ArticleDrug and alcohol dependence2019
Social norms towards smoking and vaping and associations with product use among youth in England, Canada, and the US.
Article in Drug and alcohol dependence, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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Who cites it
28 citing papers in PubMed.
- Associations between weight concern, bullying, cigarette use, and vaping among heterosexual and sexual minority female adolescents.Public health · 2026Article
- Adolescents' perceptions of tobacco and electronic cigarette prevention: Six school-based cohorts (2010/11-2023/24).Addictive behaviors reports · 2026Article
- The feasibility and acceptability of Live Free From E-Cigarettes (LIFFE): A web-based vaping intervention and smoking prevention program for young adults.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026Article
- The changing face of nicotine use in England: Age-specific annual trends, 2014 to 2024.Addiction (Abingdon, England) · 2026Article
- Mediation analysis investigating the mechanisms of two school-based smoking prevention interventions in adolescents from Northern Ireland and Bogotá.Frontiers in public health · 2026Article
- Striking Surge in Lung Cancer Incidence in Children of Early Life.Journal of respiratory biology and translational medicine · 2026Article
- Adolescent health lifestyles and suicidality: Emerging risks in a latent class analysis.Global mental health (Cambridge, England) · 2026Article
- Exploring youth vaping in New Zealand intermediate and high schools: a mixed-methods study protocol.BMC public health · 2025Article
- Keep e-cigarette vaping away from juveniles: immediate interventions.European respiratory review : an official journal of the European Respiratory Society · 2025Article
- 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 · 2025Article
- Associations between Interpersonal Communication, Perceived Norms, and E-Cigarette Use: The Moderating Role of Social Network Size.Addiction research & theory · 2025Article
- Neighbourhood deprivation and cardiometabolic outcomes in the UK Biobank: differences by sex and ethnicity.Open heart · 2025Article
- A novel online vaping intervention and smoking prevention program for young adults who vape: protocol for a randomized controlled trial.Addiction science & clinical practice · 2025Article
- Association of fully branded, standardized packaging and limited flavor and brand descriptors of e-liquids with interest in trying products among youths in Great Britain.Addiction (Abingdon, England) · 2025Article
- Associations of Close Social Connections With Smoking and Vaping: A Population Study in England.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Vaping leads tobacco consumption among university students in Arab countries: a study of behavioral and psychosocial factors associated with smoking.Frontiers in public health · 2025Article
- My friends made me do it: Peer influences and different types of vaping in adolescence.Addictive behaviors · 2024Article
- Associations between social norms and at-risk status for e-cigarette use: A sex-stratified analysis of Texas sixth-grade students.Drug and alcohol dependence reports · 2024Article
- Electronic cigarette social norms among adolescents in New South Wales, Australia.Health promotion international · 2024Article
- An examination of the social perceptions and vaping preferences of young electronic nicotine delivery system users.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundThis study assesses differences in social norms towards smoking and vaping among youth across countries (England, Canada, US) and smoking and vaping status.
methodsData are from the 2017 ITC Youth Tobacco and Vaping Survey, among youth age 16-19 in England (N = 3444), Canada (N = 3327), and US (N = 3509). Prevalence of friend smoking, friend vaping, peer approval of smoking, and peer approval of vaping were estimated. Adjusted logistic regression models were estimated for each norm to assess associations with country, smoking status, and vaping status, adjusting for sociodemographics, alcohol use, and marijuana use.
results47% and 52% reported friend smoking and vaping respectively. Perceived peer approval of vaping (44%) was almost double that of smoking (23%). Compared with England, fewer Canadian and US youth reported friend smoking (Canada: AOR = 0.71 [95% CI = 0.62-0.82]; US: AOR = 0.54 [0.47-0.62]) and peer approval of smoking (Canada: AOR = 0.74 [0.63-0.87]; US: AOR = 0.78 [0.67-0.91]), yet more reported peer approval of vaping (Canada: AOR = 1.23 [1.08-1.41]; US: AOR = 1.30 [1.14-1.48]). More Canadian than English youth reported friend vaping (AOR = 1.17 [1.02-1.36]). Friend smoking, peer approval of smoking, and friend vaping were more common among smokers and vapers (all p < .02). Peer approval of vaping was more common among vapers but less common among smokers (all p < .044).
conclusionsYouth had more positive vaping than smoking norms. English youth reported the most pro-smoking but least pro-vaping norms in adjusted models; this was unexpected given country differences in regulatory environments. Norms towards both products were associated with use, with some evidence of cross-product associations between norms and behaviours.
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