Social Network Influences on Adolescent E-cigarette Use

Valente, Thomas W.; Piombo, Sarah E; Edwards, Katie M.; Waterman, Emily A.; Banyard, Victoria L.

doi:10.1080/10826084.2023.2188429

Cited by 12 publications

(13 citation statements)

References 38 publications

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“…For this age group, student peers are of primary importance in the development of knowledge and attitudes towards e-cigarettes. These findings align with the guidance provided by international studies, emphasizing the significance of social acceptability in the decision to use e-cigarettes among young people (Amin et al, 2020 ; Valente et al, 2023 ), the importance of environmental management aimed at reducing the visibility of others’ vaping behaviours (McDermott et al, 2020 ; Rocheleau et al, 2020 ) and delivering educational initiatives to inform peer groups about the risks associated with vaping (Bteddini et al, 2023 ; McCauley et al, 2023 ).…”

Section: Discussionsupporting

confidence: 85%

“…Consistent with studies in other countries (Sharma et al, 2021 ), young people viewed vaping as distinctly different from smoking, believing that vapes are less detrimental than cigarettes and considerably more enticing. Compared to cigarettes and other illicit substances, vaping is perceived as having less social stigma and greater societal acceptance (Valente et al, 2023 ). Evidence indicates that young people’s positive perceptions of e-cigarettes are influenced by e-cigarette marketing and promotion which has been found to focus on personal, relational, environmental and product-related benefits to draw young people to vaping (Greenhalgh & Scollo, 2023 ; McCausland et al, 2019 ; Struik et al, 2020 ).…”

Section: Discussionmentioning

confidence: 99%

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Socio-ecological factors that influence youth vaping: perspectives from Western Australian school professionals, parents and young people

McCausland,

Booth,

Leaversuch

et al. 2024

International Journal of Qualitative Studies on Health and Well

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Purpose To understand from the perspectives of school professionals, parents and young people the socio-ecological factors that may facilitate and prevent e-cigarette use among young people in Perth, Western Australia. Methods Purposive sampling was used to recruit school professionals, parents and young people for one-on-one ( n = 35) or joint ( n = 3) interviews (in-person n = 11 or online n = 27). Data were analysed using thematic analysis and classified into four domains based on the socio-ecological model: i) individual, ii) interpersonal, iii) organizational/community and iv) societal/policy. Results Factors that were found to support vaping among young people included sensation-seeking and risk-taking behaviour; a low-risk perception of vapes; attractive characteristics of vapes; ease of access; perception vaping is a social activity; and lack of knowledge about vaping among parents and school professionals. Vaping prevention messages originating from the familial, educational and community spheres are lacking but wanted by adults and young people. Conclusions The pervasiveness of the e-cigarette trade and persistent challenges related to surveillance and enforcement need to be addressed to reduce exposure and access to e-cigarettes. A mixture of “hard” and “soft” public policy tools involving key stakeholders in a range of settings is needed to prevent e-cigarette access and uptake by young people.

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Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Socio-ecological factors that influence youth vaping: perspectives from Western Australian school professionals, parents and young people

McCausland,

Booth,

Leaversuch

et al. 2024

International Journal of Qualitative Studies on Health and Well

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“…10 Similar to how vaping has spread through peer to peer interactions, introducing tobacco to a new generation who otherwise would have remained nicotine-naïve, vaping opioids could introduce opioid-naïve youth to this class of drugs, potentially normalizing this behavior. 11 Thus, targeted prevention education may be needed for youth to counteract this behavior.…”

Section: Discussionmentioning

confidence: 99%

Vaping Opioids: Should We Be Worried?

Morris,

Pebley,

Little

2023

Am J Health Promot

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The use of electronic cigarettes (i.e., e-cigarettes or vapes) has increased substantially among youth and young adults. While research has examined vaping cannabis and tetrahydrocannabinol (THC), little exists related to vaping other drugs, such as opioids, despite the fact that opioids are a leading cause of drug overdoses associated deaths in the U.S. The current study aimed to review the current state of the literature related to vaping opioids given our experience of learning about a youth overdose related to vaping opioids in a public high school in the U.S. while we were engaged in conducting community-based research. Peer-reviewed research publications related to vaping opioids are minimal, although there are several newspaper articles published related to vaping opioids, with most being about youth vaping opioids in school. This is concerning given that media often misconstrue substance use, particularly related to fentanyl, and may provide inaccurate information that perpetuates stigma. Thus, it remains unclear the scope of the issue of vaping opioids. Therefore, we propose a call to action for researchers and public health officials outlining recommendations for increased surveillance, interventions to address vaping-related opioid use, and measures to curb serious adverse consequences of vaping-related opioid use to determine whether this is a rising public health concern and offer mitigation strategies.

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“…Adolescents may be at further increased risk of vaping due to the high visibility and social acceptability of vaping compared with smoking combustible cigarettes. A recent study by Valente et al 37 is one of the first to show peer network exposure effects on e-cigarette use among youth. 37 The findings of the present study are consistent with the effects of network exposure, but our study also includes the effects of peer norms on behaviour, both of which are associated with e-cigarette use initiation.…”

Section: Discussionmentioning

confidence: 99%

“…This nomination method has been successfully deployed in several studies, including school-based adolescent studies, and provides valid and reliable network data. 6 28 36 37 Friendship nominations were used to construct social networks for each school, at each study wave. Social networks are represented as directed adjacency matrices, where each cell in the matrix represents a friendship between a given pair of students in the cohort ( x ij ) at that wave (a friendship nomination from student i to student j =1, and no friendship/tie=0).…”

Section: Methodsmentioning

confidence: 99%

Impact of social networks and norms on e-cigarette use among adolescents in Southern California: a prospective cohort study

Piombo,

Barrington-Trimis,

Valente

2023

bmjph

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ObjectiveUsing social network analysis, we assessed the mechanisms of social influence that promote e-cigarette use in adolescent networks.MethodsData on health behaviours and friendship networks from a cohort of 10 high schools in Southern California (N=1599) were collected in grade 9 Spring 2021 (W1), grade 10 Fall 2021 (W2) and Spring 2022 (W3). Two mixed effects logistic regression models were estimated (full sample and subsample of non-vapers only) to evaluate the associations of W1 and W2 pro-vaping norms, peer e-cigarette use exposure and prior e-cigarette use (full sample) on past 6-month vaping at W3, adjusting for demographic covariates and school clustering.ResultsPrevious vaping was the strongest predictor of past 6-month vaping at W3 among the full sample. Greater exposure to friend e-cigarette use at W2 (adjusted OR (AOR)=12.2, 95% CI 4.04 to 36.5) and greater pro-vaping norms at W2 (AOR=2.63, 95% CI 1.24 to 5.55) were significantly and positively associated with increased odds of initiating e-cigarette use at W3 among students with no lifetime e-cigarette use.ConclusionPeer network exposure and pro-vaping norms are significant predictors of vaping initiation even when network vaping prevalence is low.

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Social Network Influences on Adolescent E-cigarette Use

Cited by 12 publications

References 38 publications

Socio-ecological factors that influence youth vaping: perspectives from Western Australian school professionals, parents and young people

Socio-ecological factors that influence youth vaping: perspectives from Western Australian school professionals, parents and young people

Vaping Opioids: Should We Be Worried?

Impact of social networks and norms on e-cigarette use among adolescents in Southern California: a prospective cohort study

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