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 schoolchildre...
Published in: | BMJ Open |
---|---|
Main Authors: | , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Umeå universitet, Avdelningen för hållbar hälsa
2020
|
Subjects: | |
Online Access: | http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-179584 https://doi.org/10.1136/bmjopen-2020-040683 |
id |
ftumeauniv:oai:DiVA.org:umu-179584 |
---|---|
record_format |
openpolar |
spelling |
ftumeauniv:oai:DiVA.org:umu-179584 2023-10-09T21:54:32+02:00 Predictors of electronic cigarette use among Swedish teenagers : a population-based cohort study Hedman, Linnea Backman, Helena Stridsman, Caroline Lundbäck, Magnus Andersson, Martin Rönmark, Eva 2020 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-179584 https://doi.org/10.1136/bmjopen-2020-040683 eng eng Umeå universitet, Avdelningen för hållbar hälsa Umeå universitet, Avdelningen för medicin Department of Health Science, Division of Nursing, Luleå University of Technology, Luleå, Sweden Department of Clinical Sciences, Danderyd Hospital, Karolinska Institute, Stockholm, Sweden BMJ Open, 2020, 10:12, orcid:0000-0002-1630-3167 orcid:0000-0002-0553-8067 orcid:0000-0001-7222-6402 orcid:0000-0002-2358-8754 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-179584 doi:10.1136/bmjopen-2020-040683 PMID 33376167 ISI:000606484000029 Scopus 2-s2.0-85098617535 info:eu-repo/semantics/openAccess public health epidemiology preventive medicine Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Respiratory Medicine and Allergy Lungmedicin och allergi Article in journal info:eu-repo/semantics/article text 2020 ftumeauniv https://doi.org/10.1136/bmjopen-2020-040683 2023-09-22T14:01:03Z 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 ... Article in Journal/Newspaper Northern Sweden Umeå University: Publications (DiVA) BMJ Open 10 12 e040683 |
institution |
Open Polar |
collection |
Umeå University: Publications (DiVA) |
op_collection_id |
ftumeauniv |
language |
English |
topic |
public health epidemiology preventive medicine Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Respiratory Medicine and Allergy Lungmedicin och allergi |
spellingShingle |
public health epidemiology preventive medicine Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Respiratory Medicine and Allergy Lungmedicin och allergi Hedman, Linnea Backman, Helena Stridsman, Caroline Lundbäck, Magnus Andersson, Martin Rönmark, Eva Predictors of electronic cigarette use among Swedish teenagers : a population-based cohort study |
topic_facet |
public health epidemiology preventive medicine Global Health Social Medicine and Epidemiology Folkhälsovetenskap global hälsa socialmedicin och epidemiologi Respiratory Medicine and Allergy Lungmedicin och allergi |
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 ... |
format |
Article in Journal/Newspaper |
author |
Hedman, Linnea Backman, Helena Stridsman, Caroline Lundbäck, Magnus Andersson, Martin Rönmark, Eva |
author_facet |
Hedman, Linnea Backman, Helena Stridsman, Caroline Lundbäck, Magnus Andersson, Martin Rönmark, Eva |
author_sort |
Hedman, Linnea |
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 |
Umeå universitet, Avdelningen för hållbar hälsa |
publishDate |
2020 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-179584 https://doi.org/10.1136/bmjopen-2020-040683 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
BMJ Open, 2020, 10:12, orcid:0000-0002-1630-3167 orcid:0000-0002-0553-8067 orcid:0000-0001-7222-6402 orcid:0000-0002-2358-8754 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-179584 doi:10.1136/bmjopen-2020-040683 PMID 33376167 ISI:000606484000029 Scopus 2-s2.0-85098617535 |
op_rights |
info:eu-repo/semantics/openAccess |
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_ |
1779318123562795008 |