|Titre :||Do electronic cigarettes increase cigarette smoking in UK adolescents? Evidence from a 12-month prospective study (2018)|
|Auteurs :||M. CONNER ; S. GROGAN ; R. SIMMS-ELLIS ; K. FLETT ; B. SYKES-MUSKETT ; L. COWAP ; R. LAWTON ; C. J. ARMITAGE ; D. MEADS ; C. TORGERSON ; R. WEST ; K. SIDDIQI|
|Type de document :||Article : Périodique|
|Dans :||Tobacco Control (Vol.27, n°4, July 2018)|
|Article en page(s) :||365-372|
|Discipline :||EPI (Epidémiologie / Epidemiology)|
Thésaurus TOXIBASEADOLESCENT ; ETUDE PROSPECTIVE ; CIGARETTE ELECTRONIQUE ; TABAC ; FACTEUR DE RISQUE ; INITIATION ; EPIDEMIOLOGIE DESCRIPTIVE
Background: In cross-sectional surveys, increasing numbers of adolescents report using both electronic cigarettes (e-cigarettes) and cigarettes. This study assessed whether adolescent e-cigarette use was associated prospectively with initiation or escalation of cigarette use.
Methods: Data were from 2836 adolescents (aged 13-14 years at baseline) in 20 schools in England. At baseline, breath carbon monoxide levels, self-reported e-cigarette and cigarette use, sex, age, friends and family smoking, beliefs about cigarette use and percentage receiving free school meals (measure of socioeconomic status) were assessed. At 12-month follow-up, self-reported cigarette use was assessed and validated by breath carbon monoxide levels.
Results: At baseline, 34.2% of adolescents reported ever using e-cigarettes (16.0% used only e-cigarettes). Baseline ever use of e-cigarettes was strongly associated with subsequent initiation (n=1726; OR 5.38, 95% CI 4.02 to 7.22; controlling for covariates, OR 4.06, 95%?CI 2.94 to 5.60) and escalation (n=318; OR 1.91, 95% CI 1.14 to 3.21; controlling for covariates, this effect became non-significant, OR 1.39, 95% CI 0.97 to 1.82) of cigarette use.
Conclusions: This is the first study to report prospective relationships between ever use of e-cigarettes and initiation and escalation of cigarette use among UK adolescents. Ever use of e-cigarettes was robustly associated with initiation but more modestly related to escalation of cigarette use. Further research with longer follow-up in a broader age range of adolescents is required.
|Domaine :||Tabac / Tobacco|
|Affiliation :||School of Psychology, University of Leeds, Leeds, UK|