Prevalence and predictors of e-cigarette trial among adolescents in Argentina
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Centro de Estudios de Estado y Sociedad (CEDES), Argentina
Facultad de Ciencias Exactas y Naturales, Universidad de Buenos Aires, Argentina
Department of Health Promotion, Education, and Behavior University of South Carolina, Columbia, USA
Department of Pediatrics, Geisel School of Medicine at Dartmouth, USA
Submission date: 2016-09-05
Final revision date: 2016-11-11
Acceptance date: 2016-11-11
Publication date: 2016-12-01
Corresponding author
Paola Morello   

Centro de Estudios de Estado y Sociedad (CEDES), Argentina, Sánchez de Bustamante 27, 1173 buenos aires, Argentina
Tob. Prev. Cessation 2016;2(December):80
Over the last few years, the increasing use of electronic cigarettes has become a new public health problem. Since 2011, Argentina has had a complete ban on marketing and sale of e-cigarettes. However, e-cigarettes are marketed online and can be easily bought in stores. We conducted a longitudinal study to evaluate the determinants of e-cigarette trial among Argentinean early adolescents.

A school-based longitudinal study was conducted in 2014-15, in 3 large cities in Argentina. Among students who reported never smoking an e-cigarette at baseline, we assessed demographics, media use, sensation seeking, smoking behavior, network member smoking, use of other substances, and perception of e-cigarette risk as potential risk factors for e-cigarette trial at follow up (mean between-wave interval 17.1 months) using multilevel logistic regression models with random intercepts for schools.

E-cigarette trial prevalence increased from baseline (1.8%; n=57) to follow up (7.1%; n=139). Independent predictors of e-cigarette use at follow up included: higher sensation seeking (OR: 1.49 95% CI 1.21-1.84); being a current smoker (OR: 2.58 95% CI 1.38-4.83); having close friends that smoke cigarettes (OR: 1.93 95% CI 1.25-2.99) and being highly exposed to tobacco product ads online (OR: 1.87 95% CI 1.04-3.36). Attending a public school was the only protective factor (OR: 0.40 95% CI 0.22-0.73).

In Argentina, illicit trial of e-cigarettes among early adolescents is low but appears to be rapidly increasing. Identifying students at risk could help identify policies and programs to prevent increasing use in this population.

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