Patterns of electronic cigarette use in current and ever users among college students in France: a cross–sectional study

Abstract

ObjectiveThere is sparse information on electronic cigarette use and health behaviours among college student populations. Our objectives were to identify the patterns of electronic cigarette use in current and ever users among college students in France.DesignCross-sectional study.SettingsA multicentre cross-sectional study was conducted on two major campuses in France. Students filled in an anonymous questionnaire on their use of electronic cigarettes and on targeted behaviours such as smoking, alcohol consumption, binge drinking, use of cannabis, practice of sport and eating disorders. Ever use of electronic cigarettes was defined as use but not during the previous 30 days, and current use of electronic cigarettes as any use in the previous 30 days. The opinions and motivations of electronic cigarette users were also sought and collected.Participants1134 college students between October 2014 and February 2015.ResultsThe 1134 students included had a mean age of 20.8 years. The prevalence of ever use and current use of electronic cigarettes was 23.0% (95% CI (20.5% to 25.3%)) and 5.7% (95% CI (4.4% to 7.1%)), respectively. The prevalence of the combined use of conventional cigarettes and electronic cigarettes was 14.5%. Almost half (45.8%) of the ever users of electronic cigarettes had never smoked conventional cigarettes. Behaviours associated with ever use of electronic cigarettes were current cigarette smoking (adjusted OR (AOR)=3.97, 95% CI 2.71 to 5.83), former smoking (AOR=2.56, 95% CI 1.42 to 4.61), cannabis use (AOR=2.44, 95% CI 1.70 to 3.51) and occasional binge drinking (AOR=1.83, 95% CI 1.28 to 2.64). The only behaviour associated with current use of electronic cigarettes was conventional smoking, either previously (AOR=4.85, 95% CI 1.53 to 15.34) or currently (AOR=14.53, 95% CI 6.81 to 31.02).ConclusionsThe ever users have an experimenter's profile with sensation-seeking while the current users are mostly smokers with intention to quit smoking. Our findings are crucial for the accurate targeting of student populations at risk and to implement appropriate awareness campaigns and health education programmes.

Overview of Electronic Nicotine Delivery Systems: A Systematic Review

“…Users also report using ENDS because they are less expensive than cigarettes, 145,194,332,337,338,341,350,353,358,372,389,395,455,456,459,472,502 for relapse prevention, 194,353,372 out of curiosity, 341,347,350,358,421,422,432,434,441,444,456,461,476 because they are accessible and convenient, 341,366,387,477 for social reasons, 341,347,363,387,434,444,461,502,504 and because they taste 337,358,426,472,477,496 or smell better than cigarettes. 341,353,389,459,461 Flavors are viewed as an attractive characteristic of ENDS, 345,433 and are a cited reason for vaping.…”

“…Two hundred and fifty articles 153,192–194,197,203,239,265,271,304,323–326,329,332,333,335–339,341–344,346,348,350,351,353–362,365,367–369,372,374–376,378–381,384,388,390,393–396,404–406,408,414–416,418,420–422,425,426,432,434,436,440,441,444–450,453–456,459–462,465,468,472,475,476,478,488,489,491,494,496–498,500,502,504,506–646 have been published on vaping patterns.…”

“…323,333,336–339,342,344,346,348,350,351,354–357,359,361,369,380,381,384,395,396,421,455,461,472,504,527,531,541,543,551,552,561,568,575,577–579,582,584,590 National Health Interview Survey data show that recent former smokers (quit <1 year ago) were more likely to report using ENDS “every day” or “some days” (22.0%) than adults who had never smoked (0.4%), former smokers who had quit for ≥1 year (2.3%), or former smokers who quit cigarettes ≥4 years ago (0.8%). 610,639 Studies show the use of ENDS is correlated with use of other tobacco products, 325,362,394,468,509,517,520,524,557,558,584,585,621,649 marijuana, 325,432,496,512,523,539,559,571,592,593,609,642 and alcohol. 325,432,496,497,512,523,539,549,559,563,571,572,584,590,592,593,609,650 …”

“…610,639 Studies show the use of ENDS is correlated with use of other tobacco products, 325,362,394,468,509,517,520,524,557,558,584,585,621,649 marijuana, 325,432,496,512,523,539,559,571,592,593,609,642 and alcohol. 325,432,496,497,512,523,539,549,559,563,571,572,584,590,592,593,609,650 …”

E-cigarettes, conventional cigarettes, and dual use in Korean adolescents and university students: Prevalence and risk factors

“…Surveys in the United States (Arrazola et al, 2015; McCarthy, 2015), New Zealand (White et al, 2015), Korea (Lee et al, 2014), France (Tavolacci et al, 2016), and Poland (Goniewicz et al, 2014) have reported high rates of e-cigarette use among adolescents and young adults. For example, a nationally representative survey in the United States found that e-cigarettes were the most commonly used tobacco product among high school students in 2014, and current (past 30 days) use of e-cigarettes increased approximately nine-fold from 2011 to 2014 among high school students (1.5% in 2011; 13.4% in 2014) and tripled among middle school students (1.1% in 2011; 3.9% in 2014) (Arrazola et al, 2015; McCarthy, 2015; Singh et al, 2016).…”