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Patterns and predictors of e-cigarette, cigarette and dual use uptake in UK adolescents: Evidence from a 24-month Prospective Study

Conner, Mark; Grogan, Sarah; Simms-Ellis, Ruth; Scholtens, Keira; Sykes-Muskett, Bianca; Cowap, Lisa; Lawton, Rebecca; Armitage, Christopher J.; Meads, David; Schmitt, Laetitia; Torgerson, Carole; West, Robert; Siddiqi, Kamran

Patterns and predictors of e-cigarette, cigarette and dual use uptake in UK adolescents: Evidence from a 24-month Prospective Study Thumbnail


Authors

Mark Conner

Sarah Grogan

Ruth Simms-Ellis

Keira Scholtens

Bianca Sykes-Muskett

Lisa Cowap

Rebecca Lawton

Christopher J. Armitage

David Meads

Laetitia Schmitt

Robert West

Kamran Siddiqi



Abstract

Background and Aims: To assess prevalence and predictors of e‐cigarettes/cigarettes patterns of use in adolescents in England. Design: Prospective study with 24‐month follow‐up of e‐cigarette/cigarette ever/regular use with data from an intervention evaluation. Setting: Forty‐five schools in England (Staffordshire and Yorkshire). Participants: 3,210 adolescents who, at baseline, were aged 13‐14 years and had never used e‐cigarettes/cigarettes. Measurements: Based on e‐cigarette/cigarette ever use at follow‐up, six groups were created: (a) never user, (b) e‐cigarette only, (c) cigarette only, (d) dual use – order of use unclear, (e) dual use – e‐cigarettes used first, (f) dual use – cigarettes used first. Baseline measures were: gender, ethnicity, socioeconomic status, impulsivity, family plus friend smoking, and smoking‐related beliefs (attitude and perceived behavioural control). Findings: In groups (a) through (f), there were 71·5%, 13·3%, 3·3%, 5·7%, 2·9%, and 3·4% adolescents, respectively. Among groups using cigarettes, regular smoking was more prevalent in group (f) (dual use – cigarettes used first) (17·6%, 95%CI 10·4, 24·8) than in groups (c), (d) and (e) combined (7·3%, 95%CI 4·7, 9·9). Among groups using e‐cigarettes, regular use was less prevalent in group (b) (e‐cigarette only) (1·9%, 95%CI 0·6, 3·2) than in groups (d), (e) and (f) combined (12·2%, 95%CI 8·9, 15·5). Higher impulsivity plus friends and family smoking were predictive of being in groups (b) to (f) compared with group (a) (never users). Males were more likely to be in group (b) compared to group (a); females were more likely to be in groups (c) to (f) compared to group (a). Conclusions: Regular use of e‐cigarettes/cigarettes varies across groups defined by ever use of e‐cigarettes/cigarettes. Interventions targeted at tackling impulsivity or adolescents whose friends and family members smoke may represent fruitful avenues for future research.

Citation

Conner, M., Grogan, S., Simms-Ellis, R., Scholtens, K., Sykes-Muskett, B., Cowap, L., …Siddiqi, K. (2019). Patterns and predictors of e-cigarette, cigarette and dual use uptake in UK adolescents: Evidence from a 24-month Prospective Study. Addiction, 114(11), 2048-2055. https://doi.org/10.1111/add.14723

Journal Article Type Article
Acceptance Date Jun 21, 2019
Online Publication Date Jun 29, 2019
Publication Date Nov 30, 2019
Deposit Date Jul 2, 2019
Publicly Available Date Mar 28, 2024
Journal Addiction
Print ISSN 0965-2140
Electronic ISSN 1360-0443
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 114
Issue 11
Pages 2048-2055
DOI https://doi.org/10.1111/add.14723

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Publisher Licence URL
http://creativecommons.org/licenses/by/4.0/

Copyright Statement
© 2019 The Authors Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.




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