The emerging norms of e-cigarette use among adolescents: A meta-ethnography of qualitative evidence

Smith, Hannah; Lucherini, Mark; Amos, Amanda; Hill, Sarah

doi:10.1016/j.drugpo.2021.103227

Cited by 19 publications

(10 citation statements)

References 53 publications

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“…Perceptions over the social acceptability of e-cigarette use could explain this finding. Research has suggested that adolescents view experimental e-cigarette use relatively positively compared with regular e-cigarette use or cigarette smoking,27 and that trying different flavours or products could be driving e-cigarette experimentation compared with cigarette smoking 27 28…”

Section: Discussionmentioning

confidence: 99%

Multistate transition modelling of e-cigarette use and cigarette smoking among youth in the UK

et al. 2023

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IntroductionE-cigarette use remains a controversial topic, with questions over how people transition between e-cigarette use and cigarette smoking. This paper examined transitions into and out of nicotine product use in a representative sample of UK youth.MethodsWe used Markov multistate transition probability models on data from 10 229 participants (10–25 years old) in the UK Household Longitudinal Study (2015–2021). We used four product use states (‘never’, ‘non-current use’, ‘e-cigarette only’ and ‘smoking and dual use’) and estimated likelihood of transitions according to sociodemographic characteristics.ResultsAmong participants who had never used nicotine products, most were still non-users a year later (92.9% probability; 95% CI 92.6%, 93.2%); a small proportion transitioned to using e-cigarettes only (4.0%; 95% CI 3.7%, 4.2%) and cigarettes (2.2%; 95% CI 2.0%, 2.4%). Those aged 14–17 years were the most likely to start using a nicotine product. E-cigarette use was less persistent overtime than cigarette smoking, with a 59.1% probability (95% CI 56.9%, 61.0%) of e-cigarette users still using after 1 year compared with 73.8% (95% CI 72.1%, 75.4%) for cigarette smoking. However, there was a 14% probability (95% CI 12.8%, 16.2%) that e-cigarette users went onto smoke cigarettes after 1 year, rising to 25% (95% CI 23%, 27%) after 3 years.ConclusionThis study found that although overall nicotine product use was relatively rare, participants were more likely to experiment with e-cigarette use than cigarette smoking. This was mostly not persistent over time; however, approximately one in seven transitioned to cigarette smoking. Regulators should aim to deter all nicotine product use among children.

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Section: Discussionmentioning

confidence: 99%

Multistate transition modelling of e-cigarette use and cigarette smoking among youth in the UK

et al. 2023

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“…Some even misperceive e-cigarette aerosols as water [4]. Furthermore, a recent meta-ethnography indicates that not just perceptions of absolute harm and addictiveness but also social factors interact to predict adolescent e-cigarette use [41].…”

Section: Theme 1: Epidemiology and Kabsmentioning

confidence: 99%

“…There is a need for studies on ways in which clinicians develop effective skills for counselling and educating adolescents and family in e-cigarette prevention. Additionally, nicotine addiction resulting from e-cigarette use is more than a biomedical problem; it is inextricably intertwined with ethics, health inequality, social norms, and cultural contexts [41,[74][75][76]. Additional research that focuses on the intersection of medicine, public health, humanities, and social sciences is necessary to develop a comprehensive public health response.…”

Section: Recommendations For Future Researchmentioning

confidence: 99%

Adolescent Electronic Cigarette Use: A Bibliometric Analysis of Global Scientific Research

Wang

et al. 2022

Preprint

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Background Adolescent electronic cigarette (e-cigarette) use is an emerging global public health concern as nicotine addiction may be established among this vulnerable population. Its study has generated a burgeoning body of research charactering a wide spectrum. However, the development and current status of research on this alarming issue have been inadequately examined in an objective, systematic and visualized way. This bibliometric analysis aims to fill this gap by providing a comprehensive overview of scientific literature in relation to adolescent e-cigarette use. Methods A total of 943 eligible papers published from 2011 to 2021 were retrieved from Web of Science Core Collection. Performance analysis was used with various bibliometric indicators to examine the publication trend, most prolific countries, institutions, authors, journals, and highly cited articles. Science mapping based on VOSviewer was employed to visualize the collaboration networks between countries and authors, research hotspots, and their evolutions. Results Publications on adolescent e-cigarette use has increased significantly during the past decade. The USA dominated this field in all aspects and the University of Southern California was the most productive institution. There were clear collaborative author groupings, but their transnational collaborations were generally weak. Major research themes were identified in the extant literature, including epidemiology and KABs; risk factors; health implications; gateway effect; and prevention interventions. The keywords such as ‘vapor’, ‘flavor’, ‘advertising’, ‘dual use’ reflected research emphases in early studies while ‘bullying’, ‘COVID-19’, ‘social norms’, and ‘heated tobacco products’ were the emerging research trends. Conclusion This study is presumed to provide an overall picture of research on adolescent e-cigarette use, which may help scholars and public health practitioners stay abreast of the research developments and serve as a reference and entry point for further investigation into this multifaceted phenomenon.

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“…The use of the CASP quality appraisal tool facilitated the quality assessments and ratings of the included papers, and the study team decided to include papers rated as fair because those papers provided sufficiently rich first and second order data. Our study is complemented by a recent meta-ethnography by Smith et al, which explored the social element of e-cigarettes and its role in perceived harm reduction [74]. A strength of the metaethnography methodology is that a wide range of perspectives such as primary research participants, primary researchers and secondary researchers were included to generate rich themes regarding the emerging phenomena.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“That’s the whole thing about vaping, it’s custom tasty goodness”: a meta-ethnography of young adults’ perceptions and experiences of e-cigarette use

Ranjit

McCutchan

Brain

et al. 2021

Subst Abuse Treat Prev Policy

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Background E-cigarettes are increasing in popularity, particularly among young adults. With public health organisations contesting the possible benefits of e-cigarettes, research is required to explore young adults’ use of e-cigarettes as a smoking cessation and recreational tool. This study examined existing qualitative data to understand how transition into adulthood and issues of identity affect young adults’ perceptions and experiences of e-cigarette use. Methods A meta-ethnography was conducted to examine how young adults perceive and use e-cigarettes. Data were synthesised using Noblit and Hare’s (1988) meta-ethnographic approach. Bronfenbrenner’s socio-ecological model (1979) was used to conceptualise themes and map findings. Results A total of 34 studies were included in the review. Young adults viewed e-cigarettes as a safer alternative to traditional cigarette smoking and perceived e-cigarettes as an effective cessation tool. Users were able to personalise their e-cigarette use due to the variety of flavours and devices available. E-cigarettes were found to be a sociable tool as they allowed users to align themselves with their peers who used e-cigarettes and facilitated use within smoke-free environments. Young adults demonstrated high levels of self-efficacy with regards to obtaining e-cigarettes from various retailers and were active consumers of e-cigarette marketing. Conclusion This meta-ethnography provides an in-depth insight into social norms around e-cigarette use and beliefs that e-cigarettes could be a safer alternative to traditional cigarettes. As young adults increasingly engage with e-cigarettes, there is a need for informed policy decisions regarding appropriate use. Engagement with e-cigarettes is often reflected within social media, so this medium could be a key platform for creating tailored interventions which inform young adults about the appropriate use of these products.

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The emerging norms of e-cigarette use among adolescents: A meta-ethnography of qualitative evidence

Cited by 19 publications

References 53 publications

Multistate transition modelling of e-cigarette use and cigarette smoking among youth in the UK

Multistate transition modelling of e-cigarette use and cigarette smoking among youth in the UK

Adolescent Electronic Cigarette Use: A Bibliometric Analysis of Global Scientific Research

“That’s the whole thing about vaping, it’s custom tasty goodness”: a meta-ethnography of young adults’ perceptions and experiences of e-cigarette use

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