Which Nicotine Products Are Gateways to Regular Use?

Meier, Ellen; Tackett, Alayna P.; Miller, Mary Beth; Grant, DeMond M.; Wagener, Theodore L.

doi:10.1016/j.amepre.2014.09.018

Cited by 41 publications

(23 citation statements)

References 23 publications

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“…326,335,374,395,404,422,514,536,541,569 According to National Health Interview Survey data, recent quitters (<1 year) were four times more likely to be daily ENDS users than current smokers (13% vs 3.5%). 610 In 2014, the National Youth Tobacco Survey added measures of frequency of use in the past 30 days and found that of the 13.4% of high school students reporting any past 30–day ENDS use, 45.4%% (or 6.1% of the population) had tried ENDS on 1–2 days, 16.2% (2.2% of the population) on 3–5 days, 12.0% (1.6% of the population) on 6–9 days, 10.9% (1.5% of the population) on 10–19 days, 5.8% (0.8% of the population) on 20–29 days, and 9.7% (1.3% of the population) used ENDS all 30 days.…”

Section: Evidence Synthesismentioning

confidence: 99%

Overview of Electronic Nicotine Delivery Systems: A Systematic Review

Glasser

Collins

Pearson

et al. 2017

American Journal of Preventive Medicine

418

332

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Context Rapid developments in e-cigarettes, or electronic nicotine delivery systems (ENDS), and the evolution of the overall tobacco product marketplace warrant frequent evaluation of the published literature. The purpose of this article is to report updated findings from a comprehensive review of the published scientific literature on ENDS. Evidence acquisition The authors conducted a systematic review of published empirical research literature on ENDS through May 31, 2016, using a detailed search strategy in the PubMed electronic database, expert review, and additional targeted searches. Included studies presented empirical findings and were coded to at least one of nine topics: (1) Product Features; (2) Health Effects; (3) Consumer Perceptions; (4) Patterns of Use; (5) Potential to Induce Dependence; (6) Smoking Cessation; (7) Marketing and Communication; (8) Sales; and (9) Policies; reviews and commentaries were excluded. Data from included studies were extracted by multiple coders (October 2015 to August 2016) into a standardized form and synthesized qualitatively by topic. Evidence synthesis There were 686 articles included in this systematic review. The majority of studies assessed patterns of ENDS use and consumer perceptions of ENDS, followed by studies examining health effects of vaping and product features. Conclusions Studies indicate that ENDS are increasing in use, particularly among current smokers, pose substantially less harm to smokers than cigarettes, are being used to reduce/quit smoking, and are widely available. More longitudinal studies and controlled trials are needed to evaluate the impact of ENDS on population-level tobacco use and determine the health effects of longer-term vaping.

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Section: Evidence Synthesismentioning

confidence: 99%

Overview of Electronic Nicotine Delivery Systems: A Systematic Review

Glasser

Collins

Pearson

et al. 2017

American Journal of Preventive Medicine

418

332

View full text Add to dashboard Cite

show abstract

“…Furthermore, ever use of e-cigarettes has been associated with openness to cigarette smoking in young adult never smokers (Coleman et al, 2015). A study of college students found that those who tried cigarettes or smokeless tobacco first were more likely to be poly-users (Meier et al, 2015). If e-cigarette use proceeds to nicotine dependence and subsequent experimentation with cigarettes, a pattern of dual- or poly-use may emerge and continue into adulthood.…”

Section: Discussionmentioning

confidence: 99%

Multiple tobacco product use among young adult bar patrons in New Mexico

Kalkhoran

Padilla

Neilands

et al. 2016

Preventive Medicine

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Introduction Use of non-cigarette tobacco products is common, and e-cigarette use is increasing among young adults. We aimed to identify use of other tobacco products among young adult bar patrons in the context of a bar-based intervention to decrease cigarette smoking. Methods 2291 cross-sectional surveys were collected from young adults in bars in Albuquerque, New Mexico using time–location sampling between 2011 and 2013 (N = 1142 in 2011, N = 1149 in 2012–2013), 2 and 3 years into an intervention to reduce cigarette use, and analyzed in 2014–2015. Participants reported current (i.e. past 30-day) use of cigarettes, snus, dip, cigarillos, hookah, and e-cigarettes, demographics, and tobacco-related attitudes. Multiple imputation was used to account for planned missing data. Logistic regression determined correlates of multiple tobacco product use. Results Cigarette smoking in the population decreased during the intervention from 43% to 37%. Over 60% of current cigarette smokers reported poly-use, most frequently with e-cigarettes (46%) and hookah (44%), followed by cigarillos (24%), dip (15%), and snus (14%) in 2012–2013. Among cigarette smokers, current e-cigarette use increased, while use of other products decreased during the intervention. Odds of poly-use (versus smoking cigarettes only) were greater among males and those reporting past 30-day binge drinking, and lower in those who strongly believed secondhand smoke exposure is harmful. Conclusions Among young adult bar patrons in Albuquerque, New Mexico, most cigarette smokers reported currently using at least one other tobacco product. Public health interventions should address use of all tobacco products, use of which may rise despite decreased cigarette use.

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“…It is now an increasingly popular form of smoking among youth in North America. WP use poses many challenges for the tobacco control community, including the potential that it may become a gateway to other forms of tobacco/drug use and a cause of relapse for cigarette smokers who had previously quit [3,10,20]. In some sub-populations in Canada and the US, WP use surpasses cigarettes use [9,32].…”

Section: Introductionmentioning

confidence: 95%

Knowledge About the Waterpipe (Hookah), a Qualitative Assessment Among Community Workers in a Major Urban Center in Canada

2015

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Waterpipe (WP) use has surged in popularity since the introduction of flavoured shisha. It is now an increasingly popular form of smoking among youth in North America. Health professionals/educators knowledge about the WP may well be inadequate. This study, using qualitative methods, sought to explore the knowledge and attitude of leaders in the community toward the WP. Family physicians, pharmacists, tobacco counsellors, social workers and educators were invited to participate in a one-one interview using open-ended questions. A total of 27 interviews were conducted. Individuals from Eastern Mediterranean backgrounds raised doubt about the overemphasised cultural significance of the WP and perceived this as a marketing strategy by industry. Most felt that WP smokers believed the WP to be less harmful than cigarettes and that the use of flavoured tobacco was motivating people to smoke. Participants believed that education should be directed at the general public and healthcare professionals, suggesting school programs and the use of social media to inform young smokers. Most thought that the current practices regarding packaging and second hand smoke exposure are confusing. They identified the lack of knowledge, poor enforcement procedures, "so called cultural aspects" and the economic impact of banning the WP on small businesses as barriers to change. Despite the awareness of an increase in WP use, our participants recognized that little has been done to curb this problem. Our findings emphasize the need for further education and better legislation to regulate WP use and availability.

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Which Nicotine Products Are Gateways to Regular Use?

Abstract: Hookah and ETPs are increasingly becoming the first tobacco product ever tried by youth; however, uptake of ETPs is poor, unlike cigarettes and SLT, and does not appear to lead to significant daily/non-daily use of cigarettes and SLT.

Cited by 41 publications

References 23 publications

Overview of Electronic Nicotine Delivery Systems: A Systematic Review

Overview of Electronic Nicotine Delivery Systems: A Systematic Review

Multiple tobacco product use among young adult bar patrons in New Mexico

Knowledge About the Waterpipe (Hookah), a Qualitative Assessment Among Community Workers in a Major Urban Center in Canada

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