RESEARCH PAPER
Prevalence and correlates of prior experimentation with e-cigarettes over conventional cigarettes among adolescents: Findings from the 2015 Korea Youth Risk Behaviour Web-based Survey
 
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1
Department of Family Medicine, BHS Hanseo Hospital, Busan, South Korea
2
Cancer Epidemiology Intelligence Division, Cancer Council Victoria, Melbourne, Australia
3
Healthcare System Gangnam Center, Seoul National University Hospital, Seoul, South Korea
CORRESPONDING AUTHOR
Cheol Min Lee   

Department of Family Medicine, Healthcare System Gangnam Center, Seoul National University Hospital, 39th Fl, Gangnam Finance Center, 151 Teheran-ro, Yeoksam-dong, Gangnam-gu, Seoul, South Korea
Publish date: 2019-10-07
Submission date: 2019-07-15
Final revision date: 2019-09-23
Acceptance date: 2019-09-25
 
Tob. Prev. Cessation 2019;5(October):33
KEYWORDS
TOPICS
ABSTRACT
Introduction:
As concern is increasing about electronic cigarette use among neversmoking youth, we aimed to examine the prevalence and correlates of prior experimentation of electronic cigarettes (e-cigs) over conventional cigarettes (c-cigs).

Methods:
We used the 10th Korea Youth Risk Behavior Web-based Survey in 2015, including 67960 participants as study subjects. This survey was designed as stratified multistage clustered samples from middle schools and high schools. Weighted percentages of vaping and/or smoking status by the timing of experimentation were calculated and multivariate logistic regression analysis was conducted after adjustments for possible confounders (demographics, socioeconomic status, lifestyle, tobacco use pattern).

Results:
Youth who use e-cigs only or before c-cigs were 1.7% and 9.1% of any type user, respectively. In younger participants, the proportion tended to be increasing. Apart from being younger (AOR=2.23, 95% CI: 1.66–2.99; 12th grade vs 7th grade), male gender (AOR=1.20, 95% CI: 1.03–1.42), higher household income (AOR=1.21, 95% CI: 1.01–1.45), higher school performance (AOR=1.19, 95% CI: 1.02–1.39), exposure to smoke (AOR=1.63, 95% CI: 1.43–1.86) and caffeine drink (AOR=1.44, 95% CI: 1.24–1.68) were associated with experimentation with e-cigs prior to c-cigs in a fully-adjusted model. Alcohol abuse (AOR=0.57, 95% CI: 0.48–0.68) and weekday internet usage for recreation (AOR=0.69, 95% CI: 0.60–0.78) were negatively associated.

Conclusions:
The characteristics of those who experiment with e-cigs over c-cigs may be different from the general characteristics of vaping. Considering recent e-cig epidemics, more attention should be paid to the adolescents who tend to start e-cigs first.

CONFLICTS OF INTEREST
The authors have completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none was reported.
FUNDING
There was no source of funding for this research.
AUTHORS' CONTRIBUTIONS
All authors contributed to the design and interpretation of the work. JHH, CS and CML drafted the manuscript, and CS undertook English proofreading. All authors provided critical revisions for important intellectual content for the final version. All authors agreed to be accountable for all aspects of the work, and all authors have approved the final version of the manuscript.
PROVENANCE AND PEER REVIEW
Not commissioned; externally peer reviewed.
 
REFERENCES (23)
1.
Cobb NK, Byron MJ, Abrams DB, Shields PG. Novel nicotine delivery systems and public health: the rise of the “e-cigarette”. Am J Public Health. 2010;100(12):2340-2342. doi:10.2105/AJPH.2010.199281
 
2.
Cullen KA, Ambrose BK, Gentzke AS, Apelberg BJ, Jamal A, King BA. Notes from the Field: Use of Electronic Cigarettes and Any Tobacco Product Among Middle and High School Students - United States, 2011-2018. MMWR Morb Mortal Wkly Rep. 2018;67(45):1276-1277. doi:10.15585/mmwr.mm6745a5
 
3.
U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults. A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2016. https://www.cdc.gov/tobacco/da.... Accessed July 15, 2019.
 
4.
Lee S, Grana RA, Glantz SA. Electronic cigarette use among Korean adolescents: a cross-sectional study of market penetration, dual use, and relationship to quit attempts and former smoking. J Adolesc Health. 2014;54(6):684-690. doi:10.1016/j.jadohealth.2013.11.003
 
5.
McRobbie H, Bullen C, Hartmann-Boyce J, Hajek P. Electronic cigarettes for smoking cessation and reduction. Cochrane Database Syst Rev. 2014;(12):CD010216. doi:10.1002/14651858.CD010216.pub2
 
6.
Niaura RS, Glynn TJ, Abrams DB. Youth experimentation with e-cigarettes: Another interpretation of the data. JAMA. 2014;312(6):641-2. doi:10.1001/jama.2014.6894
 
7.
England LJ, Bunnell RE, Pechacek TF, Tong VT, McAfee TA. Nicotine and the Developing Human: A Neglected Element in the Electronic Cigarette Debate. Am J Prev Med. 2015;49(2):286-293. doi:10.1016/j.amepre.2015.01.015
 
8.
Bunnell RE, Agaku IT, Arrazola R, et al. Intentions to smoke cigarettes among never-smoking US middle and high school electronic cigarette users, National Youth Tobacco Survey, 2011-2013. Nicotine Tob Res. 2015;17(2):228-235. doi:10.1093/ntr/ntu166
 
9.
Coleman BN, Apelberg BJ, Ambrose BK, et al. Association between electronic cigarette use and openness to cigarette smoking among US young adults. Nicotine Tob Res. 2015;17(2):212-218. doi:10.1093/ntr/ntu211
 
10.
Barrington-Trimis JL, Urman R, Berhane K, et al. E-Cigarettes and Future Cigarette Use. Pediatrics. 2016;138(1):e20160379. doi:10.1542/peds.2016-0379
 
11.
Dutra LM, Glantz SA. Electronic cigarettes and conventional cigarette use among US adolescents: a cross-sectional study. JAMA Pediatr. 2014;168(7):610-617. doi:10.1001/jamapediatrics.2013.5488
 
12.
Cardenas VM, Evans VL, Balamurugan A, Faramawi MF, Delongchamp RR, Wheeler JG. Use of electronic nicotine delivery systems and recent initiation of smoking among US youth. Int J Public Health. 2016;61(2):237-241. doi:10.1007/s00038-015-0783-7
 
13.
Sutfin EL, Reboussin BA, Debinski B, Wagoner KG, Spangler J, Wolfson M. The impact of trying electronic cigarettes on cigarette smoking by college students: a prospective analysis. Am J Public Health. 2015;105(8):e83-e89. doi:10.2105/AJPH.2015.302707
 
14.
Leventhal AM, Strong DR, Kirkpatrick MG, et al. Association of electronic cigarette use with initiation of combustible tobacco product smoking in early adolescence. JAMA. 2015;314(7):700-707. doi:10.1001/jama.2015.8950
 
15.
Moore G, Hewitt G, Evans J, et al. Electronic-cigarette use among young people in Wales: evidence from two cross-sectional surveys. BMJ Open. 2015;5(4):e007072. doi:10.1136/bmjopen-2014-007072
 
16.
Bauld L, MacKintosh AM, Ford A, McNeill A. E-Cigarette Uptake Amongst UK Youth: Experimentation, but Little or No Regular Use in Nonsmokers. Nicotine Tob Res. 2016;18(1):102-103. doi:10.1093/ntr/ntv132
 
17.
Chadi N, Hadland SE, Harris SK. Understanding the implications of the “vaping epidemic” among adolescents and young adults: A call for action. Subst Abus. 2019;40(1):7-10. doi:10.1080/08897077.2019.1580241
 
18.
Akl EA, Jawad M, Lam WY, Co CN, Obeid R, Irani J. Motives, beliefs and attitudes towards waterpipe tobacco smoking: a systematic review. Harm Reduct J. 2013;10(1):12. doi:10.1186/1477-7517-10-12
 
19.
Kim JW, So WY, Kim YS. Association between asthma and physical activity in Korean adolescents: the 3rd Korea Youth Risk Behavior Web-based Survey (KYRBWS-III). European Journal of Public Health. 2012;22(6):864-868. doi:10.1093/eurpub/ckr175
 
20.
Knight JR, Sherritt L, Shrier LA, Harris SK, Chang G. Validity of the CRAFFT substance abuse screening test among adolescent clinic patients. Arch Pediatr Adolesc Med. 2002;156(6):607-614. doi:10.1001/archpedi.156.6.607
 
21.
Kim Y. Validation of a Korean version of the CRAFFT for screening substance abusing adolescents [in Chinise]. Mental Health & Social Work. 2010;34:30-55.
 
22.
Rigotti NA. e-Cigarette Use and Subsequent Tobacco Use by Adolescents: New Evidence About a Potential Risk of e-Cigarettes. JAMA. 2015;314(7):673-674. doi:10.1001/jama.2015.8382
 
23.
Pokhrel P, Fagan P, Kehl L, Herzog TA. Receptivity to E-cigarette Marketing, Harm Perceptions, and E-cigarette Use. Am J Health Behav. 2015;39(1):121-131. doi:10.5993/AJHB.39.1.13
 
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