ArticleDrug and alcohol dependence2018
A longitudinal study of risk perceptions and e-cigarette initiation among college students: Interactions with smoking status.
Article in Drug and alcohol dependence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis 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
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.
- Interventions to change vaping harm perceptions and associations between harm perceptions and vaping and smoking behaviours: A systematic review.Addiction (Abingdon, England) · 2026Pooled it
- Trends in Daily Nicotine Vaping and Unsuccessful Quit Attempts in Youths.JAMA network open · 2025Article
- Differences in young adults' perceptions of e-cigarettes by history of use.Journal of American college health : J of ACH · 2024Article
- Perceived relative harm and addictiveness compared with cigarettes and intentions to use modified risk tobacco products utilizing FDA-authorized marketing claims among adults in the United States.Drug and alcohol dependence · 2024Article
- Longitudinal impact of perceived harm and addiction on e-cigarette initiation among tobacco-naïve youth: Population Assessment of Tobacco and Health study (Waves 1-5).Public health · 2024Article
- Time-Varying Determinants of Changes in E-Cigarette Relative Harm Perception Among US Young Adults.International journal of behavioral medicine · 2024Article
- Fuzzy-set qualitative comparative analysis of factors affecting the use of e-cigarettes among college students in Guangdong province.Tobacco induced diseases · 2024Article
- Absolute and relative e-cigarette harm perceptions among young adult lesbian and bisexual women and nonbinary people assigned female at birth.Addictive behaviors · 2023Article
- E-cigarette use behaviors of Asian American, Native Hawaiian, and Pacific Islander youth in the contiguous United States: Insights from the Monitoring the Future Study (2018-2019).Preventive medicine reports · 2023Article
- Prospective predictors of electronic nicotine delivery system initiation in tobacco naive young adults: A machine learning approach.Preventive medicine reports · 2023Article
- U.S. young adults' awareness of the Master Settlement Agreement and cigarette industry practices and their associations with electronic cigarette industry and health risk perceptions.BMC public health · 2023Article
- Latent Classes of Perceived Addictiveness Predict Marijuana, Alcohol, and Tobacco Use in Youth and Young Adults.Substance use & misuse · 2023Article
- Young Adults' Electronic Cigarette Use and Perceptions of Risk.Tobacco use insights · 2023Article
- Association between Harmful and Addictive Perceptions of E-Cigarettes and E-Cigarette Use among Adolescents and Youth-A Systematic Review and Meta-Analysis.Children (Basel, Switzerland) · 2022Review
- 'It's like if a vape pen and a cigarette had a baby': a mixed methods study of perceptions and use of IQOS among US young adults.Health education research · 2022Article
- E-cigarette addiction and harm perception: Does initiation flavor choice matter?BMC public health · 2022Article
- Exposure to e-cigarette health claims and association with e-cigarette use and risk perceptions: A cohort study of young adults.Addictive behaviors · 2022Article
- Youth perceptions of e-cigarette-related risk of lung issues and association with e-cigarette use.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2022Article
- A Content Analysis of U.S. Adults' Open-Ended Responses to E-Cigarette Risk Messages.Health communication · 2022Article
- Geographic Differences in JUUL Use and Risk Perceptions.Substance use & misuse · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundRecent data suggest that lower perceived risks of e-cigarettes are associated with e-cigarette use in young adults; however, the temporality of this relationship is not well-understood. We explore how perceptions of harmfulness and addictiveness of e-cigarettes influence e-cigarette initiation, and specifically whether this association varies by cigarette smoking status, in a longitudinal study of tobacco use on college campuses.
methodsData are from a 5-wave 24-college study in Texas. Only students who reported never using e-cigarettes at wave 1 were included (n = 2565). Multilevel discrete-time hazard models, accounting for school clustering, were used. The dependent variable, ever e-cigarette use, was assessed at each wave. Both time-varying (e-cigarette perceptions of harmfulness and addictiveness, age, use of cigarettes, use of other tobacco products, and use of other substances) and time-invariant demographic covariates were included. Two-way interactions between each e-cigarette perception variable and current conventional cigarette use were tested to determine if the hypothesized relationship differed among smokers and non-smokers.
results21% of all never e-cigarette users at baseline had initiated e-cigarette ever use by wave 5. Significant two-way interactions qualified the relationship between risk perceptions and e-cigarette initiation. Specifically, perceptions of a lower degree of harmfulness (OR = 1.13, p = .047) and addictiveness (OR = 1.34, p < .001) of e-cigarettes predicted initiation among non-smokers, but not among current smokers.
conclusionPerceiving a lower degree of risk of e-cigarettes contributes to subsequent e-cigarette initiation among non-smokers, but not among current smokers.
findingshave implications for prevention campaigns focusing on the potential harm of e-cigarettes for non-smoking college students.
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.