Single, Dual, and Triple Use of Cigarettes, e-Cigarettes, and Snus among Adolescents in the Nordic Countries
New tobacco and nicotine products have emerged on the market in recent years. Most research has concerned only one product at a time, usually e-cigarettes, while little is known about the multiple use of tobacco and nicotine products among adolescents. We examined single, dual, and triple use of cig...
Published in: | International Journal of Environmental Research and Public Health |
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Online Access: | https://doi.org/10.3390/ijerph19020683 https://doaj.org/article/63e31fb2066b4e3c8c716ab1c79fa5f9 |
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ftdoajarticles:oai:doaj.org/article:63e31fb2066b4e3c8c716ab1c79fa5f9 2023-05-15T16:10:55+02:00 Single, Dual, and Triple Use of Cigarettes, e-Cigarettes, and Snus among Adolescents in the Nordic Countries Kirsimarja Raitasalo Elin K. Bye Charlotta Pisinger Janne Scheffels Rikke Tokle Jaana M. Kinnunen Hanna Ollila Arja Rimpelä 2022-01-01T00:00:00Z https://doi.org/10.3390/ijerph19020683 https://doaj.org/article/63e31fb2066b4e3c8c716ab1c79fa5f9 EN eng MDPI AG https://www.mdpi.com/1660-4601/19/2/683 https://doaj.org/toc/1661-7827 https://doaj.org/toc/1660-4601 doi:10.3390/ijerph19020683 1660-4601 1661-7827 https://doaj.org/article/63e31fb2066b4e3c8c716ab1c79fa5f9 International Journal of Environmental Research and Public Health, Vol 19, Iss 683, p 683 (2022) multiple use cigarettes electronic cigarettes snus Nordic countries Medicine R article 2022 ftdoajarticles https://doi.org/10.3390/ijerph19020683 2022-12-31T04:11:56Z New tobacco and nicotine products have emerged on the market in recent years. Most research has concerned only one product at a time, usually e-cigarettes, while little is known about the multiple use of tobacco and nicotine products among adolescents. We examined single, dual, and triple use of cigarettes, e-cigarettes, and snus among Nordic adolescents, using data of 15–16-year-olds (n = 16,125) from the European School Survey Project on Alcohol and other Drugs (ESPAD) collected in 2015 and 2019 from Denmark, Finland, Iceland, Norway, Sweden, and the Faroe Islands. Country-specific lifetime use of any of these products ranged between 40% and 50%, and current use between 17% and 31%. Cigarettes were the most common product in all countries except for Iceland, where e-cigarettes were remarkably more common. The proportion of dual and triple users was unexpectedly high among both experimental (24%–49%) and current users (31–42%). Triple use was less common than dual use. The users’ patterns varied somewhat between the countries, and Iceland differed substantially from the other countries, with a high proportion of single e-cigarette users. More knowledge on the patterns of multiple use of tobacco and nicotine products and on the potential risk and protective factors is needed for targeted intervention and prevention efforts. Article in Journal/Newspaper Faroe Islands Iceland Directory of Open Access Journals: DOAJ Articles Faroe Islands Norway International Journal of Environmental Research and Public Health 19 2 683 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
multiple use cigarettes electronic cigarettes snus Nordic countries Medicine R |
spellingShingle |
multiple use cigarettes electronic cigarettes snus Nordic countries Medicine R Kirsimarja Raitasalo Elin K. Bye Charlotta Pisinger Janne Scheffels Rikke Tokle Jaana M. Kinnunen Hanna Ollila Arja Rimpelä Single, Dual, and Triple Use of Cigarettes, e-Cigarettes, and Snus among Adolescents in the Nordic Countries |
topic_facet |
multiple use cigarettes electronic cigarettes snus Nordic countries Medicine R |
description |
New tobacco and nicotine products have emerged on the market in recent years. Most research has concerned only one product at a time, usually e-cigarettes, while little is known about the multiple use of tobacco and nicotine products among adolescents. We examined single, dual, and triple use of cigarettes, e-cigarettes, and snus among Nordic adolescents, using data of 15–16-year-olds (n = 16,125) from the European School Survey Project on Alcohol and other Drugs (ESPAD) collected in 2015 and 2019 from Denmark, Finland, Iceland, Norway, Sweden, and the Faroe Islands. Country-specific lifetime use of any of these products ranged between 40% and 50%, and current use between 17% and 31%. Cigarettes were the most common product in all countries except for Iceland, where e-cigarettes were remarkably more common. The proportion of dual and triple users was unexpectedly high among both experimental (24%–49%) and current users (31–42%). Triple use was less common than dual use. The users’ patterns varied somewhat between the countries, and Iceland differed substantially from the other countries, with a high proportion of single e-cigarette users. More knowledge on the patterns of multiple use of tobacco and nicotine products and on the potential risk and protective factors is needed for targeted intervention and prevention efforts. |
format |
Article in Journal/Newspaper |
author |
Kirsimarja Raitasalo Elin K. Bye Charlotta Pisinger Janne Scheffels Rikke Tokle Jaana M. Kinnunen Hanna Ollila Arja Rimpelä |
author_facet |
Kirsimarja Raitasalo Elin K. Bye Charlotta Pisinger Janne Scheffels Rikke Tokle Jaana M. Kinnunen Hanna Ollila Arja Rimpelä |
author_sort |
Kirsimarja Raitasalo |
title |
Single, Dual, and Triple Use of Cigarettes, e-Cigarettes, and Snus among Adolescents in the Nordic Countries |
title_short |
Single, Dual, and Triple Use of Cigarettes, e-Cigarettes, and Snus among Adolescents in the Nordic Countries |
title_full |
Single, Dual, and Triple Use of Cigarettes, e-Cigarettes, and Snus among Adolescents in the Nordic Countries |
title_fullStr |
Single, Dual, and Triple Use of Cigarettes, e-Cigarettes, and Snus among Adolescents in the Nordic Countries |
title_full_unstemmed |
Single, Dual, and Triple Use of Cigarettes, e-Cigarettes, and Snus among Adolescents in the Nordic Countries |
title_sort |
single, dual, and triple use of cigarettes, e-cigarettes, and snus among adolescents in the nordic countries |
publisher |
MDPI AG |
publishDate |
2022 |
url |
https://doi.org/10.3390/ijerph19020683 https://doaj.org/article/63e31fb2066b4e3c8c716ab1c79fa5f9 |
geographic |
Faroe Islands Norway |
geographic_facet |
Faroe Islands Norway |
genre |
Faroe Islands Iceland |
genre_facet |
Faroe Islands Iceland |
op_source |
International Journal of Environmental Research and Public Health, Vol 19, Iss 683, p 683 (2022) |
op_relation |
https://www.mdpi.com/1660-4601/19/2/683 https://doaj.org/toc/1661-7827 https://doaj.org/toc/1660-4601 doi:10.3390/ijerph19020683 1660-4601 1661-7827 https://doaj.org/article/63e31fb2066b4e3c8c716ab1c79fa5f9 |
op_doi |
https://doi.org/10.3390/ijerph19020683 |
container_title |
International Journal of Environmental Research and Public Health |
container_volume |
19 |
container_issue |
2 |
container_start_page |
683 |
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1765996047808593920 |