Conner, M orcid.org/0000-0002-6229-8143, Grogan, S, Simms-Ellis, R orcid.org/0000-0002-1010-6648 et al. (10 more authors) (2019) Patterns and predictors of e-cigarette, cigarette and dual use uptake in UK adolescents: Evidence from a 24-month prospective study. Addiction, 114 (11). pp. 2048-2055. ISSN 0965-2140
Abstract
Background and Aims: To assess prevalence and predictors of e-cigarettes/cigarettes patterns of use in adolescents in England.
Design: Prospective study with 24-month follow-up of e-cigarette/cigarette ever/regular use with data from an intervention evaluation.
Setting: Forty-five schools in England (Staffordshire and Yorkshire).
Participants: 3,210 adolescents who, at baseline, were aged 13-14 years and had never used e-cigarettes/cigarettes.
Measurements: Based on e-cigarette/cigarette ever use at follow-up, six groups were created: (a) never user, (b) e-cigarette only, (c) cigarette only, (d) dual use – order of use unclear, (e) dual use – e-cigarettes used first, (f) dual use – cigarettes used first. Baseline measures were: gender, ethnicity, socioeconomic status, impulsivity, family plus friend smoking, and smoking-related beliefs (attitude and perceived behavioural control).
Findings: In groups (a) through (f), there were 71·5%, 13·3%, 3·3%, 5·7%, 2·9%, and 3·4% adolescents, respectively. Among groups using cigarettes, regular smoking was more prevalent in group (f) (dual use – cigarettes used first) (17·6%, 95%CI 10·4, 24·8) than in groups (c), (d) and (e) combined (7·3%, 95%CI 4·7, 9·9). Among groups using e-cigarettes, regular use was less prevalent in group (b) (e-cigarette only) (1·9%, 95%CI 0·6, 3·2) than in groups (d), (e) and (f) combined (12·2%, 95%CI 8·9, 15·5). Higher impulsivity plus friends and family smoking were predictive of being in groups (b) to (f) compared with group (a) (never users). Males were more likely to be in group (b) compared to group (a); females were more likely to be in groups (c) to (f) compared to group (a).
Conclusions: Regular use of e-cigarettes/cigarettes varies across groups defined by ever use of e-cigarettes/cigarettes. Interventions targeted at tackling impulsivity or adolescents whose friends and family members smoke may represent fruitful avenues for future research.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2019 The Authors Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction. This is an open access article under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0) (https://creativecommons.org/licenses/by/4.0/) |
Keywords: | electronic cigarettes; cigarette; dual smoking; adolescents |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Health Economics (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Centre for Health Services Research (Leeds) The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Psychology (Leeds) |
Funding Information: | Funder Grant number Medical Research Foundation MR/J000264/1 MRC MR/J000264/1 |
Depositing User: | Symplectic Publications |
Date Deposited: | 26 Jun 2019 14:12 |
Last Modified: | 30 May 2023 22:32 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/add.14723 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:147785 |