Measurement and predictive value of susceptibility to cigarettes, e-cigarettes, cigars, and hookah among Texas adolescents

Carey, Felicia R.; Wilkinson, Anna V.; Harrell, Melissa B.; Cohn, Elisabeth A.; Perry, Cheryl L.

doi:10.1016/j.abrep.2018.08.005

Cited by 24 publications

(45 citation statements)

References 34 publications

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“…Students could answer on a 4-point Likert scale, ranging from “definitely yes” to “definitely not”. Similar to other studies [4,5,6,7], non-susceptible never users responded “definitely not” to the question targeting cigarettes or e-cigarettes, while susceptible never users provided any other response to the question targeting cigarettes or e-cigarettes. Students were provided with a picture and description of the tobacco products in the survey.…”

Section: Methodssupporting

confidence: 71%

“…Pierce and colleagues [2,3] used a series of questions to identify and label adolescents who have never smoked cigarettes and are not committed to remaining smoke-free as susceptible to future smoking. The validity of this measure for identifying students at risk of cigarette and e-cigarette use has been supported in many studies [4,5,6,7]. However, even if the intention is present, access to these products is critical in order to try them.…”

Section: Introductionmentioning

confidence: 96%

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Offers of Cigarettes and E-Cigarettes Among High School Students: A Population Study from California

Cole

Cummins

Zhu

2019

IJERPH

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Receiving offers of cigarettes or e-cigarettes can contribute to the progression from intention to actual use. However, there is a lack of data about the prevalence or characteristics of youth being offered cigarettes or e-cigarettes. A random sample of 91 high schools in the state of California (with 40,137 students) participated in the 2015–16 California Student Tobacco Survey. Offers of cigarettes and e-cigarettes in the last 30 days were assessed. Separate multilevel logistical regression models identified student characteristics associated with being offered cigarettes and e-cigarettes. On average, 11.1% and 16.1% of all students reported being offered cigarettes and e-cigarettes in the last 30 days, respectively. Among those who received offers of cigarettes, 45.5% were never smokers. Among those who received offers of e-cigarettes, 29.6% were never vapers. Male students were more likely to report being offered an e-cigarette than female students (Adjusted Odds Ratio (AOR) 1.13), as were students with friends that used e-cigarettes (AOR 5.14–23.31) and those with high sensation seeking tendencies (AOR 1.33). Similar characteristics were associated with offers of cigarettes. Including measures of offers of cigarettes and e-cigarettes in surveillance systems could help identify those at risk of future cigarette and e-cigarette use.

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Section: Methodssupporting

confidence: 71%

Section: Introductionmentioning

confidence: 96%

Offers of Cigarettes and E-Cigarettes Among High School Students: A Population Study from California

Cole

Cummins

Zhu

2019

IJERPH

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“…Susceptibility to smoking (SS) or the lack of a cognitive commitment to refrain from future smoking which was introduced by Pierce et al 11 has been recognised as a valid and reliable tool to identify non-smoking adolescents who are at risk of initiating smoking 12–14. The conceptual validity of the SS spurred the conduct of various studies to identify factors associated with smoking susceptibility among adolescents.…”

Section: Introductionmentioning

confidence: 99%

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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“…Among these dimensions, curiosity and ease-ofuse are strong predictors of tobacco use behaviors. Tobacco product curiosity correlates with product susceptibility and use among youth 14,28 . Youth who perceived flavored smokeless tobacco and flavored e-cigarettes as easier to use than unflavored options were more likely to be susceptible to smokeless tobacco use 17 and to initiate future e-cigarette use 16 , respectively.…”

Section: Discussionmentioning

confidence: 99%

Electronic cigarette and moist snuff product characteristics independently associated with youth tobacco product perceptions

Chaffee¹,

Couch²,

Urata³

et al. 2020

Tob. Induc. Dis.

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Use of non-cigarette tobacco is increasing among youth. Past 30-day use of electronic cigarettes (e-cigarettes) among US high school students recently rose substantially, more than doubling in two years, from 11.7% in 2017 to 27.5% in 2019 1,2. Similarly, the use of conventional smokeless (spit) tobacco in 2018 nearly equaled the prevalence of cigarette smoking among male US high school students (smokeless: 8.4%; cigarettes: 8.8%) 1. Use of ABSTRACT INTRODUCTION Tobacco product characteristics convey product attributes to potential users. This study aimed to assess independent contributions of specific e-cigarette and smokeless tobacco product characteristics to adolescents' perceptions about these products. METHODS In 2019-2020, students (N=1003) attending a convenience sample of 7 high schools in California (USA) were individually randomized to one of two discrete choice experiments, featuring either electronic cigarettes (e-cigarettes) or moist snuff. Participants were presented like-product pairs of randomlygenerated hypothetical tobacco products differing in device type, flavor, vapor cloud, and nicotine amount (for e-cigarettes) or differing in brand, flavor, cut, and price (for moist snuff). Within pairs, participants were asked about which product they were more curious, was more dangerous, would give a greater 'buzz,' and would be easier to use. Conditional logistic regression was used to quantify independent associations of product characteristics to participants' choices. RESULTS Each e-cigarette and moist snuff characteristic was independently associated with multiple product perceptions. All non-tobacco flavors were associated with more curiosity and perceived ease-of-use but lower perceived danger. Tank and pod-type e-cigarettes were viewed as easier to use and garnered more curiosity than 'cigalike' or 'drip-mod' devices. Smaller vapor cloud e-cigarettes and lower-price moist snuff were viewed as less dangerous, less buzz-inducing, and easier to use. Product ever users held stronger perceptions than never users about device type (e-cigarettes) and brands (moist snuff), while product naïve participants more strongly associated flavor with danger and buzz. CONCLUSIONS Tobacco product characteristics convey product attributes to adolescents that may increase appeal. Restricting specific characteristics, including flavors, could reduce positive perceptions of these products among youth.

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Measurement and predictive value of susceptibility to cigarettes, e-cigarettes, cigars, and hookah among Texas adolescents

Cited by 24 publications

References 34 publications

Offers of Cigarettes and E-Cigarettes Among High School Students: A Population Study from California

Offers of Cigarettes and E-Cigarettes Among High School Students: A Population Study from California

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

Electronic cigarette and moist snuff product characteristics independently associated with youth tobacco product perceptions

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