Uptake of e-cigarettes among a nationally representative cohort of UK children

Vámos, Eszter; Filippidis, Filippos

doi:10.18332/tpc/89727

Cited by 7 publications

(6 citation statements)

References 20 publications

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“…In this sample experimentation with e-cigarettes was higher at 22%, compared to recent findings of between 8.5 and 15% reported in Great Britain [79,80] and may be in line with recent research, which indicates that e-cigarette experimentation across the UK and US has overtaken traditional smoking [81]. In the current study, e-cigarette experimentation,, was almost double that reported for tobacco smoking in this age group [7,46,78], and is a worrying statistic. In addition, over 20% of non-smokers reported that they were current or past users of e-cigarettes, and supported claims that a notable proportion of adolescents who have never smoked have tried an e-cigarette [82].…”

Section: Discussionsupporting

confidence: 90%

“…This in turn served to enhance their confidence in their ability to use them. Indeed, some people commented 'if your friends are using them or your parents have one, you can use theirs' , see also [7,[104][105][106]. This appeared to be reinforced by the belief that their parents perceived e-cigarettes as a less harmful alternatives to smoking.…”

Section: Discussionmentioning

confidence: 99%

“…The use of electronic cigarettes (e-cigarettes) has increased globally in young people [1,2], at a time when traditional forms of smoking are declining [3,4], and public health messages do not recommend their use in this group [5], hence such trends need to be closely monitored [1,5,6]. Although, regular use of e-cigarettes in young people remains low in the UK [7,8] at around 4.9% in 2019, and mainly in smokers, experimentation is increasing and reported to be between 8.5 and 20% [7,9,10], compared to 16% experimentation with traditional cigarettes [3].…”

Section: Introductionmentioning

confidence: 99%

“…'Have you ever tried an e-cigarette?' [7], or have been embedded within larger well-being surveys [46]. Our study addressed these limitations and gaps, and enabled identification of targets for intervention development through the design of a theory driven framework for an educational resource to be used in post primary schools.…”

Section: Introductionmentioning

confidence: 99%

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Employing the theory of planned behaviour to design an e-cigarette education resource for use in secondary schools

et al. 2022

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Background An extended version of the theory of planned behaviour (TPB) was used to inform the design of a framework for an educational resource around e-cigarette use in young people. Methods A sequential exploratory design was employed. In Phase 1, elicited behavioural, normative and control beliefs, via 7 focus groups with 51 participants, aged 11–16 years, identified salient beliefs around e-cigarette use. These were used to construct a questionnaire administered to 1511 young people aged 11–16 years, which determined predictors of e-cigarette use and ever use. In Phase 2, sociodemographic variables, e-cigarette knowledge, access, use, marketing and purchasing of e-cigarettes and smoking behaviour were also gathered. The composite findings from Phase 1 and 2 informed the design of a post primary educational resource in Phase 3 around e-cigarette use. Results Current e-cigarette use was 4%, with almost 23% reporting ever use, suggesting current use is stable but experimentation may be increasing in this cohort. Sociodemographic variables, knowledge of e-cigarettes, smoking behaviour and TPB variables (direct and indirect measures of attitudes, subjective norm, and perceived behavioural control) accounted for 17% of the variance in current e-cigarette use, with higher intentions to use e-cigarettes within the next month, having the strongest impact on use (p < 0.001), followed by self-efficacy (p = 0.016). Sociodemographic and TPB variables accounted for 65% of the variance in intentions to use e-cigarettes in the next month; current e-cigarette use (p < 0.001), more positive attitudes (p < 0.001), stronger social influence (p < 0.001), higher self-efficacy (p < 0.001), higher control beliefs (p < 0.001) and greater motivation to use e-cigarettes (p < 0.001) were the main predictors of intentions. Phases 1 and 2 informed the mapping of key predictors of intentions and use of e-cigarettes onto the Theoretical Domains Framework, which identified appropriate intervention functions and behaviour change techniques. Conclusions This paper is the first to bridge the theoretical-practice gap in an area of significant public health importance through the development of a framework for a novel theory driven school-based educational resource aimed at reducing experimentation and uptake of e-cigarette use in young people.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Employing the theory of planned behaviour to design an e-cigarette education resource for use in secondary schools

et al. 2022

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“…However, smoking initiation rates among youth in the US reached the lowest recorded rate of 2.29% in 2018 (302), and similar patterns have been observed across European countries where ECs are widely available (303). Friend or caregiver smoking seems to increase the likelihood of children trying ECs, as does lower socioeconomic status (304,305). Differing perceptions of risks have been found across subgroups of young people (e.g., classified by ethnic origin or sexuality) ( 306), but little work has been done on social factors (307), and this area needs greater attention.…”

Section: Vapers Demographics -Uptake By Young People and Potential Gateway Effectsmentioning

confidence: 99%

Evidence From the Scientific Assessment of Electronic Cigarettes and Their Role in Tobacco Harm Reduction

Camacho

Ebajemito

Coburn

et al. 2021

Contributions to Tobacco &Amp; Nicotine Research

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Summary While smoking remains a main global cause of preventable morbidity and mortality, a potential inflection point has arrived where it could become possible for non-combustible nicotine products to displace cigarettes and reduce risk for smokers who transition completely from smoking. These have proven consumer satisfaction and are now widely and increasingly available globally. One of the most prominent of these nicotine products are electronic cigarettes (ECs), which are used daily by millions of current and former smokers. The category is not without controversy as these products are not risk free and can cause nicotine dependence. The differing interpretation of science assessing ECs has transpired into inconsistent regulation and product standards, providing an environment for its fragmented manufacturing base which allows for variable product quality and in turn, product quality variability has impacted on how they are viewed. In this review, we assess published scientific evidence to evaluate whether, on balance, ECs fulfil a tobacco harm reduction role by reducing health risks relative to smoking and providing a viable alternative for smokers while having limited appeal to non-smokers.

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E-Cigarettes: A Hazard or a Help?

Gutterman¹

2019

North American Actuarial Journal

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Uptake of e-cigarettes among a nationally representative cohort of UK children

Cited by 7 publications

References 20 publications

Employing the theory of planned behaviour to design an e-cigarette education resource for use in secondary schools

Employing the theory of planned behaviour to design an e-cigarette education resource for use in secondary schools

Evidence From the Scientific Assessment of Electronic Cigarettes and Their Role in Tobacco Harm Reduction

E-Cigarettes: A Hazard or a Help?

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