Historique
Article de Périodique
E-cigarette use among early adolescent tobacco cigarette smokers: testing the disruption and entrenchment hypotheses in two longitudinal cohorts (2024)
Auteur(s) :
KELLY, B. C. ;
VUOLO, M. ;
MAGGS, J. ;
STAFF, J.
Année
2024
Page(s) :
497-502
Langue(s) :
Anglais
Refs biblio. :
37
Domaine :
Tabac / Tobacco / e-cigarette
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
ETATS-UNIS
;
ROYAUME-UNI
Thésaurus mots-clés
COHORTE
;
ADOLESCENT
;
E-CIGARETTE
;
TABAC
;
ETUDE LONGITUDINALE
;
FACTEUR PREDICTIF
;
PRECOCITE
;
FACTEUR DE RISQUE
;
INITIATION
Résumé :
OBJECTIVE: Using longitudinal data from two large-scale cohorts in the UK and USA, we examine whether e-cigarette use steers adolescent early smokers away from tobacco cigarettes (disruption hypothesis) or deepens early patterns of tobacco smoking (entrenchment hypothesis) in comparison with early smokers who do not use e-cigarettes.
METHODS: Youth who smoked tobacco cigarettes by early adolescence (before age 15) were selected from the ongoing UK Millennium Cohort Study (n=1090) and the US Population Assessment of Tobacco and Health (n=803) study. In regression models, the focal predictor was lifetime use of an e-cigarette by early adolescence and the primary outcome was current tobacco use by late adolescence (before age 18). Logistic and multinomial models controlled for early adolescent risk factors and sociodemographic background, and were weighted for attrition and adjusted for complex survey designs.
RESULTS: Among youth who were early cigarette smokers, 57% of UK and 58% of US youth also used e-cigarettes. The odds of later adolescent smoking among early smoking youth were significantly higher among e-cigarette users relative to those who had not used e-cigarettes (adjusted OR (AOR(UK))=1.45; AOR(USA)=2.19). In both samples, multinomial models indicated that early smoking youth who used e-cigarettes were more likely to be frequent smokers relative to not smoking (AOR(UK)=2.01; AOR(USA)=5.11) and infrequent smoking (AOR(UK)=1.67; AOR(USA)=2.11).
CONCLUSIONS: Despite national differences in e-cigarette regulation and marketing, there is evidence e-cigarette use among early adolescent smokers in the UK and USA leads to higher odds of any smoking and more frequent tobacco cigarette use later in adolescence. [Author's abstract]
METHODS: Youth who smoked tobacco cigarettes by early adolescence (before age 15) were selected from the ongoing UK Millennium Cohort Study (n=1090) and the US Population Assessment of Tobacco and Health (n=803) study. In regression models, the focal predictor was lifetime use of an e-cigarette by early adolescence and the primary outcome was current tobacco use by late adolescence (before age 18). Logistic and multinomial models controlled for early adolescent risk factors and sociodemographic background, and were weighted for attrition and adjusted for complex survey designs.
RESULTS: Among youth who were early cigarette smokers, 57% of UK and 58% of US youth also used e-cigarettes. The odds of later adolescent smoking among early smoking youth were significantly higher among e-cigarette users relative to those who had not used e-cigarettes (adjusted OR (AOR(UK))=1.45; AOR(USA)=2.19). In both samples, multinomial models indicated that early smoking youth who used e-cigarettes were more likely to be frequent smokers relative to not smoking (AOR(UK)=2.01; AOR(USA)=5.11) and infrequent smoking (AOR(UK)=1.67; AOR(USA)=2.11).
CONCLUSIONS: Despite national differences in e-cigarette regulation and marketing, there is evidence e-cigarette use among early adolescent smokers in the UK and USA leads to higher odds of any smoking and more frequent tobacco cigarette use later in adolescence. [Author's abstract]
Affiliation :
Sociology, Purdue University, West Lafayette, Indiana, USA.
Sociology, Ohio State University, Columbus, Ohio, USA.
Human Development and Family Studies, Pennsylvania State University, University Park, Pennsylvania, USA.
Sociology and Criminology, Pennsylvania State University, University Park, Pennsylvania, USA.
Sociology, Ohio State University, Columbus, Ohio, USA.
Human Development and Family Studies, Pennsylvania State University, University Park, Pennsylvania, USA.
Sociology and Criminology, Pennsylvania State University, University Park, Pennsylvania, USA.