasised the potential for e-cigarettes to facilitate cessation among smokers with low socioeconomic status (SES), there is limited evidence of their likely equity impact. We assessed the potential for electronic cigarettes and other non-combustible nicotine-containing products (NCNPs) to reduce inequalities in smoking by systematically reviewing evidence on their use by SES in countries at stage IV of the cigarette epidemic. Methods Ten electronic databases were searched in February 2017 using terms relating to e-cigarettes, smokeless tobacco and nicotine replacement therapy (NRT); and socioeconomic status. We included studies published since 1980 that were available in English and examined product use by SES indicators such as income and education. Data synthesis was based on those studies judged to be of medium- to high-quality using guidelines adapted from the Critical Appraisal Skills Programme. Results We identified 54 studies describing NCNP use by SES across 12 countries, of which 27 were judged of sufficient quality to include in data synthesis. We found mixed patterns of e-cigarette current use by SES, with evidence of higher use among low-income adults but unclear or mixed findings by education and occupation. In contrast, smokeless tobacco current use was consistently higher use among low SES adults. There was very limited evidence on the SES distribution of NRT in adults and of all NCNPs in young people. Conclusions The only NCNP for which there are clear patterns of use by SES is smokeless tobacco, where prevalence is higher among low SES groups. While this suggests a potentially positive impact on inequalities in smoking (if NCNP use displaces smoked tobacco use), this has not been seen in practice. These findings do not support the suggestion that e-cigarettes have the potential to reduce social inequalities in smoking, since i) current evidence does not show a clear trend of higher e-cigarette use in population groups with higher tobacco consumption, and ii) the experience of smokeless tobacco suggests that – even where NCNP use is higher among low SES groups – this does not necessarily replace smoked tobacco use in these groups.

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“…This figure is lower than reported in Ireland among young people 16 -17 years old (23.8%) and in Poland among students aged 15 -19 years (62.1%) [22,23]. In Finland, 17.4% of adolescents had tried e-cigarettes in 2013, and 25.0% in 2015 [24]. The prevalence of e-cigarette use in the last 30 days was significantly higher among young males than females.…”

Section: Discussionmentioning

confidence: 68%

Prevalence of tobacco smoking and electronic cigarette use among the high school students in Novi Sad

Cankovic

Ukropina²,

Mijatovic-Jovanovic

et al. 2018

Med pregl

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Introduction. Smoking is the leading preventable cause of mortality in the world. The World Health Organization estimates that annually more than seven million lives are lost worldwide due to smoking-related diseases. The aim of the study was to examine lifetime use of tobacco and electronic cigarettes, using patterns in the last 30 days, and to determine cigarette availability among the first grade high school students in Novi Sad. Material and Methods. The cross-sectional study was conducted among the first grade public high school students in Novi Sad. The study sample included 1.067 participants (587 girls and 480 boys), born in 2002. The survey used the questionnaire of the European School Project on Alcohol and other Drugs. Results. Of the examined sample, a total of 40.1% of high school students in Novi Sad have at least tried smoking cigarettes during their lifetime, girls significantly more often (p=0.001). With no gender difference, 20% of students smoked at least one cigarette in the month preceding the survey. Every seventh student (13.9%) tried their first cigarette at the age of 13 or younger, girls significantly more often (p=0.001). A little less than one fifth of the examinees (18.4%) tried electronic cigarettes. In the month preceding the survey, every twelfth examinee used electronic cigarettes (8.1%). Conclusion. Monitoring the prevalence of tobacco use in young people, especially new tobacco products, indicates the need for continuous and intensive activities in the field of health promotion with implementation of effective tobacco control measures.

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Changes in Electronic Cigarette Use from 2013 to 2015 and Reasons for Use among Finnish Adolescents

Cited by 41 publications

References 38 publications

A systematic review of consumer preference for e-cigarette attributes: Flavor, nicotine strength, and type

A systematic review of consumer preference for e-cigarette attributes: Flavor, nicotine strength, and type

Potential for non-combustible nicotine products to reduce socioeconomic inequalities in smoking: a systematic review and synthesis of best available evidence

Prevalence of tobacco smoking and electronic cigarette use among the high school students in Novi Sad

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