A Longitudinal Study of Predictors for Adolescent Electronic Cigarette Experimentation and Comparison with Conventional Smoking

Little is known of the predictors of electronic cigarette (e-cigarette) use among adolescents, even though the use is increasing. We studied here the predictors for e-cigarette experimentation (tried and tried more than twice) and compared them with predictors for conventional smoking. A baseline sc...

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Bibliographic Details
Published in:International journal of environmental research and public health 2018-02, Vol.15 (2), p.305
Main Authors: Kinnunen, Jaana M, Ollila, Hanna, Minkkinen, Jaana, Lindfors, Pirjo L, Rimpelä, Arja H
Format: Article
Language:English
Subjects:
Addictive behaviors
Adolescents
Alcohol
Behavior
Child & adolescent psychiatry
Cigarettes
Clustering
Correlation analysis
Drunkenness
Electronic cigarettes
Experimentation
Gender
Longitudinal studies
Metropolitan areas
Nicotine
Participation
Schools
Smoking
Socioeconomic factors
Statistical models
Studies
Team sports
Teenagers
Tobacco
Young adults
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Summary:Little is known of the predictors of electronic cigarette (e-cigarette) use among adolescents, even though the use is increasing. We studied here the predictors for e-cigarette experimentation (tried and tried more than twice) and compared them with predictors for conventional smoking. A baseline school survey was conducted in the Helsinki metropolitan area, Finland, in 2011 for seventh graders (12 to 13-year-olds). Response rate was 73%. The same students were followed up in 2014 (9th grade, 15 to 16-year-olds), = 5742. Generalized linear mixed models controlling for school clustering were used. In the follow-up, 43.3% of boys and 25.6% of girls had tried e-cigarettes and 21.9% and 8.1% correspondingly more than twice. The strongest predictors for both genders were conventional smoking, drunkenness and energy drink use. Furthermore, poor academic achievement predicted e-cigarette experimentation for both genders, and for boys, participation in team sports was a predictor. The predictors for experimenting and for experimenting more than twice were very similar, except for boys' participation in team sports. They were also similar compared to the predictors of conventional smoking but the associations were weaker. To conclude, smoking and other addictive behaviors predict adolescents' experimentation with e-cigarettes. Family's socioeconomic background had little significance.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph15020305