Association between e-cigarette and conventional cigarette use among Spanish adolescents.

IF 2.2 4区 医学 Q3 SUBSTANCE ABUSE Adicciones Pub Date : 2024-06-01 DOI:10.20882/adicciones.1797
Gema Aonso-Diego, Roberto Secades-Villa, Ángel García-Pérez, Sara Weidberg, José Ramón Fernández-Hermida
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Abstract

In recent years, studies have highlighted the upward trend in electronic cigarette use among adolescents, as well as the potential of e-cigarette use to lead to subsequent conventional cigarette use. The study's aims were two-fold: 1) to examine the progression from e-cigarette use to conventional cigarette use; and 2) to analyze the differences in the severity of smoking pattern among dual users (i.e., e-cigarette and conventional cigarette use), cigarette-only smokers, and e-cigarette-only users in a Spanish adolescent population. Data were obtained from the ESTUDES, a representative survey of addictive behaviors of Spanish adolescents aged 14-18, which was comprised of 38,010 adolescents (Mage = 15.69; SD = 1.19; 51.35% females). Results indicate that lifetime e-cigarette use increased the prevalence of subsequent conventional cigarette use by 1.86 times (95% CI 1.74, 1.99), and the prevalence of conventional cigarette use in the last month by 2.38 times (95% CI 2.19, 2.58), independently of whether the e-cigarette contains nicotine or not. Dual users showed a higher percentage of daily smokers, and a greater number of cigarettes per day, a higher use of e-cigarettes with nicotine, and an earlier age of smoking onset. Regarding risk perception, e-cigarette-only users perceived both conventional tobacco and e-cigarettes as less harmful (all p-values < .001). These findings document the strength of association between e-cigarette and conventional cigarettes, and underscore the importance of developing legal restrictions and prevention strategies aimed at reducing e-cigarette use, which in turn would reduce tobacco use.

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西班牙青少年使用电子烟与传统香烟之间的关系。
近年来,研究强调了青少年使用电子烟的上升趋势,以及使用电子烟可能导致随后使用传统香烟的可能性。这项研究的目的有两个:1)研究从使用电子烟到使用传统香烟的发展过程;2)分析西班牙青少年群体中双重使用者(即使用电子烟和传统香烟)、纯吸烟者和纯电子烟使用者吸烟模式严重程度的差异。数据来自ESTUDES,这是一项针对西班牙14-18岁青少年成瘾行为的代表性调查,调查对象包括38010名青少年(Mage = 15.69; SD = 1.19; 51.35%为女性)。结果表明,无论电子烟是否含有尼古丁,终生使用电子烟会使随后使用传统香烟的比例增加 1.86 倍(95% CI 1.74,1.99),使最近一个月使用传统香烟的比例增加 2.38 倍(95% CI 2.19,2.58)。双重使用者中,每日吸烟者的比例更高,每日吸烟数量更多,使用含尼古丁电子烟的比例更高,开始吸烟的年龄更早。在风险认知方面,纯电子烟使用者认为传统烟草和电子烟的危害都较小(所有P值均小于0.001)。这些研究结果证明了电子烟与传统香烟之间的关联性,并强调了制定旨在减少电子烟使用的法律限制和预防策略的重要性,这反过来也会减少烟草的使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Adicciones
Adicciones SUBSTANCE ABUSE-
CiteScore
4.00
自引率
10.00%
发文量
36
审稿时长
>12 weeks
期刊介绍: Adicciones publica artículos originales sobre el tratamiento, la prevención, estudios básicos y descriptivos en el campo de las adicciones, como son las drogas ilegales, el alcohol, el tabaco o cualquier otra adicción, procedentes de distintas disciplinas (medicina, psicología, investigación básica, investigación social, etc.). Todos los artículos son seleccionados después de pasar un proceso de revisión anónimo hecho por expertos en ese tema.
期刊最新文献
Substitution of higher-strength beers with zero-alcohol beers: Interrupted time series analyses of Spanish household purchase data, 2017-2022. Cannabis use in adult population in Galicia: Prevalence and associated characteristics. Emergency care carried out during the pandemic due to substance abuse in a Spanish province. Training mental health residents in tobacco and alcohol: Relationship with their clinical intervention. Problematic Internet Use among adolescents: Spanish validation of the Compulsive Internet Use Scale (CIUS).
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