E-cigarette and waterpipe use in two adolescent cohorts: cross-sectional and longitudinal associations with conventional cigarette smoking

Treur, Jorien L.; Rozema, Andrea D.; Mathijssen, Jolanda; Oers, Hans van; Vink, Jacqueline M.

doi:10.1007/s10654-017-0345-9

Cited by 62 publications

(93 citation statements)

References 30 publications

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“…Mounting evidence supports this view [2,[6][7][8] and that vaping may aid smoking cessation [2,[9][10][11]. Nevertheless, concerns remain [3,12], particularly around risks of vaping introducing youth to nicotine and cigarette use [13][14][15][16], though so far regular (at least weekly) vaping by youth in the UK has been rare [17,18].…”

Section: Introductionmentioning

confidence: 99%

Socioeconomic patterning of vaping by smoking status among UK adults and youth

et al. 2020

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Background:Smoking contributes significantly to socioeconomic health inequalities. Vaping has captured much interest as a less harmful alternative to smoking, but may be harmful relative to non-smoking. Examining inequalities in vaping by smoking status, may offer insights into potential impacts of vaping on socioeconomic inequalities in health. Methods: Data were from 3291 youth (aged 10-15) and 35,367 adults (aged 16+) from wave 7 (2015-17) of the UK Household Longitudinal Study. In order to adjust for biases that could be introduced by stratifying on smoking status, marginal structural models were used to estimate controlled direct effects of an index of socioeconomic disadvantage (incorporating household education, occupation and income) on vaping by smoking status (among adults and youth), adjusting for relevant confounders and for selection into smoking states. We also estimated controlled direct effects of socioeconomic disadvantage on being an ex-smoker by vaping status (among adult ever-smokers; n = 18,128). Results: Socioeconomic disadvantage was associated with vaping among never smoking youth (OR for a unit increase in the socioeconomic index: 1.17; 95%: 1.03-1.34), and among ex-smoking adults (OR: 1.17; 95% CI: 1.09-1.26), with little to no association among never smoking (OR: 0.98; 95% CI: 0.91-1.07) and current smoking (OR: 1.00; 95% CI: 0.93-1.07) adults. Socioeconomic disadvantage was also associated with reduced odds of being an exsmoker among adult ever-smokers, but this association was moderately weaker among those who vaped (OR: 0.88; 95% CI: 0.82-0.95) than those who did not (OR: 0.82; 95% CI: 0.80-0.84; p-value for difference = 0.081). Conclusions: Inequalities in vaping among never smoking youth and adult ex-smokers, suggest potential to widen health inequalities, while weaker inequalities in smoking cessation among adult vapers indicate e-cigarettes could help narrow inequalities. Further research is needed to understand the balance of these opposing potential impacts, and how any benefits can be maximised whilst protecting the vulnerable.

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Section: Introductionmentioning

confidence: 99%

Socioeconomic patterning of vaping by smoking status among UK adults and youth

et al. 2020

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“…The level of nicotine in the e-liquid has been shown to impact nicotine delivery, [38][39][40] and previous studies have reported that level of nicotine in e-cigarette e-liquid was associated with frequency of e-cigarette use, cigarette use, and likelihood of cigarette initiation. 17,24 However, no previous studies examining this association have accounted for the type of device used. It is possible that use of e-liquids with nicotine was not associated with number of cigarettes smoked because the type of device was a better predictor of effective nicotine dose than whether participants reported using nicotine.…”

Section: Discussionmentioning

confidence: 99%

“…To help guide regulatory strategies, data are urgently needed on factors that differentiate the risk of transition from e-cigarettes to heavier patterns of combustible cigarette use. The use of e-cigarettes with a higher nicotine level has been associated with an increased likelihood of combustible cigarette initiation 17,24 and both greater frequency of cigarette use in the past month and more cigarettes smoked per day at follow-up. 24 Other product characteristics that are amenable to regulation may also promote or discourage the transition to combustible tobacco use but have not yet been thoroughly investigated.…”

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confidence: 99%

E-cigarette Product Characteristics and Subsequent Frequency of Cigarette Smoking

et al. 2020

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BACKGROUND: There is a dearth of evidence regarding the association of use of electronic cigarettes (e-cigarettes) with certain product characteristics and adolescent and young adult risk of unhealthy tobacco use patterns (eg, frequency of combustible cigarette smoking), which is needed to inform the regulation of e-cigarettes.METHODS: Data were collected via an online survey of participants in the Southern California Children's Health Study from 2015 to 2016 (baseline) and 2016 to 2017 (follow-up) (N = 1312). We evaluated the association of binary categories of 3 nonmutually exclusive characteristics of the e-cigarette used most frequently with the number of cigarettes smoked in the past 30 days at 1-year follow-up. Product characteristics included device (vape pen and/or modifiable electronic cigarette [mod]), use of nicotine in electronic liquid (e-liquid; yes or no), and use for dripping (directly dripping e-liquid onto the device; yes or no).RESULTS: Relative to never e-cigarette users, past-30-day e-cigarette use was associated with greater frequency of past-30-day cigarette smoking at follow-up. Among baseline past-30-day e-cigarette users, participants who used mods (versus vape pens) smoked .6 times as many cigarettes at follow-up (mean: 20.8 vs 1.3 cigarettes; rate ratio = 6.33; 95% confidence interval: 1.64-24.5) after adjustment for sociodemographic characteristics, baseline frequency of cigarette smoking, and number of days of e-cigarette use. After adjustment for device, neither nicotine e-liquid nor dripping were associated with frequency of cigarette smoking. CONCLUSIONS: Baseline mod users (versus vape pen users) smoked more cigarettes in the past 30 days at follow-up. Regulation of e-cigarette device type warrants consideration as a strategy to reduce cigarette smoking among adolescents and young adults who vape.WHAT'S KNOWN ON THIS SUBJECT: Electronic cigarette (e-cigarette) use has been associated with cigarette initiation and greater frequency of smoking among adolescents. It is not yet known whether there are certain product characteristics of e-cigarettes that may increase the frequency of cigarette smoking at follow-up.WHAT THIS STUDY ADDS: Young adults using modifiable (versus penlike) e-cigarette devices at baseline smoked .6 times as many cigarettes in the past 30 days at follow-up. Regulation of e-cigarette product characteristics might reduce the transition from e-cigarettes to heavier cigarette-smoking patterns.

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“…Thus, there is limited information in this sense. One study from Netherlands stated that e-cigarettes without nicotine are more used for e-cigarette experimentation (Treur, Rozema, Mathijssen, van Oers, & Vink, 2018) (Table 1).…”

Section: Prevalence Of E-cigarettes Usementioning

confidence: 99%

Electronic Cigarette Use Among Adolescents In The European Area

Pintea¹

2019

The European Proceedings of Social and Behavioural Sciences

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Electronic cigarettes (e-cigarettes) are devices that allow the release of aerosols by heating a mixture solution which might contain nicotine or other substances at temperatures between 65 and 120°C in order to be inhaled. Over the past few years, e-cigarettes have been promoted by manufacturers as smoking cessation products, but evidence about their safety and efficacy for smoking cessation remains limited, while there are several concerns that they may increase the risk of non-smokers to develop nicotine dependence and of current smokers to maintain their dependence. The aim of this study is to evaluate the status of the research concerning prevalence of e-cigarettes and factors associated with the use of ecigarettes among European adolescents. The information is based on data available in specific literature such as articles published in journals or international reports. Data from different European countries showed that e-cigarettes are popular products among adolescents. For instance, a study performed in 2013 among Romanian high school students showed that almost 30% of them have experimented with ecigarettes at least once during lifetime. There are several variations concerning prevalence and factors that influence the use of e-cigarettes between countries as well as within the same country based on sociodemographics characteristics of the groups involved in the study, the year when the survey was performed, or the methodology and instruments for data collection. The results underline the need for future research in this field, as well as for educational and policy measures to face this new public health challenge.

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E-cigarette and waterpipe use in two adolescent cohorts: cross-sectional and longitudinal associations with conventional cigarette smoking

Cited by 62 publications

References 30 publications

Socioeconomic patterning of vaping by smoking status among UK adults and youth

Socioeconomic patterning of vaping by smoking status among UK adults and youth

E-cigarette Product Characteristics and Subsequent Frequency of Cigarette Smoking

Electronic Cigarette Use Among Adolescents In The European Area

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