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Adolescent Males' Awareness of and Willingness to Try Electronic Cigarettes

      Abstract

      Purpose

      Electronic cigarettes (e-cigarettes) are a new type of device that delivers vaporized nicotine without the tobacco combustion of regular cigarettes. We sought to understand awareness of and willingness to try e-cigarettes among adolescent males, a group that is at risk for smoking initiation and may use e-cigarettes as a “gateway” to smoking.

      Methods

      A national sample of 11–19-year-old males (n = 228) completed an online survey in November 2011. We recruited participants through their parents, who were members of a panel of U.S. households constructed using random-digit dialing and addressed-based sampling.

      Results

      Only two participants (< 1%) had previously tried e-cigarettes. Among those who had not tried e-cigarettes, most (67%) had heard of them. Awareness was higher among older and non-Hispanic adolescents. Nearly 1 in 5 (18%) participants were willing to try either a plain or flavored e-cigarette, but willingness to try plain versus flavored varieties did not differ. Smokers were more willing to try any e-cigarette than nonsmokers (74% vs. 13%; OR 10.25, 95% CI 2.88, 36.46). Nonsmokers who had more negative beliefs about the typical smoker were less willing to try e-cigarettes (OR .58, 95% CI .43, .79).

      Conclusions

      Most adolescent males were aware of e-cigarettes, and a substantial minority were willing to try them. Given that even experimentation with e-cigarettes could lead to nicotine dependence and subsequent use of other tobacco products, regulatory and behavioral interventions are needed to prevent “gateway” use by adolescent nonsmokers. Campaigns promoting negative images of smokers or FDA bans on sales to youth may help deter use.

      Keywords

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      References

      1. U.S. Food and Drug Administration. Evaluation of e-cigarettes. 2009. Available at: http://www.fda.gov/downloads/Drugs/ScienceResearch/UCM173250.pdf.

        • Laugesen M.
        Safety report on the Ruyan e-cigarette cartridge and inhaled aerosol.
        Health New Zealand Ltd., Christchurch, New Zealand2008
      2. U.S. Food and Drug Administration. Electronic cigarettes. News & events. 2011. Available at: http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm172906.htm.

      3. U.S. Food and Drug Administration. Regulation of e-cigarettes and other tobacco products. 2011. Available at: http://www.fda.gov/NewsEvents/PublicHealthFocus/ucm252360.htm.

        • Regan A.K.
        • Promoff G.
        • Dube S.R.
        • et al.
        Electronic nicotine delivery systems: Adult use and awareness of the 'e-cigarette' in the USA.
        Tob Control. Nov 28, 2011; ([published online ahead of print])https://doi.org/10.1136/tobaccocontrol-2011-050044
        • Ayers J.W.
        • Ribisl K.M.
        • Brownstein J.S.
        Tracking the rise in popularity of electronic nicotine delivery systems (electronic cigarettes) using search query surveillance.
        Am J Prev Med. 2011; 40: 448-453
        • Tierney J.
        A tool to quit smoking has some unlikely critics.
        New York Times, 2011 Nov 7
        • Mishori R.
        E-cigarettes: Can they help you quit?.
        Parade Magazine, 2009 July 12
        • Etter J.F.
        • Bullen C.
        Electronic cigarette: users profile, utilization, satisfaction and perceived efficacy.
        Addiction. 2011; 106: 2017-2028
        • Etter J.F.
        Electronic cigarettes: A survey of users.
        BMC Public Health. 2010; 10: 231
        • Foulds J.
        • Veldheer S.
        • Berg A.
        Electronic cigarettes (e-cigs): Views of aficionados and clinical/public health perspectives.
        Int J Clin Pract. 2011; 65: 1037-1042
        • Bell K.
        • Keane H.
        Nicotine control: E-cigarettes, smoking and addiction.
        Int J Drug Policy. 2012; 23: 242-247
        • Borland R.
        Electronic cigarettes as a method of tobacco control.
        BMJ. 2011; 343: d6269
        • Cobb N.K.
        • Byron M.J.
        • Abrams D.B.
        • et al.
        Novel nicotine delivery systems and public health: The rise of the "e-cigarette.".
        Am J Public Health. 2010; 100: 2340-2342
        • Riker C.A.
        • Lee K.
        • Darville A.
        • et al.
        E-cigarettes: Promise or peril?.
        Nurs Clin N Am. 2012; 47: 159-171
        • U.S. Department of Health and Human Services
        Preventing tobacco use among youth and young adults: A report of the Surgeon General.
        Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Atlanta, GA2012
        • Aloise-Young P.A.
        • Hennigan K.M.
        • Graham J.W.
        Role of the self-image and smoker stereotype in smoking onset during early adolescence: A longitudinal study.
        Health Psychol. 1996; 15: 494-497
        • Reiter P.L.
        • McRee A.L.
        • Kadis J.A.
        • et al.
        HPV vaccine and adolescent males.
        Vaccine. 2011; 29: 5595-5602
      4. Dennis JM. Description of within-panel survey sampling methodology: The Knowledge Networks approach. 2009. Available at: http://www.knowledgenetworks.com/ganp/docs/KN-Within-Panel-Survey-Sampling-Methodology.pdf.

        • Gibbons F.X.
        • Gerrard M.
        • Lane D.J.
        A social reaction model of adolescent health risk.
        in: Suls J. Wallston K.A. Social psychological foundations of health and illness. Blackwell Publishing Ltd., Malden, MA2003: 107-136
        • McCool J.P.
        • Cameron L.
        • Petrie K.
        Stereotyping the smoker: Adolescents' appraisals of smokers in film.
        Tob Control. 2004; 13: 308-314
        • McCool J.
        • Cameron L.D.
        • Robinson E.
        Do parents have any influence over how young people appraise tobacco images in the media?.
        J Adolesc Health. 2011; 48: 170-175
      5. U.S. Food and Drug Administration. Flavored tobacco. 2011. Available at: http://www.fda.gov/TobaccoProducts/ProtectingKidsfromTobacco/FlavoredTobacco/default.htm.

        • Klein S.M.
        • Giovino G.A.
        • Barker D.C.
        • et al.
        Use of flavored cigarettes among older adolescent and adult smokers: United States, 2004–2005.
        Nicotine Tob Res. 2008; 10: 1209-1214
        • Frankenberger K.D.
        Adolescent egocentrism: A comparison among adolescents and adults.
        J Adolescence. 2000; 23: 343-354
        • McQueen A.
        • Tower S.
        • Sumner W.
        Interviews with "vapers": Implications for future research with electronic cigarettes.
        Nicotine Tob Res. 2011; 13: 860-867
        • McCool J.P.
        • Cameron L.D.
        • Petrie K.J.
        The influence of smoking imagery on the smoking intentions of young people: Testing a media interpretation model.
        J Adolesc Health. 2005; 36: 475-485
        • DiFranza J.R.
        • Rigotti N.A.
        • McNeill A.D.
        • et al.
        Initial symptoms of nicotine dependence in adolescents.
        Tob Control. 2000; 9: 313-319
        • Caraballo R.S.
        • Giovino G.A.
        • Pechacek T.F.
        Self-reported cigarette smoking versus serum cotinine among U.S. adolescents.
        Nicotine Tob Res. 2004; 6: 19-25
        • Gierisch J.M.
        • Reiter P.L.
        • Rimer B.K.
        • et al.
        Standard definitions of adherence for infrequent yet repeated health behaviors.
        Am J Health Behav. 2010; 34: 669-679