ArticleAddictive behaviors2018
Exclusive e-cigarette use predicts cigarette initiation among college students.
Article in Addictive behaviors, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 71 papers, 4 of them syntheses that pooled it.
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Who cites it
71 citing papers in PubMed, 4 syntheses or guidelines pooled it, 130 citations in OpenAlex.
- 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
- Pooled it
- Pooled it
- Investigating gateway effects using the PATH study.F1000Research · 2019Pooled it
- Intention and self-efficacy to quit e-cigarettes and cigarettes among California college students.Journal of American college health : J of ACH · 2026Article
- Trends in e-cigarette use among adolescents in Malaysia, 2016-2022: A secondary dataset analysis of national surveys.Tobacco induced diseases · 2026Article
- Smoking Prevalence, Susceptibility to Cigarette Smoking, and Its Causes in 568 Adolescent Male High School Students in Southern Saudi Arabia: A Cross-Sectional Study.Medical science monitor : international medical journal of experimental and clinical research · 2025Article
- Does cannabis and electronic nicotine delivery system (ENDS) use interfere with cigarette smoking cessation in young adulthood?Addictive behaviors · 2025Article
- Differences in young adults' perceptions of e-cigarettes by history of use.Journal of American college health : J of ACH · 2024Article
- Susceptibility to Electronic Cigarette and Consumption Patterns in Adolescents.Nursing reports (Pavia, Italy) · 2024Article
- Review
- Sexy, trashy, cool: Perceptions of electronic cigarette users across sociodemographic groups and E-cigarette use among United States Air Force Airmen.Preventive medicine reports · 2023Article
- Are the Relevant Risk Factors Being Adequately Captured in Empirical Studies of Smoking Initiation? A Machine Learning Analysis Based on the Population Assessment of Tobacco and Health Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023Article
- Association of Electronic Cigarette Use by US Adolescents With Subsequent Persistent Cigarette Smoking.JAMA network open · 2023Article
- Article
- Modeling the longitudinal transitions of electronic cigarettes and conventional cigarettes with time-dependent covariates among adolescents.Preventive medicine · 2022Article
- Is Adolescent E-Cigarette Use Associated With Subsequent Smoking? A New Look.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022Article
- Longitudinal Trajectories of Multiple Nicotine Product Use Among Youths in the Population Assessment of Tobacco and Health Study.JAMA network open · 2022Article
- Electronic nicotine delivery systems use predicts transitions in cigarette smoking among young adults.Drug and alcohol dependence · 2022Article
- Balfour et al. Respond.American journal of public health · 2022Article
11 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
introductionAn increasing body of research indicates that use of electronic nicotine delivery systems (ENDS) predicts cigarette initiation. However, no studies examine if risk for cigarette initiation varies for exclusive ENDS users versus users of ENDS and other tobacco products. This study examined if: a) cigarette-naïve young adults (i.e., never cigarette users) who ever used ENDS had a greater odds of initiating cigarettes than non-ENDS users over a 1.5year period and b) the odds of cigarette initiation was consistent across exclusive ENDS users and users of ENDS and at least one tobacco product.
methodsParticipants were 2558 cigarette-naïve 18-25year old (M=19.71; SD=1.61) students from 24 Texas colleges who participated in a four-wave study, with six months between each wave.
resultsOverall, 11% of students reported cigarette initiation by wave 4. Of those, 20.1% were wave 1 ENDS users and 8.4% were non-ENDS users. Multivariable, multilevel discrete-time hazard models indicated that wave 1 ENDS use predicted subsequent cigarette initiation, over and above the significant effects of cigarette use susceptibility, family-of-origin tobacco use, friend cigarette use, and other tobacco use. Additional findings indicated that exclusive ENDS users had a greater odds than non-users of subsequent cigarette initiation. Among users of alternative tobacco products, ENDS users did not have a greater odds of initiation than non-ENDS users.
conclusionFindings extend existing research by showing that ENDS use by young adults is a specific risk factor for later cigarette initiation and not an extension of a constellation of existing tobacco use behaviors.
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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.