Evidence map›Paper›PMID 30606077›Full record

ArticleHealth education & behavior : the official publication of the Society for Public Health Education2019

E-Cigarette Social Norms and Risk Perceptions Among Susceptible Adolescents in a Country That Bans E-Cigarettes.

Paula Lozano, Edna Arillo-Santillán, Inti Barrientos-Gutíerrez, Luz Myriam Reynales Shigematsu, James F Thrasher

Abstract readMulticenter Study
In one paragraph

Article in Health education & behavior : the official publication of the Society for Public Health Education, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.9field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 51 citations in OpenAlex.

  1. Article
  2. Article
  3. Social Media Engagement and Quit Intentions Among Youth With Exclusive E-cigarette Use: The Moderating Role of Social Norms.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  4. Review
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  10. Article
  11. A Survey of Vaping Use, Perceptions, and Access in Adolescents from South-Central Texas Schools.International journal of environmental research and public health · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Factors Associated with E-Cigarette Escalation among High School Students: A Review of the Literature.International journal of environmental research and public health · 2021
    Review
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Paula Lozano1 University of South Carolina, Columbia, SC, USA.
Edna Arillo-Santillán2 National Institute of Public Health, Cuernavaca, Mexico.
Inti Barrientos-Gutíerrez2 National Institute of Public Health, Cuernavaca, Mexico.
Luz Myriam Reynales Shigematsu2 National Institute of Public Health, Cuernavaca, Mexico.
James F Thrasher1 University of South Carolina, Columbia, SC, USA.
Instituto Nacional de Salud Pública · MXUniversity of South Carolina · US

Funding

Cinema Smoking and Youth Smoking in Latin AmericaR01TW009274 · FIC · DARTMOUTH COLLEGE · PI SARGENT, JAMES D., THRASHER, JAMES · 2012 to 2016
$1.8M
Electronic cigarettes in Latin America: Evaluation of impacts and policy optionsR01TW010652 · FIC · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI BARNOYA, JOAQUIN, THRASHER, JAMES · 2018 to 2021
$1.6M
FIC NIH HHS R01 TW009274FIC NIH HHS R01 TW010652
6 · The paper itself

Abstract

backgroundThis study examined how risk perceptions and social norms around e-cigarettes are associated with susceptibility (i.e., openness to using the product in the next 12 months) of e-cigarettes and smoking among adolescents.

methodsWe analyzed data from a 2016 representative survey of 8,718 middle school students in Mexico. The study sample was restricted to students who had tried neither e-cigarettes nor cigarettes, ( N = 4471). Students reported on the risks of e-cigarettes compared with those of cigarettes, and product-specific norms were measured by assessing current use by family members, at least one close friend, and, for e-cigarettes, by perceived societal acceptability of use (i.e., acceptability among people in general). Adjusted prevalence ratios (APR) were estimated using generalized estimating equation models that regressed e-cigarette societal acceptability on study variables. Adjusted generalized estimating equation models also regressed susceptibility for each product on study variables.

resultsSusceptibility to both e-cigarettes and smoking was higher among students who reported that their family and friends used only cigarettes or both products when compared with students whose family and friends did not use either of these products. Friend use of e-cigarettes was associated with e-cigarette susceptibility (APR = 1.33) but not smoking susceptibility. Students who perceived that e-cigarettes were less risky than smoking were more susceptible to e-cigarette use (APR = 1.45). The association between e-cigarette susceptibility and friend or family use was not mediated by societal acceptability.

conclusionsE-cigarette use among family and peers appears associated with susceptibility to use e-cigarettes in a way that is similar to the patterns found for cigarettes. However, the influences appear somewhat specific to the type of product that network members use.

Indexed as

Electronic Nicotine Delivery SystemsSocial NormsAdolescentCross-Sectional StudiesFemaleHumansMaleMexicoRisk-TakingSmokingSurveys and QuestionnairesVapinge-cigaretterisk peceptionsocial normssusceptibility to tobacco products

Identifiers

PMID30606077
PMCPMC6438717
OpenAlexW2907738330

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.