ArticlePreventive medicine2017
Bi-directional associations of electronic and combustible cigarette use onset patterns with depressive symptoms in adolescents.
Article in Preventive medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 94 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
94 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Unhealthy behaviors associated with mental health disorders: a systematic comparative review of diet quality, sedentary behavior, and cannabis and tobacco use.Frontiers in public health · 2023Pooled it
- Pathway from Exposure to an E-Cigarette Prevention Social Media Campaign to Increased Quitting Intentions: A Randomized Trial Among Young Adult E-Cigarette Users.International journal of environmental research and public health · 2025Trial
- Effects of a Social Media Intervention on Vaping Intentions: Randomized Dose-Response Experiment.Journal of medical Internet research · 2024Trial
- The Use of Machine Learning to Predict Offline Adolescent e-Cigarette Use: a Proof-of-Concept.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- Association of Daily E-Cigarette Use Duration With Anxiety in Adolescents: A Comparison With Cigarette-Only and Dual Use.Psychiatry investigation · 2026Article
- Exploring multi-level determinants of implementation of nicotine replacement therapy guidelines for youth vaping: a mixed-methods case study.Implementation science communications · 2026Article
- E-cigarettes and erectile dysfunction: biological mechanisms and research challenges.International journal of impotence research · 2026Review
- E-cigarette use among adults in southern Iran: a qualitative study.BMC public health · 2026Article
- Reductions to health-related quality of life associated with cigarette use, e-cigarette use, and depression among US adults.medRxiv : the preprint server for health sciences · 2026Article
- Nicotine dependence associated with e-cigarette use, depressive symptoms, and psychological resilience among northern Thai adolescents: a cross-sectional study.BMC psychology · 2026Article
- Prevalence and Mental Health Correlates of Electronic Cigarette Use Among Pediatric Primary Care Patients.Clinical pediatrics · 2026Article
- Article
- Digital gamification and serious games for preventing e-cigarette use in adolescents: A systematic review without meta-analysis (SWiM).Tobacco induced diseases · 2026Review
- The Association Between Adolescent Mental Health Symptoms and Characteristics of Cigarette and E-Cigarette Use.Substance use & misuse · 2026Article
- Vaping and mental health: A cross-sectional study among university students in Bangladesh.PloS one · 2026Article
- Prevalence and Associations of Vaping in Young People Entering Youth Custody in New South Wales, Australia-A Retrospective Cross-Sectional Study.Journal of paediatrics and child health · 2025Article
- Virtual Reality for the Prevention and Cessation of Nicotine Vaping in Youths: Protocol for a Randomized Controlled Trial.JMIR research protocols · 2025Article
- E-cigarette usage and mental health among undergraduate medical and health sciences students.Scientific reports · 2025Article
- Adolescent Polysubstance Use and Co-Occurring Weapon Carrying, Bullying Victimization, and Depressive Symptomology: Patterns and Differences in the United States.Child psychiatry and human development · 2025Article
- Design and Baseline Evaluation of Social Media Vaping Prevention Trial: Randomized Controlled Trial Study.Journal of medical Internet research · 2025Article
34 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
Whether well-documented patterns of mental health comorbidity with adolescent combustible cigarette use extend to e-cigarette use is unclear. Demonstrating associations between e-cigarette and combustible cigarette use with mental health symptomatology across adolescence may be important for promoting accurate perceptions of populations at risk for and potential consequences of tobacco product use. Adolescents (N=2460; mean age at baseline=14.1; 53.4% female; 44.1% Hispanic) who had never previously used combustible or e-cigarettes were assessed at baseline, and 6- and 12-month follow-ups in Los Angeles, CA (2013-2014). Logistic regression was used to examine associations between baseline depressive symptoms and onset of e-cigarette and cigarette single product and dual use at follow-ups. Latent growth modeling was used to examine associations between sustained use of either product (vs. non-use) and changes in depressive symptoms over 12-months. Higher baseline depressive symptoms predicted subsequent onset of cigarette (OR=1.024, 95% C.I.=1.009-1.055), e-cigarette (OR=1.015, C.I.=1.003-1.023), and dual use of both products (OR=1.021, C.I.=1.003-1.043). Sustained use of e-cigarettes over the 12-month observation (vs. non-use) was associated with a greater rate of increase in depressive symptoms over time (b=1.272, SE=0.513, p=0.01). Among those who sustained use of e-cigarettes, higher frequency of use was associated with higher depressive symptoms at the final follow-up (B=1.611, p=0.04). A bi-directional association of depressive symptoms with e-cigarette use onset across mid adolescence was observed. Further research on the causal nature, etiological underpinnings, and intervention implications of mental health and tobacco product use comorbidity is warranted.
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