Predictors of youth e-cigarette use susceptibility in a U.S. nationally representative sample

Kwon, Elizabeth; Seo, Dong-Chul; Lin, Hsien-Chang; Chen, Zhongxue

doi:10.1016/j.addbeh.2018.02.026

Cited by 86 publications

(110 citation statements)

References 24 publications

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“…The current study's findings are consistent with other cross-sectional and cohort studies [34][35][36], which have found that male gender and prior addictive substance use (including tobacco smoking) is positively associated with e-cigarette use. Other cross-sectional studies [37] have also found that smoking in the family is positively associated with student e-cigarette use, whereas the current study found that e-cigarette use in the family is a predictor of student e-cigarette use.…”

Section: Main Findings and Comparison With Other Studiessupporting

confidence: 91%

Prevalence of Electronic Cigarette Use and Its Determinants among 13-to-15-Year-Old Students in Greece: Results from the 2013 Global Youth Tobacco Survey (GYTS)

Soteriades

Barbouni

Rachiotis

et al. 2020

IJERPH

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Electronic cigarette use has increased over the past decade. Its potential role in smoking cessation, in addiction and as a 'gateway' to tobacco smoking is subject to intense research. This cross-sectional study, carried out in 2013, aims to present the habits of students aged 13-15 in Greece with regard to e-cigarettes and investigate potential risk factors and the relationship between e-cigarettes, tobacco smoking and other nicotine products. It is the first such study to be carried out in Greece. The survey was based on the standardized methodology of the Global Youth Tobacco Survey. All potential associations were investigated using multiple logistic regression. In total 2.8% of the 4096 participating students were current e-cigarette users and 12.3% of them were ever users. E-cigarette use was associated with male gender, being older, current use of combustible tobacco products and e-cigarette use in the family. Ever e-cigarette use, being older, female gender and higher pocket money were associated with an increased susceptibility to tobacco smoking. E-cigarette prevalence in Greece in 2013 was similar to that of other, developed countries. The smoking and vaping habits of adolescents must be monitored in order to assess trends over time and whether any policy alterations are necessary.

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Section: Main Findings and Comparison With Other Studiessupporting

confidence: 91%

Prevalence of Electronic Cigarette Use and Its Determinants among 13-to-15-Year-Old Students in Greece: Results from the 2013 Global Youth Tobacco Survey (GYTS)

Soteriades

Barbouni

Rachiotis

et al. 2020

IJERPH

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show abstract

“…This remains controversial because of limited data available on EC use, as well as heavy confounding between ECs and conventional cigarette use. For example, youth who use ECs are highly similar to those who use conventional cigarettes with respect to a variety of risk factors [22,23]. In fact, shared risk factors largely account for the apparent effect of ECs on conventional smoking among adolescents [13].…”

Section: Introductionmentioning

confidence: 99%

Electronic cigarettes, nicotine use trends and use initiation ages among US adolescents from 1999 to 2018

Foxon

Selya

2020

Addiction

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Background and Aims Recent nicotine use trends raise concerns that electronic cigarettes (ECs) may act as a gateway to cigarettes among adolescents. The aims of this study were to examine prevalence trends of exclusive EC use, exclusive cigarette use and dual use to determine the corresponding ages of initiation and to investigate hypothetical trends in total nicotine use and cigarette use in the absence of ECs among US adolescents. Design Observational study using data from the National Youth Tobacco Survey (NYTS) to statistically model trends in the prevalences of each user group and their initiation ages. Projections from counterfactual models based on data from 1999 to 2009 (before EC introduction) were compared with actual trends based on data from 1999 to 2018. Rigorous error analyses were applied, including Theil proportions. Setting USA. Participants and measurements Adolescents aged 12–17 years who were established exclusive cigarette users (≥ 100 cigarettes smoked and ≤ 100 days vaped), established exclusive EC users (< 100 cigarettes smoked and > 100 days vaped) and established dual users (≥ 100 cigarettes smoked and > 100 days vaped), based on cumulative life‐time exposure (n ≈ 12 500–31 000 per wave). Findings Exclusive cigarette use prevalence declined from 1999 to 2018, while exclusive EC use and dual use prevalences increased since their introduction in 2009. The age of cigarette initiation began a slight increase after 2014, whereas the age for EC use remained approximately constant and was higher than that of cigarettes. The counterfactual comparison results were consistent with ECs not increasing the number of US adolescent nicotine users, and in fact diverting adolescents from cigarettes. Conclusions Electronic cigarettes may have offset conventional smoking among US adolescents between 2010 and 2018 by maintaining the total nicotine use prevalence and diverting them from more harmful conventional smoking. Additionally, electronic cigarette users appear to initiate at older ages relative to conventional smokers, which is associated with lower risk.

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“…(Hampson, Andrews, Severson, & Barckley, 2015) A study of youth susceptible to e-cigarettes suggested that psychological problems, rebelliousness, other substance use, and household exposure to smoking are determinants of e-cigarette use susceptibility. (Kwon, Seo, Lin, & Chen, 2018) Additionally, studies have documented similarities and differences in risk factors associated with e-cigarette and cigarette use. (Barrington-Trimis et al, 2015;Wills, Knight, Williams, Pagano, & Sargent, 2015) E-cigarette use and cigarette smoking may be associated with similar psychosocial factors such as: use among friends, use among people at home, friends' attitudes, sensation seeking, substance use, and internalizing/externalizing behaviors; (Barrington-Trimis et al, 2015;Wills et al, 2015) however, both e-cigarette and cigarette single product users may have fewer risk factors compared to those who report using both products (i.e., dual users).…”

Section: Introductionmentioning

confidence: 99%

Associations of risk factors of e-cigarette and cigarette use and susceptibility to use among baseline PATH study youth participants (2013–2014)

Sawdey

Day

Coleman

et al. 2019

Addictive Behaviors

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Dual users had higher odds of reporting traditional risk factors for smoking, followed by single product users. • Youth susceptible to both products had stronger associations with risk factors than those susceptible to one product. • Between Wave 1 and 2, compared to continued non-users, a significantly higher proportion of new users reported being older, ever using marijuana and alcohol, having more internalizing, externalizing, and sensation seeking behaviors, having lower grades, and having someone in the household who uses tobacco.

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Predictors of youth e-cigarette use susceptibility in a U.S. nationally representative sample

Cited by 86 publications

References 24 publications

Prevalence of Electronic Cigarette Use and Its Determinants among 13-to-15-Year-Old Students in Greece: Results from the 2013 Global Youth Tobacco Survey (GYTS)

Prevalence of Electronic Cigarette Use and Its Determinants among 13-to-15-Year-Old Students in Greece: Results from the 2013 Global Youth Tobacco Survey (GYTS)

Electronic cigarettes, nicotine use trends and use initiation ages among US adolescents from 1999 to 2018

Associations of risk factors of e-cigarette and cigarette use and susceptibility to use among baseline PATH study youth participants (2013–2014)

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