Titre : | Smoking susceptibility in Canadian adolescent electronic-cigarette users (2022) |
Auteurs : | S. R. COPP ; M. N. WILSON ; M. ASBRIDGE |
Type de document : | Article : Périodique |
Dans : | Substance Use and Misuse (Vol.57, n°7, 2022) |
Article en page(s) : | 1022-1034 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus géographique CANADAThésaurus mots-clés TABAC ; E-CIGARETTE ; ADOLESCENT ; FACTEUR DE RISQUE ; THEORIE DE L'ESCALADE ; ETUDE TRANSVERSALE ; FUMER |
Résumé : |
Background: E-cigarette use is increasing among Canadian youth, with experimentation especially prevalent among never-smoking youth. Among this group, there is concern e-cigarette use contributes to future initiation of smoking through a gateway effect. However, e-cigarette use and smoking share many common risk factors; a postulated mechanism to explain the apparent causal pathway from e-cigarette use to smoking initiation in previously smoking-naïve youth. A better understanding of the relationships between smoking susceptibility and e-cigarette use among never-smoking youth is needed.
Purpose/objectives: The primary aim of this study was to gain a deeper understanding of the risk factors associated with smoking susceptibility in youth who have recently used e-cigarettes. Methods: This study used data (n = 40,363) from the 2018/2019 Canadian Student Tobacco Alcohol and Drug Use Survey (CSTADS) to compare the risk factor profiles of susceptible and non-susceptible never-smoking e-cigarette users, as well as susceptible and non-susceptible never-smoking youth who have never used an e-cigarette. Results: E-cigarette use, independent of susceptibility status, was associated with a sociodemographic and behavioral risk factor profile likely to confer a higher risk of initiating smoking. Among e-cigarette users, smoking susceptibility was associated with more smoking risk factors. Conclusions/importance: Study findings support a common risk-factor model, rather than e-cigarette use itself, to explain differences in the likelihood of smoking initiation among e-cigarette users. E-cigarette use and smoking initiation may be interchangeable outcomes amongst those with smoking risk factors. The risks of e-cigarette use, and their regulatory status, need to be balanced with their potential as harm reduction tools. |
Domaine : | Tabac / Tobacco / e-cigarette |
Affiliation : |
Department of Post-Graduate Medicine, Dalhousie University Faculty of Medicine, Medicine, Halifax, Nova Scotia, Canada Department of Community Health and Epidemiology, Dalhousie University, Halifax, Nova Scotia, Canada |
Lien : | https://doi.org/10.1080/10826084.2022.2058702 |
Accueil