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Determinants of E-Cigarette and Cigarette Use among Youth and Young Adults in Poland—PolNicoYouth Study

Author

Listed:
  • Ilona Wężyk-Caba

    (Department of Hygiene and Epidemiology, Medical University of Lodz, 7/9 Żeligowskiego Street, 90-752 Łódź, Poland)

  • Małgorzata Znyk

    (Department of Hygiene and Epidemiology, Medical University of Lodz, 7/9 Żeligowskiego Street, 90-752 Łódź, Poland)

  • Radosław Zajdel

    (Department of Business and Informatics, University of Łódź, POW 3/5 Street, 90-255 Łódź, Poland)

  • Łukasz Balwicki

    (Department of Public Health and Social Medicine, Medical University of Gdańsk, 7 Dębinki Street, 80-210 Gdańsk, Poland)

  • Anna Tyrańska-Fobke

    (Department of Public Health and Social Medicine, Medical University of Gdańsk, 7 Dębinki Street, 80-210 Gdańsk, Poland)

  • Grzegorz Juszczyk

    (Department of Public Health, Medical University of Warsaw, 5 Jana Nielubowicza St., 02-097 Warsaw, Poland)

  • Karolina Zajdel

    (Department of Medical Informatics and Statistics, Medical University of Lodz, 1 Hallera Sq., 90-645 Łódź, Poland)

  • Beata Świątkowska

    (Department of Hygiene and Epidemiology, Medical University of Lodz, 7/9 Żeligowskiego Street, 90-752 Łódź, Poland)

  • Dorota Kaleta

    (Department of Hygiene and Epidemiology, Medical University of Lodz, 7/9 Żeligowskiego Street, 90-752 Łódź, Poland)

Abstract

Teen use of tobacco-related products is a significant public health concern. This study evaluated the predictors of e-cigarette use among secondary school students who were never cigarette smokers and ever cigarette smokers in Poland. Methods: This study examined a sample of Polish youths aged 13–19 ( n = 19,241) attending 200 schools, 12 on average in each county. The study was a part of the National Health Program in Poland for 2016–2020. Logistic regression and multivariable logistic regression models were used to calculate crude and adjusted odds ratios. Results: Of all participants, 32.5% were ever cigarette users. Among the never cigarette users, 13.6% were deemed susceptible to e-cigarette use. Among the ever cigarette users, 60.6% were deemed susceptible to e-cigarette use. Of those susceptible to e-cigarette use, 68.2% were among the 32.5% ever cigarette users. The profile of e-cigarette use among never e-cigarette users also included: pocket money available per month (more than 150 PLN) (OR = 1.7; p = 0.001), 16–17 years old (OR = 1.9; p = 0.001), parental tobacco smoking and e-cigarette usage (OR = 2.0; p = 0.01 and OR = 1.7; p = 0.001 respectively), maternal secondary education (OR = 1.1; p = 0.04), and living in big cities >500,000 inhabitants (OR = 1.4; p = 0.04). E-cigarette users among ever cigarette users were similar to never cigarette users in their opinion that e-cigarette use is less harmful than traditional smoking (OR = 1.6; p = 0.0012) and living with both parents smoking cigarettes (OR = 1.3; p = 0.02). Additionally, the determinants were: female gender (OR = 1.5; p = 0.009) in the age group less than 15 years of age (OR = 1.3; p = 0.007). Conclusions: The major determinant of e-cigarette use in this population was prior smoking. Additionally, the results revealed that fairly obvious predictors such as parental smoking and a belief in the less harmfulness of e-cigarette use are important determinants for smoking among never or ever e-cigarette users.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:18:p:11512-:d:913573
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    References listed on IDEAS

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    1. 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.
    2. Jaana M. Kinnunen & Hanna Ollila & Pirjo L. Lindfors & Arja H. Rimpelä, 2016. "Changes in Electronic Cigarette Use from 2013 to 2015 and Reasons for Use among Finnish Adolescents," IJERPH, MDPI, vol. 13(11), pages 1-13, November.
    3. Jung Ah Lee & Sungkyu Lee & Hong-Jun Cho, 2017. "The Relation between Frequency of E-Cigarette Use and Frequency and Intensity of Cigarette Smoking among South Korean Adolescents," IJERPH, MDPI, vol. 14(3), pages 1-9, March.
    4. World Health Organization, 2019. "WHO global report on trends in prevalence of tobacco use 2000-2025, third edition," University of California at San Francisco, Center for Tobacco Control Research and Education qt0z43b5dv, Center for Tobacco Control Research and Education, UC San Francisco.
    5. Lukasz Balwicki & Danielle Smith & Malgorzata Balwicka-Szczyrba & Michal Gawron & Andrzej Sobczak & Maciej L. Goniewicz, 2018. "Youth Access to Electronic Cigarettes in an Unrestricted Market: A Cross-Sectional Study from Poland," IJERPH, MDPI, vol. 15(7), pages 1-7, July.
    6. 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.
    7. Linda Bauld & Anne Marie MacKintosh & Brian Eastwood & Allison Ford & Graham Moore & Martin Dockrell & Deborah Arnott & Hazel Cheeseman & Ann McNeill, 2017. "Young People’s Use of E-Cigarettes across the United Kingdom: Findings from Five Surveys 2015–2017," IJERPH, MDPI, vol. 14(9), pages 1-12, August.
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    Cited by:

    1. Agnieszka Wojtecka & Olga Kalinowska-Beszczyńska & Anna Tyrańska-Fobke & Dorota Kaleta & Małgorzata Wojnarowska & Marlena Robakowska & Łukasz Balwicki, 2023. "Adolescents’ Perceptions and Attitudes towards Traditional and Electronic Cigarettes—Results of Focus Group Interviews," IJERPH, MDPI, vol. 20(2), pages 1-10, January.
    2. Paulina Kurdyś-Bykowska & Leon Kośmider & Wojciech Bykowski & Dawid Konwant & Krystyna Stencel-Gabriel, 2024. "Epidemiology of Traditional Cigarette and E-Cigarette Use Among Adolescents in Poland: Analysis of Sociodemographic Risk Factors," IJERPH, MDPI, vol. 21(11), pages 1-17, November.

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