ArticlePediatrics2018
Trajectories of E-Cigarette and Conventional Cigarette Use Among Youth.
Article in Pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 117 papers, 7 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
117 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Tobacco Smoking and Smoke-Free Products as Risk Factors for Dental Implants: A Systematic Review.Clinical oral implants research · 2026Pooled it
- 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
- E-cigarette device type and combustible tobacco use: Results from a pooled analysis of 10,482 youth.Drug and alcohol dependence · 2022Pooled it
- Pooled it
- Impact of non-menthol flavours in e-cigarettes on perceptions and use: an updated systematic review.BMJ open · 2019Pooled it
- Investigating gateway effects using the PATH study.F1000Research · 2019Pooled it
- Cannabis Use and Nicotine Vaping Cessation Outcomes: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2025Trial
- Preliminary evaluation of UP2UTeacher, a brief intervention addressing tobacco and nicotine use for high school students.Drug and alcohol dependence · 2026Article
- Pathways between parental monitoring and adolescent e-cigarette use: The role of parent-child internalizing and externalizing discrepancies in a predominately Hispanic/Latino(a) sample.Translational issues in psychological science · 2026Article
- Parental Substance Use Modeling and Monthly Alcohol, Cannabis, and E-Cigarette Use Among Female Adolescents and Young Adults.Translational issues in psychological science · 2026Article
- The Knowledge-Attitude-Behavior Paradox in E-Cigarette Adoption Among University Students at Northern Border University, Saudi Arabia.Journal of multidisciplinary healthcare · 2026Article
- Use of Electronic Cigarettes and Associated Factors Among Public High School Students in Vietnam.Asian Pacific journal of cancer prevention : APJCP · 2025Article
- Parental influence and multiple nicotine product use patterns among adolescents: a cross-sectional study of family context and e-cigarette use.International journal of occupational medicine and environmental health · 2025Article
- Links between young adults' reasons for trying electronic nicotine delivery systems (ENDS), smoking history, and prospective cigarette and ENDS use.Addictive behaviors · 2025Article
- Understanding Reasons to Quit or Reduce Vaping and Associations With Quitting Outcomes Among High School Adolescents in Connecticut.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Article
- Multi-channel marketing exposure and psychoactive substance use in e-cigarettes: a cross-sectional study of Polish adolescents and young adults.International journal of occupational medicine and environmental health · 2025Article
- Multidimensional analysis of conventional and electronic cigarette consumption among students.Frontiers in psychology · 2025Article
- Association between different types of smoking and first sexual behavior in adolescents: Survey data from South Korea.Tobacco induced diseases · 2025Article
- Use of ENDS devices and modifications to vape cannabis among adolescents and young adults who also vape nicotine.Addictive behaviors · 2024Article
57 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundElectronic cigarette (e-cigarette) use is common among youth, and there are concerns that e-cigarette use leads to future conventional cigarette use. We examined longitudinal associations between past-month cigarette and e-cigarette use to characterize the stability and directionality of these tobacco use trajectories over time.
methodsHigh school students (
resultsPast-month e-cigarette use predicted future cigarette use (wave 1-2: odds ratio [OR] = 7.08, 95% confidence interval [CI] = 2.34-21.42; wave 2-3: OR = 3.87, 95% CI = 1.86-8.06). However, past-month cigarette use did not predict future e-cigarette use (wave 1-2: OR = 2.02, 95% CI = 0.67-6.08; wave 2-3: OR = 1.90, 95% CI = 0.77-4.71). Additionally, frequency of cigarette and e-cigarette use increased over time. By wave 3, 26% of cigarette users and 20.5% of e-cigarette users reported using 21-30 days out of the past month.
conclusionsE-cigarette use was associated with future cigarette use across 3 longitudinal waves, yet cigarette use was not associated with future e-cigarette use. Future research needs to examine mechanisms through which e-cigarette use leads to cigarette use. E-cigarette regulation and prevention programs may help prevent future use of cigarettes among youth.
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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.