Use of Electronic Nicotine Delivery Systems Among Adolescents: Status of the Evidence and Public Health Recommendations

Kamat, Aarti D; Dyke, Alison L. Van

doi:10.3928/19382359-20170111-01

Cited by 10 publications

(6 citation statements)

References 55 publications

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“…Several surveys reported that the main reasons for using e-cigarettes are that it is fun, enjoyable and cool 41-43 . These findings are consistent with survey results in Hong Kong 16 .…”

Section: Discussionmentioning

confidence: 99%

Electronic cigarette use in China: Awareness, prevalence and regulation

Wang¹,

He²,

Feng³

et al. 2019

Tob. Induc. Dis.

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INTRODUCTION E-cigarettes were invented in China, and most of the world’s e-cigarettes have been produced in China. However, awareness and use of e-cigarettes in China are lower than in Europe and America. Against the backdrop of the increasing use of e-cigarettes, the supervision of e-cigarettes in China has been almost non-existent. METHODS A literature search was carried out in five popular Chinese and English databases. These databases were PubMed, EMBASE, the Cochrane Library, China national knowledge infrastructure (CNKI), and Wan-fang database. RESULTS Twenty-one studies were identified, and a comprehensive analysis of e-cigarette awareness ratio was conducted for different regions of China and according to gender, age group, and smoking status. We also examined e-cigarette use and associated risk factors, and the relationship between e-cigarette use and smoking cessation. In 2015, the prevalence of ‘ever use’ and ‘current use’ of e-cigarettes in China were 3.1% and 0.5%, respectively. The review indicates that the awareness ratio of e-cigarettes was about 66% in Hong Kong, whereas the ratio for Tianjin was lower (43.6%). Online sales were the main channel for selling e-cigarettes to 80% of the users. Awareness of e-cigarettes has been increasing in China. Awareness was higher in men compared to women in all age groups. Nevertheless, e-cigarette use in China was lower than in developed countries. E-cigarette users were more likely to try to quit smoking, but the relationship between e-cigarette use and smoking cessation is still unclear. Governance is necessary for e-cigarette use and marketing effort. CONCLUSIONS This study investigated the awareness and use of e-cigarettes in China and the existing regulations for e-cigarette use and marketing. The lack of regulations for e-cigarette use and the unrestricted practice encourage the increase in adoption of e-cigarettes and misconceptions of the benefits of using e-cigarettes. Hence, it is crucial that the government of China prioritize the establishment and implementation of regulations for e-cigarette use and marketing.

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“…Several surveys reported that the main reasons for using e-cigarettes are that it is fun, enjoyable and cool 41-43 . These findings are consistent with survey results in Hong Kong 16 .…”

Section: Discussionmentioning

confidence: 99%

Electronic cigarette use in China: Awareness, prevalence and regulation

Wang¹,

He²,

Feng³

et al. 2019

Tob. Induc. Dis.

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“…EL may also cause headaches or diarrhea (Glasser et al , 2017). The long-term health effects of EC use are not clear; however, several studies have suggested that ECs might contribute to respiratory disease (Grana et al , 2014; Palamidas et al , 2014), high blood pressure (Loysamut, 2018) and disturbed brain development among adolescents (Office of the Surgeon Gen, 2016; Kamat and Van Dyke, 2017).…”

Section: Introductionmentioning

confidence: 99%

University students' knowledge about and attitudes toward e-cigarette use and factors influencing students' e-cigarette use

Chudech

Janmaimool

2021

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PurposeThis study aims to investigate university students' knowledge about and attitudes toward e-cigarette (EC) use. It will also examine whether students' EC use is associated with knowledge about and attitudes toward EC use. The study also aims to analyze the determinants of students' use of ECs. The effects of gender, smoking behavior and friends' and family members' smoking behaviors on students' use of ECs were analyzed.Design/methodology/approachCompleted questionnaire surveys were received from 1,362 students at King Mongkut's University of Technology Thonburi in Bangkok City, Thailand, in November and December 2019. Chi-square tests and an independent samples t-test were conducted to determine whether students' knowledge about ECs and attitudes toward EC use influenced their use of ECs. A logistic regression analysis was performed to identify significant factors affecting students' use of ECs.FindingsThe results revealed that students' EC use was associated with knowledge about ECs: Students with less knowledge about the harmful effects of ECs were more likely to use them. In addition, students who were EC users had more positive attitudes toward EC use than those who were not EC users. The results also revealed that male students, students who had also smoked tobacco cigarettes and students with friends who smoked tobacco cigarettes were more likely to use ECs. These results could suggest strategies to reduce the use of ECs among university students.Originality/valueThis study provides deep understanding about university students' knowledge about and attitudes toward EC use and their participation in EC use. The result clearly shows university students who are participating in EC use still have less knowledge about EC, thus, they have positive attitudes toward ECs. Gaining social acceptance from friends who use EC also influences students' decision to use EC. Therefore, EC use among students could significantly increase overall EC use.

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“…Although experts largely agree that e-cigarettes are less harmful than combustible tobacco products (Bhatnagar et al, 2014;Chen, Bullen, & Dirks, 2017), these products still pose harms, especially for youth. These include the potential for respiratory harm (Grana, Benowitz, & Glantz, 2014;Palamidas, 2013), increased blood pressure (Office of the Surgeon General, 2016), and harms to brain development (Kamat & Van Dyke, 2017; Office of the Surgeon General, 2016). A recent meta-analysis demonstrated that adolescents who use e-cigarettes are at least three times more likely to initiate combustible cigarette use (Soneji et al, 2017).…”

Section: Introductionmentioning

confidence: 99%