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E-Cigarette-Only and Dual Use among Adolescents in Ireland: Emerging Behaviours with Different Risk Profiles

Author

Listed:
  • Andrea K. Bowe

    (Department of Public Health West, Health Service Executive, Merlin Park, Galway, Ireland)

  • Frank Doyle

    (Department of Health Psychology, Royal College of Surgeons in Ireland, Dublin 2, Ireland)

  • Debbi Stanistreet

    (Department of Public Health and Epidemiology, Royal College of Surgeons in Ireland, Dublin 2, Ireland)

  • Emer O’Connell

    (Department of Public Health West, Health Service Executive, Merlin Park, Galway, Ireland)

  • Michéal Durcan

    (Western Region Drug & Alcohol Task Force, Health Service Executive, Parkmore, Galway, Ireland)

  • Emmet Major

    (Western Region Drug & Alcohol Task Force, Galway Roscommon Education Training Board, Parkmore Galway, Ireland)

  • Diarmuid O’Donovan

    (School of Medicine, Dentistry and Biomedical Sciences, Centre for Public Health, Queens University, Belfast BT97BL, UK)

  • Paul Kavanagh

    (Department of Public Health and Epidemiology, Royal College of Surgeons in Ireland, Dublin 2, Ireland
    Institution: Health Intelligence, Strategic Planning and Transformation, Health Service Executive, Dublin 1, Ireland)

Abstract

E-cigarette-only use and dual-use are emerging behaviours among adolescent nicotine product users which have not yet been sufficiently explored. This study examines the prevalence of, and the factors associated with, nicotine product use in adolescence. The study is a cross-sectional analysis of the 2018 Planet Youth survey completed by 15–16 year olds in the West of Ireland in 2018. The outcome of interest was current nicotine product use, defined as use at least once in the past 30 days. A main effects multinomial logistic regression model was used to examine the association between potential risk and protective factors and nicotine product use. Among 4422 adolescents 22.1% were current nicotine product users, consisting of 5.1% e-cigarette only users, 7.7% conventional cigarette only users, and 9.3% dual-users. For risk factors, the odds of association were weaker for e-cigarette only use compared to conventional cigarette and dual use. Participating in team sport four times/week or more significantly reduced the odds of conventional cigarette and dual use but had no association with e-cigarette only use (Cig: adjusted odds ratio (AOR) 0.63, 95% confidence interval (CI) 0.44–0.90; Dual-use: AOR 0.63, 95% CI 0.43–0.93). Similarly, having higher value for conventional social norms reduced the odds of conventional cigarette and dual use but not e-cigarette only use. This is the first study to show, among a generalisable sample, that dual-use is the most prevalent behaviour among adolescent nicotine product users in Ireland. Risk factor profiles differ across categories of use and prevention initiatives must be cognisant of this.

Suggested Citation

  • Andrea K. Bowe & Frank Doyle & Debbi Stanistreet & Emer O’Connell & Michéal Durcan & Emmet Major & Diarmuid O’Donovan & Paul Kavanagh, 2021. "E-Cigarette-Only and Dual Use among Adolescents in Ireland: Emerging Behaviours with Different Risk Profiles," IJERPH, MDPI, vol. 18(1), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:1:p:332-:d:474800
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    References listed on IDEAS

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    1. Benjamin W Chaffee & Elizabeth T Couch & Stuart A Gansky, 2017. "Trends in characteristics and multi-product use among adolescents who use electronic cigarettes, United States 2011-2015," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-19, May.
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    Cited by:

    1. Shihoko Koyama & Takahiro Tabuchi & Isao Miyashiro, 2022. "E-Cigarettes Use Behaviors in Japan: An Online Survey," IJERPH, MDPI, vol. 19(2), pages 1-8, January.
    2. Kirsimarja Raitasalo & Elin K. Bye & Charlotta Pisinger & Janne Scheffels & Rikke Tokle & Jaana M. Kinnunen & Hanna Ollila & Arja Rimpelä, 2022. "Single, Dual, and Triple Use of Cigarettes, e-Cigarettes, and Snus among Adolescents in the Nordic Countries," IJERPH, MDPI, vol. 19(2), pages 1-11, January.
    3. Jinyung Kim & Serim Lee & JongSerl Chun, 2022. "An International Systematic Review of Prevalence, Risk, and Protective Factors Associated with Young People’s E-Cigarette Use," IJERPH, MDPI, vol. 19(18), pages 1-23, September.

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