Electronic Cigarette Use and Progression From Experimentation to Established Smoking

Benjamin W Chaffee; Shannon Lea Watkins; Stanton A Glantz

doi:10.1542/peds.2017-3594

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Electronic Cigarette Use and Progression From Experimentation to Established Smoking

Journal article

Open access

Peer reviewed

Electronic Cigarette Use and Progression From Experimentation to Established Smoking

Benjamin W Chaffee, Shannon Lea Watkins and Stanton A Glantz

Pediatrics (Evanston), Vol.141(4), p.1

04/2018

DOI: 10.1542/peds.2017-3594

PMCID: PMC5869336

PMID: 29507167

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Abstract

BACKGROUND: It has been shown that never-smoking adolescents who try electronic cigarettes (e-cigarettes) are at increased risk of subsequent conventional cigarette smoking. We evaluated associations between e-cigarette use and progression to established smoking among adolescents who had already tried cigarettes. METHODS: Among participants (age 12–17 years) in the nationally representative Population Assessment of Tobacco and Health survey who had smoked a cigarette (≥1 puff) but not yet smoked 100 cigarettes (N = 1295), we examined 3 outcomes at 1-year follow-up as a function of baseline e-cigarette use: (1) having smoked ≥100 cigarettes (established smoking), (2) smoking during the past 30 days, and (3) both having smoked ≥100 cigarettes and past 30-day smoking (current established smoking). Survey-weighted multivariable logistic regression models were fitted to obtain odds ratios (ORs) and 95% confidence intervals (CIs) adjusted for smoking risk factors. RESULTS: Versus e-cigarette never use, having ever used e-cigarettes was positively associated with progression to established cigarette smoking (19.3% vs 9.7%), past 30-day smoking (38.8% vs 26.6%), and current established smoking (15.6% vs 7.1%). In adjusted models, e-cigarette ever use positively predicted current established smoking (OR: 1.80; 95% CI: 1.04–3.12) but did not reach statistical significance (α = .05) for established smoking (OR: 1.57; 95% CI: 0.99–2.49) and past 30-day smoking (OR: 1.32; 95% CI: 0.99–1.76). CONCLUSIONS: Among adolescent cigarette experimenters, using e-cigarettes was positively and independently associated with progression to current established smoking, suggesting that e-cigarettes do not divert from, and may encourage, cigarette smoking in this population.

Adolescent

Adolescent Behavior - psychology

Child

Cigarette Smoking - epidemiology

Cigarette Smoking - psychology

Cigarette Smoking - trends

Female

Humans

Male

Time Factors

Vaping - epidemiology

Vaping - psychology

Vaping - trends

Young Adult

Details

Title: Subtitle: Electronic Cigarette Use and Progression From Experimentation to Established Smoking
Creators: Benjamin W Chaffee - Departments of Preventive and Restorative Dental Sciences and
Shannon Lea Watkins - Medicine, University of California, San Francisco, San Francisco, California
Stanton A Glantz - Philip R. Lee Institute for Health Policy Studies, and
Resource Type: Journal article
Publication Details: Pediatrics (Evanston), Vol.141(4), p.1
DOI: 10.1542/peds.2017-3594
PMID: 29507167
PMCID: PMC5869336
NLM abbreviation: Pediatrics
ISSN: 0031-4005
eISSN: 1098-4275
Publisher: American Academy of Pediatrics
Grant note: P50 CA180890 / NCI NIH HHS T32 CA113710 / NCI NIH HHS R01 DA043950 / NIDA NIH HHS
Language: English
Date published: 04/2018
Academic Unit: Community and Behavioral Health
Record Identifier: 9984214789102771

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