Predictors of electronic cigarette use among Swedish teenagers: a population-based cohort study
Objectives The aim was to identify predictors of electronic cigarette (e-cigarette) use among teenagers.Design and setting A prospective population-based cohort study of schoolchildren in northern Sweden.Participants In 2006, a cohort study about asthma and allergic diseases among schoolchildren sta...
Published in: | BMJ Open |
---|---|
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMJ Publishing Group
2020
|
Subjects: | |
Online Access: | https://doi.org/10.1136/bmjopen-2020-040683 https://doaj.org/article/aaf6e0adfe994c56add0b24e8fcf74ce |
id |
ftdoajarticles:oai:doaj.org/article:aaf6e0adfe994c56add0b24e8fcf74ce |
---|---|
record_format |
openpolar |
spelling |
ftdoajarticles:oai:doaj.org/article:aaf6e0adfe994c56add0b24e8fcf74ce 2023-05-15T17:45:06+02:00 Predictors of electronic cigarette use among Swedish teenagers: a population-based cohort study 2020-12-01T00:00:00Z https://doi.org/10.1136/bmjopen-2020-040683 https://doaj.org/article/aaf6e0adfe994c56add0b24e8fcf74ce EN eng BMJ Publishing Group https://bmjopen.bmj.com/content/10/12/e040683.full https://doaj.org/toc/2044-6055 doi:10.1136/bmjopen-2020-040683 2044-6055 https://doaj.org/article/aaf6e0adfe994c56add0b24e8fcf74ce BMJ Open, Vol 10, Iss 12 (2020) Medicine R article 2020 ftdoajarticles https://doi.org/10.1136/bmjopen-2020-040683 2022-12-31T13:01:12Z Objectives The aim was to identify predictors of electronic cigarette (e-cigarette) use among teenagers.Design and setting A prospective population-based cohort study of schoolchildren in northern Sweden.Participants In 2006, a cohort study about asthma and allergic diseases among schoolchildren started within the Obstructive Lung Disease in Northern Sweden studies. The study sample (n=2185) was recruited at age 7–8 years, and participated in questionnaire surveys at age 14–15 and 19 years. The questionnaire included questions about respiratory symptoms, living conditions, upper secondary education, physical activity, diet, health-related quality of life, parental smoking and parental occupation. Questions about tobacco use were included at age 14–15 and 19 years.Primary outcome E-cigarette use at age 19 years.Results At age 19 years, 21.4% had ever tried e-cigarettes and 4.2% were current users. Among those who were daily tobacco smokers at age 14–15 years, 60.9% had tried e-cigarettes at age 19 years compared with 19.1% of never-smokers and 34.0% of occasional smokers (p<0.001). Among those who had tried e-cigarettes, 28.1% were never smokers both at age 14–15 and 19 years, and 14.4% were never smokers among the current e-cigarette users. In unadjusted analyses, e-cigarette use was associated with daily smoking, use of snus and having a smoking father at age 14–15 years, as well as with attending vocational education, physical inactivity and unhealthy diet. In adjusted analyses, current e-cigarette use was associated with daily tobacco smoking at age 14–15 years (OR 6.27; 95% CI 3.12 to 12.58), attending a vocational art programme (OR 2.22; 95% CI 1.04 to 4.77) and inversely associated with eating a healthy diet (OR 0.74; 95% CI 0.59 to 0.92).Conclusions E-cigarette use was associated with personal and parental tobacco use, as well as with physical inactivity, unhealthy diet and attending vocational upper secondary education. Importantly, almost one-third of those who had tried e-cigarettes at age 19 years ... Article in Journal/Newspaper Northern Sweden Directory of Open Access Journals: DOAJ Articles BMJ Open 10 12 e040683 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Medicine R |
spellingShingle |
Medicine R Predictors of electronic cigarette use among Swedish teenagers: a population-based cohort study |
topic_facet |
Medicine R |
description |
Objectives The aim was to identify predictors of electronic cigarette (e-cigarette) use among teenagers.Design and setting A prospective population-based cohort study of schoolchildren in northern Sweden.Participants In 2006, a cohort study about asthma and allergic diseases among schoolchildren started within the Obstructive Lung Disease in Northern Sweden studies. The study sample (n=2185) was recruited at age 7–8 years, and participated in questionnaire surveys at age 14–15 and 19 years. The questionnaire included questions about respiratory symptoms, living conditions, upper secondary education, physical activity, diet, health-related quality of life, parental smoking and parental occupation. Questions about tobacco use were included at age 14–15 and 19 years.Primary outcome E-cigarette use at age 19 years.Results At age 19 years, 21.4% had ever tried e-cigarettes and 4.2% were current users. Among those who were daily tobacco smokers at age 14–15 years, 60.9% had tried e-cigarettes at age 19 years compared with 19.1% of never-smokers and 34.0% of occasional smokers (p<0.001). Among those who had tried e-cigarettes, 28.1% were never smokers both at age 14–15 and 19 years, and 14.4% were never smokers among the current e-cigarette users. In unadjusted analyses, e-cigarette use was associated with daily smoking, use of snus and having a smoking father at age 14–15 years, as well as with attending vocational education, physical inactivity and unhealthy diet. In adjusted analyses, current e-cigarette use was associated with daily tobacco smoking at age 14–15 years (OR 6.27; 95% CI 3.12 to 12.58), attending a vocational art programme (OR 2.22; 95% CI 1.04 to 4.77) and inversely associated with eating a healthy diet (OR 0.74; 95% CI 0.59 to 0.92).Conclusions E-cigarette use was associated with personal and parental tobacco use, as well as with physical inactivity, unhealthy diet and attending vocational upper secondary education. Importantly, almost one-third of those who had tried e-cigarettes at age 19 years ... |
format |
Article in Journal/Newspaper |
title |
Predictors of electronic cigarette use among Swedish teenagers: a population-based cohort study |
title_short |
Predictors of electronic cigarette use among Swedish teenagers: a population-based cohort study |
title_full |
Predictors of electronic cigarette use among Swedish teenagers: a population-based cohort study |
title_fullStr |
Predictors of electronic cigarette use among Swedish teenagers: a population-based cohort study |
title_full_unstemmed |
Predictors of electronic cigarette use among Swedish teenagers: a population-based cohort study |
title_sort |
predictors of electronic cigarette use among swedish teenagers: a population-based cohort study |
publisher |
BMJ Publishing Group |
publishDate |
2020 |
url |
https://doi.org/10.1136/bmjopen-2020-040683 https://doaj.org/article/aaf6e0adfe994c56add0b24e8fcf74ce |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
BMJ Open, Vol 10, Iss 12 (2020) |
op_relation |
https://bmjopen.bmj.com/content/10/12/e040683.full https://doaj.org/toc/2044-6055 doi:10.1136/bmjopen-2020-040683 2044-6055 https://doaj.org/article/aaf6e0adfe994c56add0b24e8fcf74ce |
op_doi |
https://doi.org/10.1136/bmjopen-2020-040683 |
container_title |
BMJ Open |
container_volume |
10 |
container_issue |
12 |
container_start_page |
e040683 |
_version_ |
1766147865198985216 |