Is adolescent e-cigarette use associated with smoking in the United Kingdom?: A systematic review with meta-analysis
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Northumbria University, Newcastle, United Kingdom
Catherine Haighton   

Northumbria University, Newcastle, United Kingdom
Publish date: 2019-04-22
Submission date: 2018-08-19
Final revision date: 2019-04-12
Acceptance date: 2019-04-15
Tob. Prev. Cessation 2019;5(April):15

This article has been corrected:
Corrigendum: Is adolescent e-cigarette use associated with smoking in the United Kingdom?: A systematic review with meta-analysis
Volume 5, Issue November, Page 1

Though smoking is a public health problem the use of e-cigarettes has been associated with a reduction in smoking in developed countries. However, public health experts have raised concerns about the association of e-cigarette use with an increase in traditional cigarette smoking in adolescents. Reviewlevel evidence is generally supportive of this concern, but as it is mainly based on studies from the USA we investigated if e-cigarette use is associated with traditional cigarette smoking in adolescents (aged 10–19 years) in the UK.

We conducted a systematic review of empirical studies. Databases (PubMed, Medline via ProQuest, CINAHL and SCOPUS) were searched between January 2005 and May 2018 using search terms based on the concepts: adolescents, traditional cigarette smoking, e-cigarettes, and UK. Using predefined inclusion and exclusion criteria, a total of eight studies (involving 73076 adolescents) were included in this review. Three of the included studies were eligible to be combined in a meta-analysis. The CASP appraisal tool was used to assess study quality while risk of bias was assessed using ROBINS-I.

Studies included in the meta-analysis showed that adolescents who use e-cigarettes are up to six times more likely to smoke traditional cigarettes. Furthermore, results showed that traditional cigarette smoking can also precede e-cigarette use in adolescents and there was increased likelihood of an increase in initial product use (e-cigarette or traditional cigarette) when the alternate product was initiated.

Public health policy makers in the UK still need clear conclusions about the effects and safety of e-cigarettes.

This study was completed by AA with supervision from CH in part fulfilment of a Masters in Public Health at Northumbria University.
The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none was reported.
There was no source of funding for this research.
Not commissioned; externally peer reviewed.
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