Perceived Harm, Addictiveness, and Social Acceptability of Tobacco Products and Marijuana Among Young Adults: Marijuana, Hookah, and Electronic Cigarettes Win

Electronic cigarettes (EC) and other electronic nicotine delivery systems (ENDS) have recently become popular choices for nicotine consumption due to the lower perceived harm compared to conventional tobacco products.

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Sex and Polytobacco Use among Spanish and Turkish University Students

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16245038 ◽

2019 ◽

Vol 16 (24) ◽

pp. 5038 ◽

Cited By ~ 3

Author(s):

Sílvia Font-Mayolas ◽

Mark J. M. Sullman ◽

Maria-Eugenia Gras

Keyword(s):

Young Adults ◽

University Students ◽

Tobacco Use ◽

Electronic Cigarettes ◽

Common Reason ◽

Future Research ◽

Cigarette Use ◽

Tobacco Products ◽

Concurrent Use ◽

Turkish University Students

Polytobacco use has become increasingly popular among young adults, particularly males, and can be defined as the concurrent use of regular cigarettes and other tobacco products (e.g., e-cigarettes). The present study investigated the use of legal smoking products (cigarettes, waterpipe and electronic cigarettes) among young adults (n = 355) in Spain and Turkey. The survey measured demographics, lifetime and past month tobacco use, waterpipe and e-cigarette use, whether waterpipes and e-cigarettes contained nicotine and reasons for using these substances. The majority of the Turkish (men = 80% and women = 63.9%) and Spanish sample (men = 61.4% and women = 69.3%) were polytobacco users. The most common reason for using e-cigarettes was “to experiment, to see what is like” (Turkish sample: men 66.7% and women 57.1; Spanish sample: men 72.7% and women 93.8%). The most common reason to use regular cigarettes was “to relax and relieve tension” (Turkish sample: men 88.9% and women 77.6%; Spanish sample: men 78.1% and women 76%), while for waterpipe users, the most common reason was “to experiment, to see what it is like” (Turkish sample: men 93.3% and women 80%; Spanish sample: men 78.9% and women 93.8%). The implications for prevention and future research are discussed.

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Student Tobacco Use Behaviours: A Qualitative Study of Alternative Tobacco and Nicotine Product Use in Young Adulthood

Rural Environment. Education. Personality. (REEP) Proceedings of the 14th International Scientific Conference ◽

10.22616/reep.2021.14.043 ◽

2021 ◽

Author(s):

Aija Zobena ◽

Keyword(s):

Young Adults ◽

High School Students ◽

Focus Group ◽

Tobacco Use ◽

Electronic Cigarettes ◽

Nicotine Addiction ◽

Adolescents And Young Adults ◽

Tobacco Products ◽

Product Use ◽

Alternative Tobacco Products

Non-combustible alternative tobacco products such as tobacco-free nicotine pouches, heated tobacco, and electronic cigarettes (e-cigarettes) marketed as less harmful alternatives to cigarettes as smoking cessation aids are becoming increasingly popular among adolescents and young adults. This age group includes individuals still experimenting with and establishing tobacco use. The aim of the study is to investigate student tobacco use behaviours, particularly novel devices, and alternative products to understand how to decrease tobacco initiation and use among adolescents and young adults. In August 2020, two focus group discussions were organized to obtain information on young people's experience of alternative tobacco and nicotine product use. In each of them, high school students (aged over 18) and students took part. The participants of the focus group discussion were chosen by the “snowball” method. Cessation of smoking and replacing cigarettes with alternative tobacco and nicotine products reduce some of the harmful effects but are not harmless and nicotine addiction remains. By replacing cigarette smoking with the use of tobacco-free nicotine pouches, heated tobacco, or e-cigarettes, one form of nicotine use is being replaced by another. According to the study, young people have no understanding of nicotine addiction and the health risks of using alternative tobacco products. Today's adolescents and young adults often see consumption of tobacco and nicotine products as a mean to construct and project their unique identity.

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Impact of e-liquid warning labels on young adults’ perception of e-cigarettes and intention to use them: an experimental online study

Tobacco Control ◽

10.1136/tobaccocontrol-2021-056761 ◽

2021 ◽

pp. tobaccocontrol-2021-056761

Author(s):

Carlos Gantiva ◽

Luna Angel-Sanint ◽

Ana Velasco-Vivas

Keyword(s):

Young Adults ◽

Visual Attention ◽

Electronic Cigarettes ◽

A Priori ◽

Emotional Valence ◽

Intention To Use ◽

Warning Labels ◽

Online Study ◽

Main Effects ◽

Perceived Harm

IntroductionFlavoured e-liquids are especially appealing to young adults. The objective of the present study was to evaluate the effects of text warning labels (WLs) on e-liquid vials used in flavoured electronic cigarettes (e-cigarettes) on e-cigarette non-users’ perceptions of harm, addictiveness, emotional valence, interest in trying e-cigarettes and visual attention.MethodsYoung adults aged 18–25 years (n=313) who were non-e-cigarette users were recruited online and randomised to view images of one of two e-liquid vial conditions (with text WL or without text WL). Each participant was exposed to four images of e-liquid vials. After observing each image, participants reported interest in trying e-cigarettes, emotional valence, perceived harm and addictiveness. Additionally, participants completed an assessment of self-reported visual attention with a priori regions of interest (e-liquid branding and text WL).ResultsSeparate two-way Analysis of Variance(ANOVA) that examined the main effects of sex and warning were used for each measure. Text WL on e-liquid vials decreased young adults’ intention to use e-cigarettes (especially in men), increased harm perception and decreased appeal to the product. However, they did not influence the perceived addictiveness of e-cigarettes and rarely grabbed attention. Men perceived e-cigarettes as less harmful and less addictive.ConclusionsThe results suggest that text WLs on e-liquid vials are moderately effective in preventing e-cigarette use in young adults. However, they capture less attention than the rest of the vial and fail to increase the perception of addictiveness. It is suggested to explore other types of design to increase the effectiveness of WLs.

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Electronic cigarette use in youths: a position statement of the Forum of International Respiratory Societies

European Respiratory Journal ◽

10.1183/13993003.00278-2018 ◽

2018 ◽

Vol 51 (5) ◽

pp. 1800278 ◽

Cited By ~ 40

Author(s):

Thomas W. Ferkol ◽

Harold J. Farber ◽

Stefania La Grutta ◽

Frank T. Leone ◽

Henry M. Marshall ◽

...

Keyword(s):

Young Adults ◽

Young People ◽

Cigarette Smoking ◽

Children And Adolescents ◽

Physical Dependence ◽

Electronic Cigarettes ◽

Position Statement ◽

Cigarette Use ◽

Tobacco Products ◽

Perception Of Safety

Children and adolescents are highly susceptible to nicotine addiction, which affects their brain development, even in those who smoke infrequently. Young people who become addicted to nicotine are at greater risk of becoming lifelong tobacco consumers. The use of nicotine-delivering electronic cigarettes has risen dramatically among youths worldwide. In addition to physical dependence, adolescents are susceptible to social and environmental influences to use electronic cigarettes. The product design, flavours, marketing, and perception of safety and acceptability have increased the appeal of electronic cigarettes to young people, thus leading to new generations addicted to nicotine. Moreover, there is growing evidence that electronic cigarettes in children and adolescents serve as a gateway to cigarette smoking. There can be no argument for harm reduction in children. To protect this vulnerable population from electronic cigarettes and other nicotine delivery devices, we recommend that electronic cigarettes be regulated as tobacco products and included in smoke-free policies. Sale of electronic cigarettes should be barred to youths worldwide. Flavouring should be prohibited in electronic cigarettes, and advertising accessible by youths and young adults be banned. Finally, we recommend greater research on the health effects of electronic cigarettes and surveillance of use across different countries.

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E-cigarettes from the perspective of teenagers – results of focus studies

European Journal of Public Health ◽

10.1093/eurpub/ckaa166.1006 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

K Pluta ◽

Ł Balwicki

Keyword(s):

Young People ◽

Preventive Measures ◽

Electronic Cigarettes ◽

Smoking Status ◽

Risky Behaviors ◽

Tobacco Prevention ◽

Tobacco Products ◽

Traditional Tobacco ◽

The Impact ◽

Natural Way

Abstract Research shows that over 80% of smokers start their habit under the age of 18. A few years ago young people undertook risky behaviors related to nicotine initiation mainly by smoking cigarettes. Today, next to traditional tobacco products, electronic cigarettes are becoming more and more popular. Due to the prevalence of new forms of nicotine addiction, modification of anti-tobacco prevention programs is required. The purpose of the research was exploration - learning the opinions and attitudes of young people towards e-cigarettes. The qualitative study was conducted using the FGI method (focus group interview). The meetings were modereted by specially trained psychologists. 48 students participated in the meetings of six focus groups, divided by gender and smoking status (smokers/non-smokers). The participants are young people aged 15-19, attending high schools in Warsaw, Kielce and Lublin. In conversations, young people emphasized the impact of e-cigarettes in smoking initiation - it usually occurs at the age of 12-14. E-cigarettes are perceived as cigarettes “for younger”, non-addictive, less serious, providing more entertainment. 'Cloud chasing' is particularly popular. They perform social functions - they are helpful in establishing relationships. Teenagers do not see the harmfulness of e-cigarettes. Participants mentioned their advantages over traditional tobacco products - they can be smoked everywhere and do not leave an unpleasant smell. Some of the respondents admit to the simultaneous use of electronic and traditional cigarettes. Moreover, many parents allow children to smoke electronic cigarettes. Vaping have become a natural way to relaxation and socialization for adolescents. E-cigarettes do not have such a negative connotation as traditional tobacco products. Young people do not see them as harmful, which is a challenge for effective preventive measures. Key messages Adolescents do not see e-cigarettes as harmful, which is a challenge for effective preventive measures. Vaping have become more and more popular - it's natural way to relaxation and socialization for young people.

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Knowledge and Beliefs Regarding Harm From Specific Tobacco Products: Findings From the H.I.N.T. Survey

American Journal of Health Promotion ◽

10.1177/08901171211026116 ◽

2021 ◽

pp. 089011712110261

Author(s):

Wenxue Lin ◽

Joshua E. Muscat

Keyword(s):

Electronic Cigarettes ◽

Multiple Linear Regression Model ◽

Cross Sectional ◽

Cigarette Smokers ◽

Tobacco Products ◽

Single Item ◽

Knowledge And Beliefs ◽

Nationally Representative ◽

National Trends ◽

Medical Recommendations

Purpose: Determine whether dual tobacco users have different levels of knowledge about nicotine addiction, perceived harm beliefs of low nicotine cigarettes (LNCs) and beliefs about electronic cigarettes (e-cigarettes) Design: Quantitative, Cross-sectional Setting: Health Information National Trends Survey 5 (Cycle 3, 2019) Participants: Nationally representative adult non-smokers (n=3113), exclusive cigarette smokers (n=302), and dual (cigarette and e-cigarette) users (n=77). Measures: The survey included single item measures on whether nicotine causes addiction and whether nicotine causes cancer. A five-point Likert scale assessed comparative harm of e-cigarettes and LNCs relative to conventional combustible cigarettes (1=much more harmful, 3=equally harmful…5 = much less harmful, or don’t know). Analysis: We used weighted multiple linear regression model to estimate means and 95% confidence intervals (CI) of e-cigarettes and LNCs beliefs by current tobacco user status. Results: Over 97% of dual users, 83% of non-smokers and 86% of exclusive cigarette smokers correctly identified that nicotine is addictive. The majority of subjects incorrectly identified nicotine as a cause of cancer, with dual users having the lowest proportion of incorrect responses (60%). Dual users rated e-cigarette harmfulness as less harmful than combustibles (mean=2.20; 95% CI=1.73, 2.66) while exclusive cigarette smokers and non-smokers rated them as similarly harmful. LNCs were considered equally harmful and addictive as conventional cigarettes. Conclusion: Dual users had a higher knowledge base of tobacco-related health effects. The effectiveness of policies or medical recommendations to encourage smokers to switch from cigarettes to LNCs or e-cigarettes will need to consider accurate and inaccurate misperceptions about the harm and addictiveness of nicotine. Improved public health messages about different tobacco products are needed.

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Pediatric Collections: Vaping: Effects and Solutions

10.1542/9781610024693 ◽

2020 ◽

Author(s):

Keyword(s):

Public Health ◽

United States ◽

Health Care ◽

Health Care Providers ◽

Electronic Cigarettes ◽

The United States ◽

Care Providers ◽

Tobacco Products ◽

Pediatric Health ◽

Pediatric Health Care

Electronic cigarettes are the tobacco products most commonly used by youths in the United States. The use of e-cigarettes, also known as vaping or JUULing, is a public health epidemic. This collection offers reviews and research to assist pediatric health care providers in identifying and treating adolescent use and exposure to e-cigarettes. https://shop.aap.org/pediatric-collections-vaping-effects-and-solutions-paperback/

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