ArticleHealth education & behavior : the official publication of the Society for Public Health Education2018
Examining College Students' Social Environment, Normative Beliefs, and Attitudes in Subsequent Initiation of Electronic Nicotine Delivery Systems.
Article in Health education & behavior : the official publication of the Society for Public Health Education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses 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
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Peer Influence and Use of Electronic Cigarettes among Adolescents and Young Adults: A Meta-Analysis of Prospective Studies.Asian Pacific journal of cancer prevention : APJCP · 2025Pooled it
- Interpersonal communication and perceived norms as social influence mechanisms of e-cigarette use among adults: a systematic review.The American journal of drug and alcohol abuse · 2024Pooled it
- Perceived norms and e-cigarette use among young adults in US college: The mediation role of outcome expectancies.Journal of American college health : J of ACH · 2026Article
- Nicotine dependence associated with e-cigarette use, depressive symptoms, and psychological resilience among northern Thai adolescents: a cross-sectional study.BMC psychology · 2026Article
- Association between tobacco-related social environment and e-cigarette use among young adults in northern Vietnam: A cross-sectional study with latent class analysis.Tobacco induced diseases · 2026Article
- Trends in Social Norms Toward Cigarette Smoking and E-cigarette Use Among U.S. Youth Between 2015 and 2021.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Substance Use and Social Influence as Risk Factors for Nicotine and Tobacco Product Use in Adolescents and Young Adults who use Electronic Nicotine Delivery Systems.Frontiers in adolescent medicine · 2025Article
- Peers and Young Adult Electronic Nicotine Delivery Use: The Mediating Role of Vaping Attitudes/Beliefs.Substance use & misuse · 2025Article
- Impact of exposures to Heated Tobacco Products in the media and through social connections on product perceptions and use.Tobacco prevention & cessation · 2024Article
- Prospective predictors of electronic nicotine delivery system initiation in tobacco naive young adults: A machine learning approach.Preventive medicine reports · 2023Article
- Predictors of past-year e-cigarette use among young adults.Preventive medicine reports · 2022Article
- The reciprocal relationships of social norms and risk perceptions to cigarette, e-cigarette, and cannabis use: Cross-lagged panel analyses among US young adults in a longitudinal study.Drug and alcohol dependence · 2022Article
- A one year prospective examination of risk factors for pod-vape use among young adults.Drug and alcohol dependence · 2021Article
- Longitudinal Impact of Depressive Symptoms and Peer Tobacco Use on the Number of Tobacco Products Used by Young Adults.International journal of environmental research and public health · 2021Article
- Shared Environmental Influences on Electronic Cigarette Use Among Adolescent and Young Adult Females.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2021Article
- Research on Youth and Young Adult Tobacco Use, 2013-2018, From the Food and Drug Administration-National Institutes of Health Tobacco Centers of Regulatory Science.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2020Review
- Cigarette and e-cigarette use and social perceptions over the transition to college: The role of ADHD symptoms.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2019Article
- Ever Use of E-Cigarettes Among Adults in the United States: A Cross-Sectional Study of Sociodemographic Factors.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundAlthough use of Electronic Nicotine Delivery Systems (ENDS) is increasingly prevalent among young adults, little is known about predictors of ENDS initiation among this population.
aimsWe examined the roles of the social environment (i.e., peer ENDS use and household ENDS use), normative beliefs (i.e., social acceptability of ENDS use), and attitudes (i.e., inclination to date someone who uses ENDS) in prospectively predicting initiation of ENDS over a 1-year period among 18- to 29-year-old college students.
methodParticipants were 2,110 (18- to 29-year-old) students ( M = 20.27, SD = 2.17) from 24 colleges in Texas who participated in a three-wave online survey, with 6 months between each wave. All participants reported never using ENDS at baseline. A multivariable, multilevel logistic regression model, accounting for clustering of students within colleges, was used to assess if students' social environment, normative beliefs, and attitudes predicted subsequent initiation of ENDS up to 1 year later, adjusting for various sociodemographic factors and number of other tobacco products used.
resultsIn all, 329 college students (16%) initiated ENDS within 1 year. Results from the logistic regression indicated that college students who were younger (18-24 years old), ever used other tobacco products, indicated a more dense peer network of ENDS users, and had a higher inclination to date someone who uses ENDS had higher odds of initiating ENDS than their peers.
conclusionPreventing ENDS initiation should be included in college health promotion programs, which should highlight the roles of students' social environment and attitudes regarding ENDS use.
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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.