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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ftpubmed:oai:pubmedcentral.nih.gov:8775390 2023-05-15T16:10:55+02:00 Single, Dual, and Triple Use of Cigarettes, e-Cigarettes, and Snus among Adolescents in the Nordic Countries Raitasalo, Kirsimarja Bye, Elin K. Pisinger, Charlotta Scheffels, Janne Tokle, Rikke Kinnunen, Jaana M. Ollila, Hanna Rimpelä, Arja 2022-01-07 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775390/ https://doi.org/10.3390/ijerph19020683 en eng MDPI http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775390/ http://dx.doi.org/10.3390/ijerph19020683 © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). CC-BY Int J Environ Res Public Health Article Text 2022 ftpubmed https://doi.org/10.3390/ijerph19020683 2022-01-23T02:02:57Z 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. Text Faroe Islands Iceland PubMed Central (PMC) Faroe Islands Norway International Journal of Environmental Research and Public Health 19 2 683 |
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Article Raitasalo, Kirsimarja Bye, Elin K. Pisinger, Charlotta Scheffels, Janne Tokle, Rikke Kinnunen, Jaana M. Ollila, Hanna Rimpelä, Arja Single, Dual, and Triple Use of Cigarettes, e-Cigarettes, and Snus among Adolescents in the Nordic Countries |
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Article |
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 |
Text |
author |
Raitasalo, Kirsimarja Bye, Elin K. Pisinger, Charlotta Scheffels, Janne Tokle, Rikke Kinnunen, Jaana M. Ollila, Hanna Rimpelä, Arja |
author_facet |
Raitasalo, Kirsimarja Bye, Elin K. Pisinger, Charlotta Scheffels, Janne Tokle, Rikke Kinnunen, Jaana M. Ollila, Hanna Rimpelä, Arja |
author_sort |
Raitasalo, Kirsimarja |
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 |
publishDate |
2022 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775390/ https://doi.org/10.3390/ijerph19020683 |
geographic |
Faroe Islands Norway |
geographic_facet |
Faroe Islands Norway |
genre |
Faroe Islands Iceland |
genre_facet |
Faroe Islands Iceland |
op_source |
Int J Environ Res Public Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8775390/ http://dx.doi.org/10.3390/ijerph19020683 |
op_rights |
© 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.3390/ijerph19020683 |
container_title |
International Journal of Environmental Research and Public Health |
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19 |
container_issue |
2 |
container_start_page |
683 |
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