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Predictors of E-Cigarette Use Susceptibility—A Study of Young People from a Socio-Economically Disadvantaged Rural Area in Poland

Author

Listed:
  • Dorota Kaleta

    (Department of Hygiene and Epidemiology, Medical University of Lodz, 90-647 Lodz, Poland)

  • Mirosław Niedzin

    (Department of Hygiene and Epidemiology, Medical University of Lodz, 90-647 Lodz, Poland)

  • Agnieszka Jankowska

    (Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, 91-348 Lodz, Poland)

  • Kinga Polańska

    (Department of Hygiene and Epidemiology, Medical University of Lodz, 90-647 Lodz, Poland)

Abstract

Identification of the youth at risk of e-cigarette use is crucial for development of effective prevention strategies. The current study aims at evaluation of predictors of susceptibility to e-cigarette initiation and experimentation among adolescents. This cross-sectional study included 1693 students (non-current users of e-cigarettes) attending 21 schools in Piotrkowski district (a socially disadvantaged rural area in central Poland). The regression models were applied so as to study factors linked to susceptibility to e-cigarette use among never users ( n = 1054) and ever users ( n = 639) of e-cigarettes, with susceptibility defined as the absence of a firm decision not to use these products. A high proportion of the youth was susceptible to e-cigarette use (68% of never and 78% of ever e-cigarette users). The adjusted model confirmed the following risk factors: smoking parents and friends (never users: OR = 3.0; p < 0.001; OR = 2.0; p < 0.05; ever users: OR = 2.2; OR = 2.2; p < 0.01), alcohol consumption (never users: moderate drinking OR = 2.9; p < 0.001; binge drinking OR = 2.2; p < 0.01; ever users: moderate drinking OR = 4.2; p < 0.001), cigarette smoking (never users: OR = 14.1; ever users: OR = 11.3; p < 0.001), and perception that e-cigarettes are less harmful than traditional cigarettes (never users: OR = 1.8; p < 0.001). The youth whose mothers had a medium and high educational level (never users: OR = 2.7; p < 0.01; OR = 2.7; p < 0.05; ever users: OR = 5.4; OR = 4.4; p < 0.001), those who perceived girls who use e-cigarettes as more attractive (never users: OR = 4.1; p < 0.001; ever users: OR = 2.9; p < 0.01), and secondary school students (ever users: OR = 5.6; p < 0.001) had higher odds of susceptibility to e-cigarette use. The youth who had more money per month were less susceptible to e-cigarette experimentation (OR = 0.4; p < 0.001). A multi-level intervention approach, considering vulnerable populations, is required to prevent the youth from e-cigarette initiation and experimentation.

Suggested Citation

  • Dorota Kaleta & Mirosław Niedzin & Agnieszka Jankowska & Kinga Polańska, 2019. "Predictors of E-Cigarette Use Susceptibility—A Study of Young People from a Socio-Economically Disadvantaged Rural Area in Poland," IJERPH, MDPI, vol. 16(20), pages 1-11, October.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:20:p:3935-:d:277135
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    References listed on IDEAS

    as
    1. Dorota Kaleta & Kinga Polanska & Piotr Wojtysiak & Franciszek Szatko, 2017. "Involuntary Smoking in Adolescents, Their Awareness of Its Harmfulness, and Attitudes towards Smoking in the Presence of Non-Smokers," IJERPH, MDPI, vol. 14(10), pages 1-12, September.
    2. Grzegorz Marek Brożek & Mateusz Jankowski & Joshua Allan Lawson & Andrei Shpakou & Michał Poznański & Tadeusz Maria Zielonka & Ludmila Klimatckaia & Yelena Loginovich & Marta Rachel & Justína Gereová , 2019. "The Prevalence of Cigarette and E-cigarette Smoking Among Students in Central and Eastern Europe—Results of the YUPESS Study," IJERPH, MDPI, vol. 16(13), pages 1-14, June.
    3. Morain, S.R. & Malek, J., 2017. "Minimum age of sale for tobacco products & electronic cigarettes: Ethical acceptability of US "Tobacco 21 Laws," American Journal of Public Health, American Public Health Association, vol. 107(9), pages 1401-1405.
    4. Choi, K. & Fabian, L. & Mottey, N. & Corbett, A. & Forster, J., 2012. "Young adults' favorable perceptions of snus, dissolvable tobacco products, and electronic cigarettes: Findings from a focus group study," American Journal of Public Health, American Public Health Association, vol. 102(11), pages 2088-2093.
    5. repec:aph:ajpbhl:10.2105/ajph.2017.303900_6 is not listed on IDEAS
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    Cited by:

    1. Małgorzata Znyk & Kinga Polańska & Piotr Wojtysiak & Michał Szulc & Leokadia Bąk-Romaniszyn & Teresa Makowiec-Dąbrowska & Justyna Zajdel-Całkowska & Dorota Kaleta, 2019. "Predictors of Counselling Related to a Healthy Lifestyle Carried Out by a General Practitioner," IJERPH, MDPI, vol. 16(22), pages 1-15, November.
    2. Kinga Polanska & Dorota Kaleta, 2021. "Tobacco and E-Cigarettes Point of Sale Advertising—Assessing Compliance with Tobacco Advertising, Promotion and Sponsorship Bans in Poland," IJERPH, MDPI, vol. 18(4), pages 1-11, February.
    3. Hadii M. Mamudu & Christen Nwabueze & Florence M. Weierbach & Joshua Yang & Antwan Jones & Michelle McNabb & Esther Adeniran & Ying Liu & Liang Wang & Cynthia J. Blair & Adeola Awujoola & David L. Woo, 2020. "Exploring Associations between Susceptibility to the Use of Electronic Nicotine Delivery Systems and E-Cigarette Use among School-Going Adolescents in Rural Appalachia," IJERPH, MDPI, vol. 17(14), pages 1-14, July.
    4. Ilona Wężyk-Caba & Małgorzata Znyk & Radosław Zajdel & Łukasz Balwicki & Anna Tyrańska-Fobke & Grzegorz Juszczyk & Karolina Zajdel & Beata Świątkowska & Dorota Kaleta, 2022. "Determinants of E-Cigarette and Cigarette Use among Youth and Young Adults in Poland—PolNicoYouth Study," IJERPH, MDPI, vol. 19(18), pages 1-12, September.

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