Smoking susceptibility as a predictive measure of cigarette and e-cigarette use among early adolescents

Morello, Paola; Pérez, Adriana; Braun, Sandra; Thrasher, James F.; Barrientos, Inti; Arillo-Santillán, Edna; Méjía, Raúl

doi:10.21149/9193

Cited by 14 publications

(16 citation statements)

References 33 publications

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“…We included two of the three items in the Pierce’s scale of susceptibility to smoking (copyright: freely available in the public domain), [ 43 ] which has been shown to predict smoking initiation and progression, [ 44 ] and we replaced cigarettes with ECs to assess adolescent susceptibility to EC use. The two items that we used were “Do you think you will use e-cigarettes in the next 12 months” and “Will you use e-cigarettes if one of your good friends offers you one?”, with the same options “definitely not”, “probably not”, “probably yes” and “definitely yes”.…”

Section: Methodsmentioning

confidence: 99%

Exposure to e-cigarette advertising, attitudes, and use susceptibility in adolescents who had never used e-cigarettes or cigarettes

Wang

Chen

et al. 2020

BMC Public Health

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Background Tobacco advertisements have been banned in Hong Kong, but low intensity e-cigarette (EC) advertising can still be found in various media outlets. We investigated the associations between exposure to EC advertising and susceptibility to EC use in adolescents who had never used cigarettes or ECs, with potential mediation by attitudes towards ECs and the tobacco industry. Methods The School-based Smoking Survey 2016/17 assessed exposure to EC advertising in the past 30 days, attitudes towards ECs and the tobacco industry, susceptibility to EC use, and other covariates. Generalised linear mixed models and multiple mediation analysis methods were used in data analyses. Results Among 7082 students (mean age 14.9 years), 28.8% reported exposure to EC advertising. Exposure was associated with being uncertain about the harm of EC use, being tolerant towards ECs, believing the tobacco industry is respectable, and being susceptible to EC use; the magnitudes of these associations increased with the number of types of advertising exposed (0, 1, and ≥ 2) (all p -values < 0.01). These attitudinal factors were in turn associated with EC use susceptibility (all p-values < 0.001). The perception that tobacco companies make youth smoke was not associated with the advertising exposure or EC use susceptibility. Of the total effects of EC advertising on use susceptibility, only 16.6% were mediated by attitudinal factors: perceived harm (3.1%), attitudes towards ECs (8.2%), and attitudes towards the tobacco industry (4.9%). Conclusions Even exposure to low intensity EC advertising was associated with susceptibility to EC use in adolescents who had never used cigarettes or ECs. The association was weakly mediated by tolerant attitudes towards ECs and the tobacco industry. The government should reinforce the regulations on EC advertising to protect adolescent health.

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Section: Methodsmentioning

confidence: 99%

Exposure to e-cigarette advertising, attitudes, and use susceptibility in adolescents who had never used e-cigarettes or cigarettes

Wang

Chen

et al. 2020

BMC Public Health

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“…Response options for this question included: “Definitely not”, “not likely”, “likely”, and “definitely”. As is commonly done in tobacco research, we dichotomized responses into not susceptible (“definitely not” response) and susceptible (all other responses) (Morello et al, 2018; Pierce et al, 1996).…”

Section: Methodsmentioning

confidence: 99%

E-Cigarette Social Norms and Risk Perceptions Among Susceptible Adolescents in a Country That Bans E-Cigarettes

et al. 2019

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Background: This study examined how risk perceptions and social norms around e-cigarettes are associated with susceptibility (i.e., openness to using the product in the next 12 months) of e-cigarettes and smoking among adolescents. Methods: We analyzed data from a 2016 representative survey of 8718 middle-school students in Mexico. The study sample was restricted to students who had tried neither e-cigarettes nor cigarettes, (n=4471). Students reported on the risks of e-cigarettes compared to cigarettes, and product-specific norms were measured by assessing current use by family members, at least one close friend, and, for e-cigarettes, by perceived societal acceptability of use (i.e., acceptability among people in general). Adjusted prevalence ratios (APR) were estimated using generalized estimating equation (GEE) models that regressed e-cigarette societal acceptability on study variables. Adjusted GEE models also regressed susceptibility for each product on study variables. Results: Susceptibility to both e-cigarettes and smoking was higher among students who reported that their family and friends used only cigarettes or both products when compared to students whose family and friends did not use either of these products. Friend use of e-cigarettes was associated with e-cigarette susceptibility (APR= 1.33), but not smoking susceptibility. Students who perceived that e-cigarettes were less risky than smoking were more susceptible to e-cigarette use (APR=1.45). The association between e-cigarette susceptibility and friend or family use was not mediated by societal acceptability. Conclusions: E-cigarette use among family and peers appears associated with susceptibility to use e-cigarettes in a way that is similar to the patterns found for cigarettes. However, the influences appear somewhat specific to the type of product that network members use.

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“…Likewise, future legalization of e-cigarette products may change e-cigarette consumption patterns, including their relationship with smoking cessation. Even if e-cigarettes may help smokers quit smoking, they may also promote the use of nicotine products among Mexican adolescents, among whom those at a relatively low risk appear interested in trying e-cigarettes 36,37 and are likely to progress to conventional smoking after e-cigarette trial, 38 as found in US studies. 39 Thus, policy makers need to carefully consider both the potential benefits and the potential harm of e-cigarette use for public health.…”

Section: Discussionmentioning

confidence: 99%

E-cigarette use and its association with smoking reduction and cessation intentions among Mexican smokers

et al. 2019

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Objective. Evaluate the patterns of e-cigarette use and their association with smoking behavior. Materials and methods. We analyzed data from a population-based representative cohort of adult smokers who participated in the International Tobacco Control Policy Evaluation Surveys in Mexico. The analytic sample (n=760) was restricted to participants who were followed up from wave 6 (2012) to wave 7 (2014-2015). GEE models regressed e-cigarette use at follow-up and changes in cigarettes per day (CPD) between waves, on baseline sociodemographic variables, smoking status (daily, non-daily, quit), e-cigarette trial, and quit intentions. Results. Smokers who were younger, had a higher income, and had tried e-cigarettes at baseline were more likely to be current e-cigarette users at follow-up. Ecigarette use at follow-up was not associated with a change in CPD over time. Conclusions. E-cigarette use does not appear to have promoted smoking cessation or reduction in this sample of Mexican smokers.

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Smoking susceptibility as a predictive measure of cigarette and e-cigarette use among early adolescents

Cited by 14 publications

References 33 publications

Exposure to e-cigarette advertising, attitudes, and use susceptibility in adolescents who had never used e-cigarettes or cigarettes

Exposure to e-cigarette advertising, attitudes, and use susceptibility in adolescents who had never used e-cigarettes or cigarettes

E-Cigarette Social Norms and Risk Perceptions Among Susceptible Adolescents in a Country That Bans E-Cigarettes

E-cigarette use and its association with smoking reduction and cessation intentions among Mexican smokers

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