ArticlePediatrics2019
Mental Health Problems and Initiation of E-cigarette and Combustible Cigarette Use.
Article in Pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 67 papers, 1 of them a synthesis that pooled it.
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Who cites it
67 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Association of electronic cigarette use and suicidal behaviors: a systematic review and meta-analysis.BMC psychiatry · 2024Pooled it
- Effects of a Social Media Intervention on Vaping Intentions: Randomized Dose-Response Experiment.Journal of medical Internet research · 2024Trial
- Proximity and density of tobacco retail locations to Kentucky schools and the relationship to youth perceptions of harm and susceptibility to e-cigarette use.BMC public health · 2026Article
- E-cigarette use among adults in southern Iran: a qualitative study.BMC public health · 2026Article
- Prevalence and Mental Health Correlates of Electronic Cigarette Use Among Pediatric Primary Care Patients.Clinical pediatrics · 2026Article
- Digital gamification and serious games for preventing e-cigarette use in adolescents: A systematic review without meta-analysis (SWiM).Tobacco induced diseases · 2026Review
- Cross-sectional and longitudinal associations between adolescent vaping and physical and mental health problems.Addictive behaviors reports · 2025Article
- Use of Electronic and Conventional Cigarettes and Self-Rated Mental Health in High School Students.Children (Basel, Switzerland) · 2025Article
- Nicotine-Cannabis Transitions and Nicotine Abstinence Among United States Adults.Epidemiology (Cambridge, Mass.) · 2025Article
- Trends in Mental Health Symptoms, Nicotine Product Use, and Their Association Over Time Among Adolescents in Canada, England, and the US: Findings From the ITC Adolescents Tobacco and Vaping Survey, 2020-2023.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Differences in anxiety, depression and pain experience among adults with chronic low back pain as a function of nicotine product use.Journal of behavioral medicine · 2025Article
- Design and Baseline Evaluation of Social Media Vaping Prevention Trial: Randomized Controlled Trial Study.Journal of medical Internet research · 2025Article
- Perspectives, motivations, and experiences of adolescents and young adults using nicotine vapes: a qualitative review.Health promotion international · 2025Article
- E-cigarette access and age verification among adolescents, young adults, and adults.Addictive behaviors · 2025Article
- Effects of racial teasing on adolescent marijuana use and nicotine vaping: An analysis of the Virginia Youth Risk Behavior Surveillance System.Addictive behaviors · 2025Article
- Minority stress mediates associations of sexual minority state policies and tobacco use among US sexual minority young adults.Drug and alcohol dependence · 2024Article
- Tobacco Use, Electronic Nicotine Delivery Systems, and Vulnerable Populations: Current Landscape and Opportunities for Improvement.JACC. Advances · 2024Review
- Association between cannabis use and nicotine use persistence among adolescents.Addictive behaviors · 2024Article
- Social Media Exposure and Other Correlates of Increased e-Cigarette Use Among Adolescents During Remote Schooling: Cross-Sectional Study.JMIR pediatrics and parenting · 2024Article
- Does the time to nicotine dependence vary by internalizing symptoms for young people who use e-cigarettes? An analysis of the Population Assessment of Tobacco and Health (PATH) study, (Waves 1-5; 2013-2019).Addictive behaviors · 2024Article
7 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
BACKGROUND AND
objectivesDuring adolescence, mental health problems may increase the risk of initiating combustible cigarette use. However, it is unknown if this association extends to electronic cigarettes (e-cigarettes). We examined whether internalizing and externalizing problems were associated with initiation of e-cigarette, combustible cigarette, and dual-product use among adolescents.
methodsParticipants were drawn from the Population Assessment of Tobacco and Health Study, a nationally representative longitudinal study of US adolescents followed from 2013 to 2015. The study sample included 7702 adolescents aged 12 to 17 years who at baseline reported no lifetime use of tobacco products. We examined the respective associations between baseline internalizing and externalizing problems and initiating use of e-cigarettes, combustible cigarettes, or both at 1-year follow-up.
resultsCompared with adolescents with low externalizing problems, adolescents with high externalizing problems were significantly more likely to initiate use of e-cigarettes (adjusted relative risk ratio [aRRR] = 2.78; 95% confidence interval [CI]: 1.76-4.40), combustible cigarettes (aRRR = 5.59; 95% CI: 2.63-11.90), and both products (aRRR = 2.23; 95% CI: 1.15-4.31). Adolescents with high internalizing problems were at increased risk of initiating use of e-cigarettes (aRRR = 1.61; 95% CI: 1.12-2.33) but not combustible cigarettes or both products.
conclusionsMental health problems are associated with increased risk for initiating e-cigarette, combustible cigarette, and dual-product use in adolescence. This association is more consistent for externalizing problems than internalizing problems. Addressing mental health problems could be a promising target for preventing initiation of nicotine- and/or tobacco-product use by adolescents.
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