Evidence map›Paper›PMID 27852721›Full record

ArticleBMJ open2016

E-cigarettes, a safer alternative for teenagers? A UK focus group study of teenagers' views.

Shona Hilton, Heide Weishaar, Helen Sweeting, Filippo Trevisan, Srinivasa Vittal Katikireddi

Abstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Policy influences on adolescent risk perceptions of vaping.Journal of epidemiology and community health · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. A review of tobacco abuse and its epidemiological consequences.Zeitschrift fur Gesundheitswissenschaften = Journal of public health · 2022
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Review
  17. An update on controversies in e-cigarettes.Paediatric respiratory reviews · 2020
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Shona HiltonMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Scotland, UK.ORCID 0000-0002-8213-3258
Heide WeishaarMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Scotland, UK.
Helen SweetingMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Scotland, UK.
Filippo TrevisanAmerican University, School of Communication, Washington, District of Columbia, USA.
Srinivasa Vittal KatikireddiMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Scotland, UK.

Funding

Chief Scientist Office SPHSU12Chief Scientist Office SPHSU15Medical Research Council MC_U130085862Medical Research Council MC_UU_12017/12Medical Research Council MC_UU_12017/6
6 · The paper itself

Abstract

objectiveConcerns exist that e-cigarettes may be a gateway to traditional cigarettes and/or (re)normalise teenage smoking. This qualitative study explores how teenagers in the UK currently perceive e-cigarettes and how and why they do or do not use them.

design16 focus groups were conducted across the UK between November 2014 and February 2015, with 83 teenagers aged 14-17. All discussions were digitally recorded, transcribed verbatim, imported into NVivo 10 and thematically analysed.

resultsTeenagers generally agreed that e-cigarettes are useful products for smokers, including teenage smokers, to quit or reduce traditional cigarette use. Concerns were expressed about lack of information on their precise ingredients and any unknown risks for users and bystanders. However, teenagers typically viewed e-cigarettes as substantially less harmful than traditional cigarettes. They perceived e-cigarettes as attractive, with products described as 'fun' and having 'great flavourings'. Seeing websites or social media featuring e-cigarettes, especially YouTube 'vaping tricks', prompted some experimentation and imitation. E-cigarettes were used in a variety of situations, including at parties or when they could not smoke traditional cigarettes. A very few participants suggested covert use was a possibility and that e-cigarettes might help maintain a fledgling nicotine habit.

conclusionsTeenagers support the use of e-cigarettes as smoking cessation aids for established adult smokers. However, they engage with these products differently from adults, with the novel hypothesis that covert use could potentially reinforce traditional cigarette smoking requiring further investigation. Policy responses should more clearly meet the needs of young people, as well as helping established adult smokers.

Indexed as

Electronic Nicotine Delivery SystemsAdolescentFemaleFocus GroupsHumansMaleQualitative ResearchSafetySmokingSmoking CessationSmoking PreventionUnited KingdomE-cigarettessmokingteenagersunderstandingsvaping

Identifiers

PMID27852721
PMCPMC5128897

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.