Awareness and determinants of electronic cigarette use among Finnish adolescents in 2013: a population-based study

Kinnunen, Jaana M.; Ollila, Hanna; El-Amin, Salma El-Tayeb; Pere, Lasse; Lindfors, Pirjo; Rimpelä, Arja

doi:10.1136/tobaccocontrol-2013-051512

Cited by 105 publications

(146 citation statements)

References 23 publications

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“…Nicotine-free cartridges were less popular than nicotine-containing cartridges among both groups. This is in line with previous studies, and illustrates the importance of nicotine as an ingredient of the product and e-cigarette users' addiction to nicotine 8,16,17,49,50 . The two most commonly mentioned reasons for using e-cigarettes were that the product was considered as less detrimental for one's health and served as a smoking cessation tool.…”

Section: Discussionsupporting

confidence: 78%

Electronic cigarette use: comparing smokers, vapers, and dual users on characteristics and motivational factors

Schoren¹,

Hummel²,

Vries³

2017

Tob. Prev. Cessation

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INTRODUCTION This study examined vaping behaviour, precursors of vaping, and motivational differences between smokers, dual users and vapers. The objectives were to assess a) vaping characteristics and reasons for use, b) differences in motivational factors and behavioural precursors associated with e-cigarette use, and c) socio-demographic and motivational factors associated with electronic cigarette use. METHODS A cross-sectional survey among 259 vapers, 135 smokers, and 83 dual users was conducted in the Netherlands. The questionnaire, based on the I-Change Model, assessed demographics, smoking and vaping behaviour, quit attempt, attitudes towards e-cigarettes, social influences, self-efficacy about not to vape and intention to quit. RESULTS Vaping e-cigarettes was mostly started for health reasons. Less than 2% of the vapers had never used conventional cigarettes. Vapers reported most advantages of e-cigarettes whereas smokers were least convinced of them, encountered more modelling of vaping in their social environment and reported higher self-efficacy to control vaping. Older respondents and respondents with low levels of education and low income were more likely to use e-cigarettes instead of conventional cigarettes. CONCLUSIONS Although vaping was mostly started for health reasons, the use of the product was not strictly limited to (former) smokers. Health communication for non-smokers is needed to stress potential dangers. Both vapers and non-vapers encounter barriers for using e-cigarettes in difficult situations. If e-cigarettes are used as a smoking cessation tool, more information is needed to help users cope with these situations. For future interventions we recommend to take potential motivational differences among low and high income and educated groups into account.

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Section: Discussionsupporting

confidence: 78%

Electronic cigarette use: comparing smokers, vapers, and dual users on characteristics and motivational factors

Schoren¹,

Hummel²,

Vries³

2017

Tob. Prev. Cessation

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“…11 The Centers for Disease Control reported that, during 2011-2012, use of e-cigarettes increased from 3.3% to 6.8% among students in grades 6-12. 12 Similar increases 13 and high levels of ever use 14 have also been observed in other countries where e-cigarettes are being marketed (e.g., in Korea and Finland). In light of the rapid growth of the e-cigarette industry, the lack of consistent local and federal policies around the use and marketing of these products, and the potential for e-cigarette use to promote the uptake of traditional tobacco products and nicotine addiction, it is imperative to monitor and understand e-cigarette use behaviors among adolescents.…”

Section: E-cigarette Use Among High School and Middle School Adolescesupporting

confidence: 57%

E-cigarette Use Among High School and Middle School Adolescents in Connecticut

Krishnan‐Sarin

Morean

Camenga

et al. 2014

Nicotine &Amp; Tobacco Research

191

186

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Introduction: There is limited evidence on electronic cigarette (e-cigarette) use among U.S. adolescents. Methods: Cross-sectional, anonymous surveys conducted in 4 high schools (HS; n = 3,614) and 2 middle schools (MS; n = 1,166) in Connecticut in November 2013 examined e-cigarette awareness, use patterns, susceptibility to future use, preferences, product components used (battery type, nicotine content, flavors), and sources of marketing and access. Results: High rates of awareness (MS: 84.3%; HS: 92.0%) and of lifetime (3.5% MS, 25.2 % HS) and current (1.5% MS, 12% HS) use of e-cigarettes was observed. Among those who had not tried e-cigarettes, 26.4% of MS and 31.7% of HS students reported being susceptible to future use. Males (OR = 1.70, p < .01), older students (OR = 1.39, p < .05), Caucasians (OR = 2.01, p < .001), ever cigarette smokers (OR = 13.04, p < .001), and current cigarette smokers (OR = 65.11, p < .001) were more likely to be lifetime e-cigarette users and to report greater future susceptibility (males: OR = 1.30; Caucasians: OR = 1.14; ever cigarette smokers; OR = 3.85; current cigarette smokers; OR = 9.81; ps < .01-.001). Among MS students who were lifetime e-cigarette users, 51.2% reported that e-cigarette was the first tobacco product they had tried. E-cigarettes that were rechargeable and had sweet flavors were most popular. Smokers preferred e-cigarettes to cigarettes. Current cigarette smokers were more likely to initiate with nicotine-containing e-cigarettes, and ever and never cigarette smokers to initiate with e-cigarettes without nicotine. Primary sources for e-cigarette advertisements were televisions and gas stations and, for acquiring e-cigarettes, were peers. Conclusions: Longitudinal monitoring of e-cigarette use among adolescents and establishment of policies to limit access are imperatively needed.

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“…Similarly, in Connecticut, current cigarette smokers were most likely to consistently use nicotine e-cigarettes (59.2%), followed by ever smokers (31.9%) and never-smokers (11.4%) 18 . An exception is found in the Finnish data, where 65.7% of adolescent ever e-cigarette users had used nicotine e-cigarettes 17 . However, this sample had a low rate (8.3%) of tobacco never smokers, which suggests that a number of those using nicotine e-cigarettes may have previously used tobacco.…”

Section: Regular Use Of E-cigarettesmentioning

confidence: 85%

“…Seven studies [15][16][17][18][19][20][21] reported on the awareness of e-cigarettes among adolescents. Awareness of e-cigarettes was reported at 50.3%, 77.3% and 90.1% in the US 15 18 19 .…”

Section: Awareness Of E-cigarettesmentioning

confidence: 99%

Adolescent Awareness and Use of Electronic Cigarettes: A Review of Emerging Trends and Findings

Greenhill

Dawkins

Notley

et al. 2016

Journal of Adolescent Health

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Adult electronic cigarette use is increasing globally and early studies have suggested that similar trends may be observed among the adolescent population, albeit at lower levels. The current literature review presents data collected since 2014 from 21 cross-sectional studies and one cohort study that were all published in English. In particular, it focuses on awareness, ever-use, past 30 day use and regular use of e-cigarettes. The article suggests that adolescents are nearing complete awareness of e-cigarettes. Furthermore, in relation to ever-use and past 30 day use, higher prevalence rates continue to be reported across time, especially in the US.Nonetheless, reported regular use of e-cigarettes remains much lower than past 30 day use, although conclusions are limited due to inconsistencies with measurement and consequent lack of cross-cultural applicability. The majority of studies do not report whether adolescents use non-nicotine electronic cigarettes. There is a current absence of longitudinal studies that explore any association between electronic cigarettes and tobacco use, and little qualitative data that may illuminate how and why adolescents use electronic cigarettes. Through addressing these methodological limitations, future research will be able to inform healthcare and policy more effectively. Keywords: electronic cigarettes, e-cigarettes, vaping, nicotine, adolescents Implications and ContributionThis article provides a rapid review of upwards trends in adolescent awareness and use of ecigarettes. Current research priorities include surveying the extent of non-nicotine e-cigarette use and establishing the direction of any associations between e-cigarette and tobacco use longitudinally. Health practitioner priorities include promoting education strategies regarding what e-cigarettes are and their possible health implications.

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Awareness and determinants of electronic cigarette use among Finnish adolescents in 2013: a population-based study

Cited by 105 publications

References 23 publications

Electronic cigarette use: comparing smokers, vapers, and dual users on characteristics and motivational factors

Electronic cigarette use: comparing smokers, vapers, and dual users on characteristics and motivational factors

E-cigarette Use Among High School and Middle School Adolescents in Connecticut

Adolescent Awareness and Use of Electronic Cigarettes: A Review of Emerging Trends and Findings

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