ArticleTobacco control2017
Do electronic cigarettes increase cigarette smoking in UK adolescents? Evidence from a 12-month prospective study.
Article in Tobacco control, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 8 of them syntheses that pooled 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.
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.
Who cites it
80 citing papers in PubMed, 8 syntheses or guidelines pooled it, 159 citations in OpenAlex.
- A systematic review and meta-analysis of the association between e-cigarette use among non-tobacco users and initiating smoking of combustible cigarettes.Harm reduction journal · 2024Pooled it
- Systematic Review and Critical Analysis of Longitudinal Studies Assessing Effect of E-Cigarettes on Cigarette Initiation among Adolescent Never-Smokers.International journal of environmental research and public health · 2023Pooled it
- Prevalence of electronic nicotine delivery systems and electronic non-nicotine delivery systems in children and adolescents: a systematic review and meta-analysis.The Lancet. Public health · 2021Pooled it
- Association between electronic cigarette use and tobacco cigarette smoking initiation in adolescents: a systematic review and meta-analysis.BMC public health · 2021Pooled it
- Pooled it
- Pooled it
- Investigating gateway effects using the PATH study.F1000Research · 2019Pooled it
- E-cigarette adverts and children's perceptions of tobacco smoking harms: an experimental study and meta-analysis.BMJ open · 2018Pooled it
- Association between age at first reported e-cigarette use and subsequent regular e-cigarette, ever cigarette and regular cigarette use.Addiction (Abingdon, England) · 2021Trial
- Interactions between ENDS and cigarette use: evidence from a 2022 national telephone survey in South Africa.Tobacco control · 2025Article
- Daily hassle effects on daily cigarette and/or e-cigarette use: the moderating effect of daily uplifts.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2025Article
- Scoping of Policy Impacts for Regulating E-cigarettes (SPIRE): findings from a data and decision analytic model mapping project.NIHR open research · 2025Article
- Socio-ecological factors that influence youth vaping: perspectives from Western Australian school professionals, parents and young people.International journal of qualitative studies on health and well-being · 2024Article
- Multistate transition modelling of e-cigarette use and cigarette smoking among youth in the UK.Tobacco control · 2024Article
- E-cigarette use among early adolescent tobacco cigarette smokers: testing the disruption and entrenchment hypotheses in two longitudinal cohorts.Tobacco control · 2024Article
- Association of Electronic Cigarette Usage with the Subsequent Initiation of Combustible Cigarette Smoking among Dental Students in Riyadh, Saudi Arabia: A Longitudinal Study.Healthcare (Basel, Switzerland) · 2024Article
- The commercial promotion of electronic cigarettes on social media and its influence on positive perceptions of vaping and vaping behaviours in Anglophone countries: A scoping review.PLOS global public health · 2024Article
- A literature review addressing midwakh and e-cigarette use in the Gulf region.The Journal of the Egyptian Public Health Association · 2023Review
- Electronic Cigarette Use in 12 European Countries: Results From the TackSHS Survey.Journal of epidemiology · 2023Article
- Association of Electronic Cigarette Use by US Adolescents With Subsequent Persistent Cigarette Smoking.JAMA network open · 2023Article
20 more citing papers are in PubMed but not listed here.
Corrections and comments
- Commented on by
Authors and funding
12 authors at 8 institutions in 4 countries.
Funding
Abstract
backgroundIn cross-sectional surveys, increasing numbers of adolescents report using both electronic cigarettes (e-cigarettes) and cigarettes. This study assessed whether adolescent e-cigarette use was associated prospectively with initiation or escalation of cigarette use.
methodsData were from 2836 adolescents (aged 13-14 years at baseline) in 20 schools in England. At baseline, breath carbon monoxide levels, self-reported e-cigarette and cigarette use, sex, age, friends and family smoking, beliefs about cigarette use and percentage receiving free school meals (measure of socioeconomic status) were assessed. At 12-month follow-up, self-reported cigarette use was assessed and validated by breath carbon monoxide levels.
resultsAt baseline, 34.2% of adolescents reported ever using e-cigarettes (16.0% used only e-cigarettes). Baseline ever use of e-cigarettes was strongly associated with subsequent initiation (n=1726; OR 5.38, 95% CI 4.02 to 7.22; controlling for covariates, OR 4.06, 95% CI 2.94 to 5.60) and escalation (n=318; OR 1.91, 95% CI 1.14 to 3.21; controlling for covariates, this effect became non-significant, OR 1.39, 95% CI 0.97 to 1.82) of cigarette use.
conclusionsThis is the first study to report prospective relationships between ever use of e-cigarettes and initiation and escalation of cigarette use among UK adolescents. Ever use of e-cigarettes was robustly associated with initiation but more modestly related to escalation of cigarette use. Further research with longer follow-up in a broader age range of adolescents is required.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.