What Differentiates Youths who Use E-cigarettes from Those Who Smoke Traditional Tobacco Products?
Thursday, August 18, 2022
Posted by: Natalia Gromov
Torregrossa
H, Dautzenberg B, Birkui P, et al.
What Differentiates Youths
who Use E-cigarettes from Those Who Smoke Traditional Tobacco Products?
BMC Public Health. 2022;22(1):1357. Published 2022 Jul 15.
doi:10.1186/s12889-022-13673-0
Background. Electronic
cigarette (e-cigarette) use has spread among adolescents in many countries,
however users' characteristics are not well known. We aimed to compare
characteristics of exclusive e-cigarette users to those of exclusive tobacco users
and dual users.
Methods. Data
come from a representative sample of 11-19 years old students in Paris,
surveyed each year between 2013 and 2017. Current e-cigarette and tobacco use
were ascertained in the preceding 30 days. Data were analyzed using random
intercept multinomial logistic regression models, exclusive tobacco smokers
being the reference group.
Results. Among
the 17,435 students included, 2.3% reported exclusive e-cigarette use, 7.9%
exclusive tobacco use and 3.2% dual e-cigarette and tobacco use. Compared to
exclusive tobacco smokers, e-cigarette users were: a) less likely to use
cannabis (adjusted Odds-Ratio (aOR) = 0.15, 95% confidence interval (95% CI) =
0.09-0.25); b) more likely to initiate smoking with an e-cigarette or a hookah
rather than traditional cigarettes (aOR = 2.91, 95% CI = 1.74-4.87 and aOR =
15.99, 95% CI = 8.62-29.67, respectively). Additionally, exclusive e-cigarette
users are younger with an aOR = 0.29 (95% CI = 0.17-0.49) among 13-15 years and
aOR = 0.11 (95% CI = 0.06-0.21) among > 17 years as compared to 11-13 years.
The probability of being an exclusive e-cigarette user is lower among
participants whose best friend smokes tobacco (aOR = 0.30, 95% CI = 0.20-0.44).
Exclusive tobacco users and dual users have similar profiles.
Conclusions. Adolescents
who only used e-cigarettes had intermediate levels of risk compared to nonusers
and those who used tobacco and/or e-cigarettes, suggesting that e-cigarettes
use extends to young people at low-risk of using tobacco products.
|
|
Email to a Friend