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Electronic cigarette use among 14- to 17-year-olds in Europe

2021Artigo científico Acesso aberto
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dc.contributor.authorKinnunen, Jaana M
dc.contributor.authorRimpelä, Arja H
dc.contributor.authorLindfors, Pirjo L
dc.contributor.authorClancy, Luke
dc.contributor.authorAlves, Joana
dc.contributor.authorHoffmann, Laura
dc.contributor.authorRichter, Matthias
dc.contributor.authorKunst, Anton E
dc.contributor.authorLorant, Vincent
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblOxford University Press
dc.date.accessioned2021-01-22T23:39:14Z
dc.date.available2021-01-22T23:39:14Z
dc.date.issued2021
dc.description© The Author(s) 2020. Published by Oxford University Press on behalf of the European Public Health Association.
dc.description.abstractBACKGROUND: Studies comparing adolescent e-cigarette use in different countries are scarce. We study students' e-cigarette and conventional cigarette ever-use, their social correlates and e-liquid use in seven EU countries. METHODS: SILNE-R data (N=12 167, response rate 79.4%) of 14-17-year-olds from Amersfoort (NL), Coimbra (PT), Dublin (IR), Hanover (GE), Latina (IT), Namur (BE) and Tampere (FI) were used. E-cigarette and conventional cigarette ever-use, dual-use, type of e-liquid and social correlates were measured with a school survey and analyzed with cross-tabulations and multinomial logistic regression. RESULTS: About 34% had tried e-cigarettes, but the variation was large between the cities (Latina 50%; Hanover 23%). Of e-cigarette ever-users, 37% had used nicotine e-liquid, 43% exclusively non-nicotine liquid and 20% did not know the content. Nicotine e-liquid was more prevalent among monthly e-cigarette users and weekly smoking e-cigarette users. The social correlates were mainly the same for exclusive e-cigarette ever-use, exclusive conventional cigarette ever-use and dual-use. Boys had greater odds for exclusive e-cigarette and dual-use compared to girls. Of social correlates, low academic achievement and parental smoking were positively associated with all categories of use, but parental education and immigrant background were not. The strongest association was found between peer smoking (most/all best friends smoke) and dual-use (OR 34.29). CONCLUSIONS: Students' e-cigarette ever-use varies greatly between EU countries. E-cigarettes seem not to be a substitute for conventional cigarettes but more a complementary product. Tobacco control policies might also prevent e-cigarette use but specific regulations on e-cigarettes are needed to prevent nicotine addiction originating from them.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent313065
dc.identifier.doi10.1093/eurpub/ckaa145
dc.identifier.issn1101-1262
dc.identifier.otherPURE: 26405126
dc.identifier.otherPURE UUID: 74ade7f5-5826-4185-9fad-9859992f5113
dc.identifier.otherPubMed: 33079986
dc.identifier.otherWOS: 000667794000029
dc.identifier.otherScopus: 85103617368
dc.identifier.urihttp://hdl.handle.net/10362/110586
dc.language.isoeng
dc.peerreviewedyes
dc.subjectSDG 3 - Good Health and Well-being
dc.titleElectronic cigarette use among 14- to 17-year-olds in Europeen
dc.typejournal article
degois.publication.firstPage402
degois.publication.issue2
degois.publication.lastPage408
degois.publication.titleEuropean Journal of Public Health
degois.publication.volume31
dspace.entity.typePublication
rcaap.rightsopenAccess

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