Relationship between population characteristics, e-cigarette and tobacco-related perceptions, and likelihood of ever using e-cigarettes (original) (raw)
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Electronic nicotine delivery systems: adult use and awareness of the 'e-cigarette' in the USA
Tobacco Control, 2013
Background Electronic nicotine delivery systems (ENDS), also referred to as electronic cigarettes or e-cigarettes, were introduced into the US market in 2007. Despite concerns regarding the long-term health impact of this product, there is little known about awareness and use of ENDS among adults in the USA. Methods A consumer-based mail-in survey (ConsumerStyles) was completed by 10 587 adults ($18 years) in 2009 and 10 328 adults in 2010. Data from these surveys were used to monitor awareness, ever use and past month use of ENDS from 2009 to 2010 and to assess demographic characteristics and tobacco use of ENDS users.
Nicotine & Tobacco Research, 2016
Introduction: Most studies have assessed use of "e-cigarettes" or "electronic cigarettes, " potentially excluding new electronic nicotine delivery systems (ENDS), such as e-hookahs and vape pens. Little is known about how adolescents and young adults perceive ENDS and if their perceptions vary by sub-type. We explored ENDS perceptions among these populations. Methods: Ten focus groups with 77 adolescents and young adults, ages 13-25, were conducted in spring 2014. Participants were users or susceptible nonusers of novel tobacco products. Focus group transcripts were coded for emergent themes. Results: Participants reported positive ENDS attributes, including flavor variety; user control of nicotine content; and smoke trick facilitation. Negative attributes included different feel compared to combustible cigarettes, nicotine addiction potential, and no cue to stop use. Participants perceived less harm from ENDS compared to combustible cigarettes, perhaps due to marketing and lack of product regulation, but noted the uncertainty of ingredients in ENDS. Numerous terms were used to describe ENDS, including "e-cigarette, " "e-hookah, " "hookah pens, " "tanks, " and "vapes. " Although no clear classification system emerged, participants used product characteristics like nicotine content and chargeability to attempt classification. Perceptions differed by product used. E-hookah users were perceived as young and trendy while e-cigarette users were perceived as old and addicted to nicotine. Conclusions: Young adults and adolescents report distinct ENDS sub-types with varying characteristics and social perceptions of users. Although they had more positive than negative perceptions of ENDS, prevention efforts should consider highlighting negative attributes as they may discourage use and product trial among young nonusers. Implications: Our study underscores the need for a standardized measurement system for ENDS sub-types and additional research on how ENDS sub-types are perceived among adolescents and young adults. In addition, our findings highlight negative product attributes reported by participants that may be useful in prevention and regulatory efforts to offset favorable marketing messages.
Trends in use of electronic nicotine delivery systems by adolescents
Addictive Behaviors, 2014
Electronic Nicotine Delivery Systems (ENDS) have been gaining in popularity. The few prevalence studies in adults have found that most ENDS users are current or former smokers. The objectives of this study were to estimate the prevalence of ENDS usage in adolescents, and examine the correlates of use. Self-administered written surveys assessing tobacco use behaviors were conducted in multiple waves as part of a larger intervention study in two large suburban high schools. The prevalence of past-30 day ENDS use increased from 0.9% in February 2010 to 2.3% in June 2011 (p = 0.009). Current cigarette smokers had increased odds of past-30 day ENDS use in all study waves. When adjusted for school, grade, sex, race and smoking status, students in October 2010 (Adjusted OR 2.12; 95% Confidence Interval (CI): 1.12-4.02) and June 2011 (Adjusted OR 2.51; 95% CI: 1.17-4.71) had increased odds past-30 days ENDS use compared to February 2010. The prevalence of ENDS use doubled in this sample of high school students, and current cigarette smoking is the strongest predictor of current use. Continued monitoring of ENDS is needed to determine whether it increases the likelihood of cigarette smoking initiation and maintenance in youth.
Perceptions of e-Cigarettes and Noncigarette Tobacco Products Among US Youth
Pediatrics, 2016
Electronic cigarettes (e-cigarettes) are now the most commonly used tobacco product among US youth. The extent to which perceptions of e-cigarettes' harm and addictiveness differ from those of other products remains unknown, as does whether these perceptions have changed over time. Data from the 2012 and 2014 National Youth Tobacco Survey, a repeated cross-sectional survey of grade 6 to 12 students, were used. Cross-tabulations and logistic regression models were used to describe correlates of perceptions of harm and addictiveness of e-cigarettes, cigars, and smokeless tobacco compared with cigarettes. Trends in perceptions of e-cigarettes' harm among different demographic groups were also assessed. In 2014, 73.0% believed that e-cigarettes were less harmful than cigarettes, compared with 20.2% for smokeless tobacco and 25.8% for cigars. By comparison, 47.1% believed that e-cigarettes were less addictive than cigarettes, compared with only 14.0% for smokeless tobacco and 31....
International journal of public health, 2015
This study assessed the awareness and use of traditional and novel tobacco products and dual use of cigarettes with electronic nicotine delivery systems (ENDS) among USA adults. Data were obtained from the 2014 Tobacco Products and Risk Perceptions Survey of a probability sample of 5717 USA adults conducted June-November, 2014. Use of ENDS varied by demography and by cigarette and other tobacco use. Adults aged 25-34, non-heterosexual adults, and those reporting poorer health reported higher rates of current ENDS use. Current cigarette smokers had much greater odds of ENDS ever use than never smokers, with one-half of all cigarette smokers having used ENDS and 20.7 % currently using them. However, 22.0 % of current ENDS users were former cigarette smokers, and 10.0 % were never cigarette smokers. Patterns of ENDS use are evolving rapidly and merit continued surveillance. Nearly 10 % of adult ENDS usage is among never smokers. The public health challenge is how to enhance the potenti...
Background In the light of the finding from the 2022 U.S. National Youth Tobacco Survey that disposable e-cigarette devices are the most widely used e-cigarette devices amongst U.S. youth use there is an important need to identify which disposable devices may be driving that increase. In this paper we report the results of research designed to estimate the prevalence of youth and underage young adult use of one of the leading disposable e-cigarette brands currently on sale within the U.S. Methods Crosssectional online survey of a nationally representative sample of 1,215 youth (1317 years) recruited via the IPSOS probability-based KnowledgePanel and 3,370 young adults aged 18 to 24 - amongst whom 1,125 were aged 18 to 20. Results Amongst youth aged 13 to 17, 0.91% [95% CI: 0.44–1.68] reported having ever used a BIDI® Stick branded product and 0.04% [95% CI: 0.00-0.38] reported currently using a BIDI® Stick branded product. Amongst those young adults aged 18 to 20, 3.90% [95% CI: 2.4...
Use and Perceived Risk of Electronic Cigarettes Among North Carolina Middle and High School Students
North Carolina Medical Journal
E lectronic cigarettes (e-cigarettes) are a class of products that deliver an aerosolized liquid-usually containing a blend of propylene glycol and/or glycerin, a variety of flavors, and, typically, nicotine-to simulate the experience of cigarette smoking [1, 2]. Since the introduction of e-cigarettes to the US market in 2007, these products have rapidly evolved to encompass a spectrum of devices ranging from the original "ciga-like" prototype to large tank-style and fully customizable electronic nicotine delivery systems [1, 3]. Accordingly, public awareness and use of e-cigarettes has risen among both adult and adolescent populations [1]. Data from the National Tobacco Survey, which is administered by the Centers for Disease Control and Prevention (CDC), indicated that overall public awareness of e-cigarettes nearly doubled between 2010 and 2013 (40.9% to 79.7%), with increases in both awareness and use observed across nearly all groups, independent of sex, age, ethnicity, religion, education level, income, or current use of combustible tobacco [3]. Moreover, studies have revealed that e-cigarette use has risen dramatically among adolescents. The most recent National Youth Tobacco Survey (NYTS) reported that 13.4% of high school students self-reported using e-cigarettes in 2014, an increase from 1.5% in 2011 [4, 5]. Further, the 2015 Monitoring The Future Survey (MTFS) reported that, among students in the 8th, 10th, and 12th grades, e-cigarettes have surpassed all other tobacco products in prevalence of use, with 16.3% of 12th-grade students nationally reporting e-cigarette use within the past 30 days [6]. While some evidence suggests that e-cigarettes are publically perceived as a potentially less harmful alternative to combustible tobacco cigarettes [7] or occasionally are used as a smoking cessation aid [8], other evidence suggests that e-cigarettes are associated with adolescents' transition to the use of combustible tobacco cigarettes [9-11]. Findings also suggest that e-cigarette use, particularly during the vulnerable periods of adolescence when individuals are more prone to risk-taking behavior [12], is linked to ongoing cigarette smoking in the transition from adolescence to adulthood [13]. Prior studies have suggested that adolescents view e-cigarettes as posing less health risk than combustible cigarettes [5, 14, 15] and that adolescents whose friends view e-cigarettes favorably may be more likely to use e-cigarettes themselves [5]. Similarly, adolescents who report the use of
Adolescent Awareness and Use of Electronic Cigarettes: A Review of Emerging Trends and Findings
Journal of Adolescent Health, 2016
Adult electronic cigarette use is increasing globally and early studies have suggested that similar trends may be observed among the adolescent population, albeit at lower levels. The current literature review presents data collected since 2014 from 21 cross-sectional studies and one cohort study that were all published in English. In particular, it focuses on awareness, ever-use, past 30 day use and regular use of e-cigarettes. The article suggests that adolescents are nearing complete awareness of e-cigarettes. Furthermore, in relation to ever-use and past 30 day use, higher prevalence rates continue to be reported across time, especially in the US. Nonetheless, reported regular use of e-cigarettes remains much lower than past 30 day use, although conclusions are limited due to inconsistencies with measurement and consequent lack of cross-cultural applicability. The majority of studies do not report whether adolescents use non-nicotine electronic cigarettes. There is a current absence of longitudinal studies that explore any association between electronic cigarettes and tobacco use, and little qualitative data that may illuminate how and why adolescents use electronic cigarettes. Through addressing these methodological limitations, future research will be able to inform healthcare and policy more effectively.
Tobacco control, 2014
We sought to systematically review the literature on electronic nicotine delivery systems (ENDS, also called electronic cigarettes) awareness, use, reactions and beliefs. We searched five databases for articles published between 2006 and 1 July 2013 that contained variations of the phrases 'electronic cigarette', 'e-cigarette' and 'electronic nicotine delivery'. Of the 244 abstracts identified, we excluded articles not published in English, articles unrelated to ENDS, dissertation abstracts and articles without original data on prespecified outcomes. Two reviewers coded each article for ENDS awareness, use, reactions and beliefs. 49 studies met inclusion criteria. ENDS awareness increased from 16% to 58% from 2009 to 2011, and use increased from 1% to 6%. The majority of users were current or former smokers. Many users found ENDS satisfying, and some engaged in dual use of ENDS and other tobacco. No longitudinal studies examined whether ENDS serve as 'gat...