Titre : | Exploring the gateway hypothesis of e-cigarettes and tobacco: a prospective replication study among adolescents in the Netherlands and Flanders (2023) |
Auteurs : | T. MARTINELLI ; M. CANDEL ; H. DE VRIES ; R. TALHOUT ; V. KNAPEN ; C. P. VAN SCHAYCK ; G. E. NAGELHOUT |
Type de document : | Article : Périodique |
Dans : | Tobacco Control (Vol.32, n°2, March 2023) |
Article en page(s) : | 170-178 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus géographique PAYS-BAS ; BELGIQUEThésaurus mots-clés THEORIE DE L'ESCALADE ; E-CIGARETTE ; TABAC ; ETUDE PROSPECTIVE ; ADOLESCENT ; PREVALENCE ; NON-FUMEUR ; INITIATION |
Résumé : |
BACKGROUND: Studies demonstrated that adolescent e-cigarette use is associated with subsequent tobacco smoking, commonly referred to as the gateway effect. However, most studies only investigated gateways from e-cigarettes to tobacco smoking. This study replicates a cornerstone study revealing a positive association between both adolescent e-cigarette use and subsequent tobacco use; and tobacco and subsequent e-cigarette use in the Netherlands and Flanders.
DESIGN: The longitudinal design included baseline (n=2839) and 6-month (n=1276) and 12-month (n=1025) follow-up surveys among a school-based cohort (mean age: 13.62). Ten high schools were recruited as a convenience sample. The analyses involved (1) associations of baseline e-cigarette use and subsequent tobacco smoking among never smokers; (2) associations of e-cigarette use frequency at baseline and tobacco smoking frequency at follow-up; and (3) the association of baseline tobacco smoking and subsequent e-cigarette use among non-users of e-cigarettes. FINDINGS: Consistent with prior findings, baseline e-cigarette use was associated with higher odds of tobacco smoking at 6-month (OR=1.89; 95% CI 1.05 to 3.37) and 12-month (OR=5.63; 95% CI 3.04 to 10.42) follow-ups. More frequent use of e-cigarettes at baseline was associated with more frequent smoking at follow-ups. Baseline tobacco smoking was associated with subsequent e-cigarette use (OR=3.10; 95% CI 1.58 to 6.06 at both follow-ups). CONCLUSION: Our study replicated the positive relation between e-cigarette use and tobacco smoking in both directions for adolescents. This may mean that the gateway works in two directions, that e-cigarette and tobacco use share common risk factors, or that both mechanisms apply. |
Domaine : | Tabac / Tobacco / e-cigarette |
Refs biblio. : | 74 |
Affiliation : | IVO, The Hague, The Netherlands |
Lien : | https://doi.org/10.1136/tobaccocontrol-2021-056528 |
Accueil