Understanding susceptibility to e-cigarettes: A comprehensive model of risk factors that influence the transition from non-susceptible to susceptible among e-cigarette naïve adolescents

Abstract

The primary objective of this study was to identify risk factors associated with becoming susceptible to e-cigarette use over the course of a year among e-cigarette-naive adolescents considering a comprehensive model of risk factors (risk perceptions, social influences and norms, affective risk factors, and other behavioral risk factors). Data came from the Texas Adolescent Tobacco and Marketing Surveillance system (TATAMS), a longitudinal cohort study of students who were in the 6th, 8th, and 10th grades (n = 3907) during the 2014-2015 academic year. Weighted generalized linear mixed models assessed multiple predictors' associated with the transition to susceptibility to e-cigarettes at 12 months. Among 6th graders, family influence, use of other substances, and positive affect were important. Adolescents transitioning from 8th grade to high school presented the greatest number of risk factors (e.g., social and normative influences). Only sensation seeking increased the risk of susceptibility to e-cigarettes among 10th graders. Overall, by grade level, incidence of susceptibility to e-cigarettes at 12 months did not vary, but risk factor profiles varied substantially.

Is susceptibility to E-cigarettes among youth associated with tobacco and other substance use behaviors one year later? Results from the PATH study

“…In the progression to frequent use, being susceptible to future cigarette smoking precedes initiation and can last for several years (Pierce et al, 1996; Messer and Pierce, 2010; Strong et al, 2015). Recent literature has examined susceptibility to e-cigarette products among youth (Krishnan-Sarin et al, 2015; Bold et al, 2016; Case et al, 2017; Nicksic et al, 2017; Trinidad et al, 2017; Pierce et al, 2018; Kwon et al, 2018; Carey et al, 2018; Pierce et al, 2017), yet further longitudinal research is needed to document whether susceptibility to e-cigarettes is a risk factor for tobacco and other substance use behaviors in the future.…”

E‐cigarette use is associated with subsequent cigarette use among young adult non‐smokers, over and above a range of antecedent risk factors: a propensity score analysis

“…Smaller cell sizes were also likely to have contributed to two sensitivity tests failing to reach significance, despite a pattern of results that matched the full model. A further limitation was that we were not able to include some of the other relevant risk factors, including parental smoking or intention to smoke, nor e‐cigarette‐specific risk factors, such as exposure to advertising, attraction to flavoring, and the perception that e‐cigarette use is safe [41–44]. Finally, measures of e‐cigarette use prior to age 21 or between ages 21 and 23 were not available in the present study.…”

Smoking Behavior Among Students: Using HBM and ZIOP Model

“…This finding is in line with the results of the studies conducted by Mohammadi et al (2017), Tseng et al (2018), and Ghasemi and Sabzmakan (2015); however, it is inconsistent with the results of Ghaderi et al's study (2016). Perceived susceptibility among adolescents is a powerful predictor of starting smoking in the future, experiencing it, and the current or permanent smoking (Carey et al 2019).The results of Ghasemi and Sabzmakan's study (2015) indicated that perceived susceptibility and severity of the students who did not experience any kind of tobacco use was more than cigarette smokers and hookah consumers. These students perceived the risk of smoking-related illnesses and refused smoking.…”