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Exploring Attitudes of Children 12–17 Years of Age Toward Electronic Cigarettes

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Abstract

The purpose of this study is to explore electronic cigarettes (EC) use among youth. Focus group sessions with youth (aged 12–17) were held to explore their knowledge and attitudes about EC use. Content analysis techniques were used. There has been an increase in the visibility and accessibility of EC in the past few years among youth. Compared with conventional cigarettes (CC), youth indicated that they would be more willing to use EC under their peer influence. This was motivated by the perception that EC were less harmful. Among youth EC are perceived as less harmful, easier to access and use than CC. Youth do not appear to have received much education about EC. However, they were not convinced that EC were risk free. Clear and unambiguous education about the risk of engaging in any form of smoking/vaping and enforcement of access restrictions appear to be required.

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References

  1. Yamin, C. K., Bitton, A., & Bates, D. W. (2010). E-cigarettes: A rapidly growing Internet phenomenon. Annals of Internal Medicine, 153(9), 607–609. doi:10.7326/0003-4819-153-9-201011020-00011;10.7326/0003-4819-153-9-201011020-00011.

    Article  PubMed  Google Scholar 

  2. King, B. A., Alam, S., Promoff, G., Arrazola, R., & Dube, S. R. (2015). Awareness and ever use of electronic cigarettes Among U.S. adults, 2010–2011. Nicotine and Tobacco Research, 9, 1623–1627. doi:10.1093/ntr/ntt013.

    Google Scholar 

  3. Adkison, S. E., O’Connor, R. J., Bansal-Travers, M., et al. (2013). Electronic nicotine delivery systems: International Tobacco Control Four-Country Survey. American Journal of Preventive Medicine, 44(3), 207–215. doi:10.1016/j.amepre.2012.10.018.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Czoli, C. D., Hammond, D., & White, C. M. (2014). Electronic cigarettes in Canada: Prevalence of use and perceptions among youth and young adults. Canadian Journal of Public Health, 105(2), e97–e102.

    PubMed  Google Scholar 

  5. CNBC. Feeling blu? E-cig company spun off in major tobacco deal (2014). http://www.cnbc.com/2014/07/15/feeling-blu-e-cig-company-spun-off-in-major-tobacco-deal.html. Accessed 23 Oct 2015.

  6. CBSNEWS. Tobacco companies bet on electronic cigarettes—CBS News (2013). http://www.cbsnews.com/news/tobacco-companies-bet-on-electronic-cigarettes/. Accessed 23 Oct 2015.

  7. Etter, J. F., & Bullen, C. (2011). Electronic cigarette: Users profile, utilization, satisfaction and perceived efficacy. Addiction, 106(11), 2017–2028. doi:10.1111/j.1360-0443.2011.03505.x.

    Article  PubMed  Google Scholar 

  8. Sutfin, E. L., McCoy, T. P., Morrell, H. E., Hoeppner, B. B., & Wolfson, M. (2013). Electronic cigarette use by college students. Drug and Alcohol Dependence, 131(3), 214–221. doi:10.1016/j.drugalcdep.2013.05.001;10.1016/j.drugalcdep.2013.05.001.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Neuberger, M. (2015). The electronic cigarette: A wolf in sheep’s clothing. Wien Klin Wochenschr, 127(9–10), 385–7. http://www.ncbi.nlm.nih.gov/pubmed/26230008. Accessed 23 Oct 2015.

  10. Mcrobbie, H., Bullen, C., Hartmann-Boyce, J., & Hajek, P. (2014). Electronic cigarettes for smoking cessation and reduction (Review). Cochrane Database Systematic Reviews,. doi:10.1002/14651858.CD010216.pub2.

    Google Scholar 

  11. Wasowicz, A., Feleszko, W., & Goniewicz, M. L. (2015). E-Cigarette use among children and young people: the need for regulation. Expert Review of Respiratory Medicine, 9(5), 507–509. doi:10.1586/17476348.2015.1077120.

    Article  CAS  PubMed  Google Scholar 

  12. Gostin, L. O., & Glasner, A. Y. (2014). E-cigarettes, vaping, and youth. JAMA, 312(6), 595–596. doi:10.1001/jama.2014.7883.

    Article  CAS  PubMed  Google Scholar 

  13. Morse, J. M., & Field, P. A. (1995). Qualitative research methods for health professionals. Thousand Oaks, CA: Sage Publications.

    Google Scholar 

  14. Mayan, M. J. (2001). An introduction to qualitative methods: A training module for students and professionals. Edmonton, Alberta: International Institute for Qualitative Methodology.

    Google Scholar 

  15. Krueger, R. A., & Casey, M. A. (2000). Focus groups: A practical guide for applied research. Thousand Oaks, CA: Sage publications.

    Book  Google Scholar 

  16. Patton, M. Q. (2002). Qualitative research and evaluation methods. Newbury Park: Sage.

    Google Scholar 

  17. Strauss, A. C. (1995). Basics of qualitative research: Grounded theory procedures and techniques. Newbury Park, CA: SAGE Publications, Inc.

    Google Scholar 

  18. Patton, M. Q. (2002). Qualitative analysis and interpretation. In: Qualitative research and evaluation methods. (431–534). Vol. 3rd edn. Thousand Oaks, California: Sage.

  19. Reid, J. L., Rynard, V. L., Czoli, C. D., & Hammond, D. (2015). Who is using e-cigarettes in Canada? Nationally representative data on the prevalence of e-cigarette use among Canadians. Preventive Medicine (Baltim)., 81, 180–183. doi:10.1016/j.ypmed.2015.08.019.

    Article  Google Scholar 

  20. Reid J., Hammond D., Rynard V., & Burkhalter, R. (2015). Tobacco use in Canada: Patterns and trends. Waterloo, ON. http://www.tobaccoreport.ca/2014/TobaccoUseinCanada_2014.pdf.

  21. Torjesen I. (2015). Tobacco industry is investing in e-cigarette types least likely to help smokers quit. BMJ, 350(apr21 15), h2133–h2133. doi:10.1136/bmj.h2133.

  22. Richardson, A., Ganz, O., & Vallone, D. (2015). Tobacco on the web: Surveillance and characterisation of online tobacco and e-cigarette advertising. Tobacco Control, 24(4), 341–347. doi:10.1136/tobaccocontrol-2013-051246.

    Article  PubMed  Google Scholar 

  23. Huang, J., Kornfield, R., Szczypka, G., & Emery, S. L. (2014). A cross-sectional examination of marketing of electronic cigarettes on Twitter. Tobacco Control, 23(Suppl 3), iii26–iii30. doi:10.1136/tobaccocontrol-2014-051551.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Rose, S. W., Barker, D. C., D’Angelo, H., et al. (2014). The availability of electronic cigarettes in US retail outlets, 2012: results of two national studies. Tobacco Control, 23(Suppl 3), iii10–iii16. doi:10.1136/tobaccocontrol-2013-051461.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Lindblom, EN. (2015). Effectively regulating E-cigarettes and their advertising–and the first amendment. Food Drug Law Journal, 70(1), 55–92. http://www.ncbi.nlm.nih.gov/pubmed/26292472. Accessed 16 Oct 2015.

  26. Doubeni, C. A., Li, W., Fouayzi, H., & DiFranza, J. R. (2008). Perceived accessibility as a predictor of youth smoking. The Annals of Family Medicine, 6(4), 323–330. doi:10.1370/afm.841.

    Article  PubMed  Google Scholar 

  27. Riker, C. A., Lee, K., Darville, A., & Hahn, E. J. (2012). E-cigarettes: Promise or peril? Nursing Clinics of North America, 47(1), 159–171. doi:10.1016/j.cnur.2011.10.002.

    Article  PubMed  Google Scholar 

  28. Fillon, M. (2015). Policymakers work to develop E-cigarette guidelines and restrictions. Journal of the National Cancer Institute, 107(7), djv192. doi:10.1093/jnci/djv192.

  29. Roditis, M. L., & Halpern-Felsher, B. (2015). Adolescents’ perceptions of risks and benefits of conventional cigarettes, E-cigarettes, and marijuana: A qualitative analysis. Journal of Adolescent Health, 57(2), 179–185. doi:10.1016/j.jadohealth.2015.04.002.

    Article  PubMed  PubMed Central  Google Scholar 

  30. O’Loughlin, J. L., Dugas, E. N., O’Loughlin, E. K., Karp, I., & Sylvestre, M. -P. (2014). Incidence and determinants of cigarette smoking initiation in young adults. Journal of Adolescent Health, 54(1), 26–32.e4. doi:10.1016/j.jadohealth.2013.07.009.

  31. Haas, S. A., & Schaefer, D. R. (2014). With a little help from my friends? asymmetrical social influence on adolescent smoking initiation and cessation. Journal of Health and Social Behavior, 55(2), 126–143. doi:10.1177/0022146514532817.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Maggi, S., Lovato, C. Y., Hill, E. M., Johnson, J. L., Ratner, P. A., & Shoveller, J. A. (2014). Adolescents’ perceptions of parental influences on their smoking behavior: A content analysis. Youth and Society, 46(1), 132–149. doi:10.1177/0044118X11434414.

    Article  Google Scholar 

  33. Sanchagrin, K., Heimer, K., & Paik, A. (2014). Adolescent delinquency, drinking, and smoking: Does the gender of friends matter? Youth and Society, 0044118X14563050. doi:10.1177/0044118X14563050.

  34. Farsalinos, K., & LeHouezec, J. (2015). Regulation in the face of uncertainty: The evidence on electronic nicotine delivery systems (e-cigarettes). Risk Management and Healthcare Policy, 8, 157. doi:10.2147/RMHP.S62116.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Parliament of Canada. (2015). House of Commons Committees—HESA (41-2)—Vaping: Towards a regulatory framework for e-cigarettes. Health Community Representatives. http://www.parl.gc.ca/HousePublications/Publication.aspx?Language=E&DocId=7862816&File=9. Accessed 6 Nov 2015.

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Acknowledgments

We would like to acknowledge Lily Kwok, Calgary Chinese Community Services Association; Diane Danielson and Sue Ramsden East/South Calgary Health Center; Julie Van Wensem Tobacco Reduction Counsellor, Youth Addiction Services, Calgary, for their contribution to project planning and completion. We would like to also acknowledge Dawitt Mussie, Chinese Community Services Association, for his effort in data collection and contribution to data analysis.

Funding

This study was funded by Alberta Health Services, Alberta Tobacco Reduction Strategy (ATRS) community grant.

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Correspondence to Fadi Hammal.

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The authors declare that they have no conflict of interest.

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Hammal, F., Finegan, B.A. Exploring Attitudes of Children 12–17 Years of Age Toward Electronic Cigarettes. J Community Health 41, 962–968 (2016). https://doi.org/10.1007/s10900-016-0178-6

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  • DOI: https://doi.org/10.1007/s10900-016-0178-6

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