2016
DOI: 10.1037/adb0000213
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How is the effect of adolescent e-cigarette use on smoking onset mediated: A longitudinal analysis.

Abstract: E-cigarette use by adolescents has been related to onset of cigarette smoking but there is little knowledge about the process(es) through which this occurs. Accordingly, we tested the role of cognitive and social factors for mediating the relation between e-cigarette use and smoking onset. A school-based survey was conducted with a baseline sample of 2,338 students in Hawaii (9th and 10th graders, mean age 14.7 years) who were surveyed in 2013 (Time 1, T1) and followed up 1 year later (Time 2, T2). We assessed… Show more

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Cited by 49 publications
(54 citation statements)
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“…The intervening mechanisms at work may not necessarily be linked to chemical addiction and may operate even if the substance vaped in e-cigarettes is not addictive or physically harmful. Other candidate intervening mechanisms include smoking expectancies, peer smoker affiliations, and attitudes toward smokers 23. The planned, future addition of a third wave of data will allow testing of a formal mediation model.…”
Section: Discussionmentioning
confidence: 99%
“…The intervening mechanisms at work may not necessarily be linked to chemical addiction and may operate even if the substance vaped in e-cigarettes is not addictive or physically harmful. Other candidate intervening mechanisms include smoking expectancies, peer smoker affiliations, and attitudes toward smokers 23. The planned, future addition of a third wave of data will allow testing of a formal mediation model.…”
Section: Discussionmentioning
confidence: 99%
“…Similarly, studies in the US have found that adolescents who use e-cigarettes are more likely to use marijuana (Unger et al, 2016; Wills et al, 2016a). Adolescent e-cigarette users in the US are often exposed to pro-vaping culture (i.e., vape shops, vaping websites, social media) that promotes opportunities to learn how to use and purchase vaping equipment (Budney et al, 2015a, b; Lee et al, 2016; Unger et al, 2016), which can be used to vaporize marijuana (Budney et al, 2015b; Morean et al, 2015).…”
Section: Introductionmentioning
confidence: 94%
“…The "gateway effect" offers one explanation, where youth who would not have otherwise initiated cigarette use are more likely to do so after initiation of e-cigarettes [6]. In contrast, a common liability of risk for both cigarette and e-cigarette use, along with the use of other substances, including marijuana [7] is also theorized (e.g., a study by Vanyukov et al [8]). Dual use of both e-cigarette use and cigarettes is especially concerning as it is more heavily associated with binge drinking, marijuana use, other substance use, and poorer academic outcomes [9e11] than e-cigarette use alone.…”
Section: Implications and Contributionmentioning
confidence: 99%