Journal article
Electronic Cigarette Use and Progression From Experimentation to Established Smoking
Pediatrics (Evanston), Vol.141(4), p.1
04/2018
DOI: 10.1542/peds.2017-3594
PMCID: PMC5869336
PMID: 29507167
Abstract
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.
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 (
= 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.
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).
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.
Details
- Title: Subtitle
- Electronic Cigarette Use and Progression From Experimentation to Established Smoking
- Creators
- Benjamin W Chaffee - Departments of Preventive and Restorative Dental Sciences andShannon Lea Watkins - Medicine, University of California, San Francisco, San Francisco, CaliforniaStanton 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
- ISSN
- 0031-4005
- eISSN
- 1098-4275
- 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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