Cigarette smoking susceptibility among youth alternate tobacco product users: implications of flavoured tobacco from a national cross-sectional Canadian sample (YSS 2012/2013)

Minaker, Leia M.; Shuh, Alanna; Nguyen, Nghia; Azagba, Sunday; Manske, Steve

doi:10.1136/bmjopen-2015-009549

Cited by 10 publications

(11 citation statements)

References 43 publications

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“…The odds of SS among ever-smokers were double the odds of those who had never smoked, which is in line with a study in Poland 17 49. It has been observed that the former habits may influence future behaviour.…”

Section: Discussionsupporting

confidence: 90%

Smoking susceptibility among non-smoking school-going adolescents in Malaysia: findings from a national school-based survey

et al. 2019

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ObjectiveThe identification of susceptible non-smoking adolescents is an essential step in reducing smoking initiation among adolescents. The aim of this study was to examine the prevalence and factors associated with smoking susceptibility among non-smoking school-going adolescents in Malaysia.DesignCross-sectional study.SettingPrimary and secondary schools in Malaysia.Participants11 246 non-smoking school-going adolescents.Outcome measuresThe prevalence and factors associated with smoking susceptibility among non-smoking school-going adolescents in Malaysia.ResultsApproximately 14% of non-smokers were susceptible to smoking, and the prevalence of susceptibility was significantly higher among males, ever-smokers and e-cigarette users. The odds of susceptibility to smoking were higher among males, e-cigarette users, those aged 12 years and under and those who had ever smoked or tried cigarettes. Students from schools with educational programmes on the health effects of second-hand smoke (SHS) and who perceived smoking to be harmful were less likely to be susceptible to smoking.ConclusionSmoking susceptibility is prevalent among school-going adolescents. A comprehensive approach that enhances or reinforces health education programmes on the adverse health effects of smoking and SHS among school children, that considers multiple factors and that involves all stakeholders is urgently needed to reduce the prevalence of smoking susceptibility among vulnerable subgroups, as identified from the present findings.

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Section: Discussionsupporting

confidence: 90%

Smoking susceptibility among non-smoking school-going adolescents in Malaysia: findings from a national school-based survey

et al. 2019

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“… 47 A Canadian study of 17 396 young never smokers found that those who had ever tried or tried a flavoured tobacco product in the past 30 days had significantly higher odds of being susceptible to cigarette smoking. 59 …”

Section: Resultsmentioning

confidence: 99%

Impact of non-menthol flavours in tobacco products on perceptions and use among youth, young adults and adults: a systematic review

et al. 2016

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ObjectiveThis systematic review examines the impact of non-menthol flavours in tobacco products on tobacco use perceptions and behaviours among youth, young adults and adults.Data sourcesEnglish-language peer-reviewed publications indexed in 4 databases were searched through April 2016.Study selectionA search strategy was developed related to tobacco products and flavours. Of 1688 articles identified, we excluded articles that were not English-language, were not peer-reviewed, were qualitative, assessed menthol-flavoured tobacco products only and did not contain original data on outcomes that assessed the impact of flavours in tobacco products on perceptions and use behaviour.Data extractionOutcome measures were identified and tabulated. 2 researchers extracted the data independently and used a validated quality assessment tool to assess study quality.Data synthesis40 studies met the inclusion criteria. Data showed that tobacco product packaging with flavour descriptors tended to be rated as more appealing and as less harmful by tobacco users and non-users. Many tobacco product users, especially adolescents, reported experimenting, initiating and continuing to use flavoured products because of the taste and variety of the flavours. Users of many flavoured tobacco products also showed decreased likelihood of intentions to quit compared with non-flavoured tobacco product users.ConclusionsFlavours in most tobacco products appear to play a key role in how users and non-users, especially youth, perceive, initiate, progress and continue using tobacco products. Banning non-menthol flavours from tobacco products may ultimately protect public health by reducing tobacco use, particularly among youth.

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“…These encouraging trends are threatened by the documented growing appeal of flavoured tobacco (menthol cigarettes, flavoured little cigar or cigarillo, flavoured cigar, flavoured tobacco in water pipe [hookah]) among youth [5, 6]. It has been reported that approximately 2 of every 5 current youth smokers (approximately 126,000 young Canadians), use flavoured tobacco [7].…”

Section: Introductionmentioning

confidence: 99%

“…In Canada, concerns over the health effects of flavoured tobacco products [5, 19] along with their rise in popularity among youth [20] led the Canadian government to implement Bill C-32 in July 2010 [21]. Bill C-32 prohibits the sale of cigarettes, little cigars and cigarillos, and blunt wraps that weigh less than 1.4 g and contain flavouring agents (excluding menthol).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and characteristics of flavoured tobacco use among students in grades 10 through 12: a national cross-sectional study in Canada, 2012–2013

et al. 2017

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BackgroundTobacco use is the leading cause of preventable death in Canada and the world. Despite documented decreases in the prevalence of smoking in Canada, increases in flavoured tobacco use by its youth poses a serious public health concern. This study examined the prevalence and characteristics of flavoured tobacco use among a national sample of Canadian students in grades 10 through 12.MethodsThis study used a cross-sectional design on a nationally generalizable, school-based, Youth Smoking Survey (YSS), 2012–2013. It incorporated data from a representative sample of 19,979 students in grades 10–12 from across Canada. Univariate and multivariate logistic regression models were used to examine differences in flavoured tobacco use (menthol cigarettes, flavoured little cigar or cigarillo, flavoured cigar, flavoured tobacco in water pipe [hookah]) by demographic (sex, grade and ethnicity) and social characteristics (friends, siblings, parents/guardians who are smokers and weekly personal spending money).ResultsThis study found that 14.8% of the participating students used flavoured tobacco in the past 30-days. Results of the logistic regression analysis show that flavoured tobacco use was significantly higher among male students [(OR = 1.63; 95% CI = 1.36–1.95)], who had at least one friend or sibling who smoke [(OR = 2.20; CI = 1.62 to 2.99) and (OR = 1.51; CI = 1.22 to 1.88), respectively] and who received greater than $20/week in personal spending money [(OR = 1.76; CI = 1.26 to 2.45)].ConclusionsThe results of our study indicate that flavoured tobacco use is a growing public health concern and has a strong appeal among youth in Canada. This is a particularly troubling finding, especially in light of the fact that there is a national ban on certain flavoured tobacco products. To be effective, strategies specifically tailored for youth using flavoured tobacco would require appropriate educational/prevention initiatives, more comprehensive legislation and better regulatory mechanisms.

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Cigarette smoking susceptibility among youth alternate tobacco product users: implications of flavoured tobacco from a national cross-sectional Canadian sample (YSS 2012/2013)

Cited by 10 publications

References 43 publications

Smoking susceptibility among non-smoking school-going adolescents in Malaysia: findings from a national school-based survey

Smoking susceptibility among non-smoking school-going adolescents in Malaysia: findings from a national school-based survey

Impact of non-menthol flavours in tobacco products on perceptions and use among youth, young adults and adults: a systematic review

Prevalence and characteristics of flavoured tobacco use among students in grades 10 through 12: a national cross-sectional study in Canada, 2012–2013

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