ArticleTobacco use insights2020
Associations Between Risk Perceptions and Cigarette, E-cigarette, and Dual-Product Use Among Canadian Adolescents.
Article in Tobacco use insights, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 23 citations in OpenAlex.
- Comparative Risk Perceptions of Alternative Nicotine Products Among People Who Smoke Cigarettes and Dual Products: Findings From the 2024 ITC Korea Survey.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2026Article
- Policy influences on adolescent risk perceptions of vaping.Journal of epidemiology and community health · 2025Article
- Grey matter morphometry in young adult e-cigarette users, tobacco cigarette users & non-using controls.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025Article
- Declines in cigarette smoking among US adolescents and young adults: indications of independence from e-cigarette vaping surge.Tobacco control · 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
- Feature Selection and Machine Learning Approaches in Prediction of Current E-Cigarette Use Among U.S. Adults in 2022.International journal of environmental research and public health · 2024Article
- The role of IQOS risk perceptions on cigarette smoking behaviours: results from a prospective pilot study.Tobacco control · 2024Article
- Do Young People Perceive E-Cigarettes and Heated Tobacco as Less Harmful Than Traditional Cigarettes? A Survey from Poland.International journal of environmental research and public health · 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
- Associations of cannabis product source and subsequent cannabis use among adolescents.Drug and alcohol dependence · 2022Article
- Association between perceived health risks of e-cigarettes and actual e-cigarette use, based on cigarette smoking status and sexual and gender minority status among U.S. adults.Zeitschrift fur Gesundheitswissenschaften = Journal of public health · 2022Article
- Electronic Cigarette Use Among Youth: Understanding Unique Risks in a Vulnerable Population.Current addiction reports · 2020Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe popularity of e-cigarettes has increased significantly in recent years. E-cigarettes are perceived as less harmful than cigarettes, and both dual-use of cigarette and e-cigarette use is common among adolescents. This study assessed cigarette and e-cigarette risk perception and associations with dual-product use among Canadian adolescents.
methodsWe used data from the 2016-2017 Canadian Student Tobacco, Alcohol, and Drugs Survey. Perceived risks of cigarette and e-cigarette use were classified into 4 categories: "high-risk perception," "high-e-cigarette-risk and low-cigarette-risk perception," "low-e-cigarette-risk and high-cigarette-risk perception," and "low-risk perception." Adjusted odds ratios (aOR) were estimated from multinomial logistic regression.
resultsOf the population, 92% perceived high risk from cigarettes, and 65% from e-cigarettes. Compared to students with low-risk perception, those with high-risk perception of both products had lower odds of dual-use (aOR: 0.21; 95% confidence interval [CI]: 0.15, 0.28), cigarette-only use (aOR: 0.33; 95% CI: 0.25, 0.45), and e-cigarette-only use (aOR: 0.64; 95% CI: 0.51, 0.79) relative to nonusers. Adolescents with high-e-cigarette and low-cigarette-risk perception had higher odds of e-cigarette-only use, relative to nonusers. Those with high-risk perception were more likely to be e-cigarette-only users relative to cigarette-only users.
conclusionResults highlight that high perceived risk is associated with lower odds of use. However, those with a high-risk perception of both products had higher odds of e-cigarette use relative to cigarette-only users; as did those with high-e-cigarette and low-cigarette-risk perception, relative to nonusers. Future research should assess ways of communicating the risks of adolescent tobacco use.
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