ReviewTobacco prevention & cessation2019
Is adolescent e-cigarette use associated with smoking in the United Kingdom?: A systematic review with meta-analysis.
Review in Tobacco prevention & cessation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 27 papers, 6 of them syntheses 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
27 citing papers in PubMed, 6 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Electronic cigarettes and subsequent cigarette smoking in young people: A systematic review.Addiction (Abingdon, England) · 2025Pooled it
- Reporting and methodological quality of systematic literature reviews evaluating the associations between e-cigarette use and cigarette smoking behaviors: a systematic quality review.Harm reduction journal · 2021Pooled it
- Prevalence of electronic nicotine delivery systems and electronic non-nicotine delivery systems in children and adolescents: a systematic review and meta-analysis.The Lancet. Public health · 2021Pooled it
- Association between electronic cigarette use and tobacco cigarette smoking initiation in adolescents: a systematic review and meta-analysis.BMC public health · 2021Pooled it
- Pooled it
- Pooled it
- Association Between E-Cigarette Use (Vaping) and Oral Health in Adolescents and Young Adults: A Systematic Review.Journal of clinical medicine · 2026Review
- Links between young adults' reasons for trying electronic nicotine delivery systems (ENDS), smoking history, and prospective cigarette and ENDS use.Addictive behaviors · 2025Article
- Comparison of Elicit AI and Traditional Literature Searching in Evidence Syntheses Using Four Case Studies.Cochrane evidence synthesis and methods · 2025Article
- Understanding tobacco and e-cigarette use among university students: a cross-sectional study exploring nicotine dependence, quit intentions, and awareness of cessation support services.BMC public health · 2025Article
- Co-occurring Change in Electronic Nicotine Delivery System (ENDS) and Cigarette Harm Perceptions and Use in Young Adults.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Does cannabis and electronic nicotine delivery system (ENDS) use interfere with cigarette smoking cessation in young adulthood?Addictive behaviors · 2025Article
- Smoking and e-cigarette use in young adults with disabilities.BMC public health · 2025Article
- The Relationship Between Time Spent on Social Media and Adolescent Cigarette, E-cigarette, and Dual Use: A Longitudinal Analysis of the UK Millennium Cohort Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Young people's experiences of vaping in their community: a co-created study between embedded researchers and local authority public health practitioners.Perspectives in public health · 2025Review
- Socio-ecological factors that influence youth vaping: perspectives from Western Australian school professionals, parents and young people.International journal of qualitative studies on health and well-being · 2024Article
- General and Specific Risk and Protective Factors for Cigarette and Electronic Nicotine Delivery System (ENDS) Use.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Multistate transition modelling of e-cigarette use and cigarette smoking among youth in the UK.Tobacco control · 2024Article
- Regional French evolution of tobacco and e-cigarette experimentation and use among adolescents aged 15-16 years: A cross-sectional observational study conducted in the Loire department from 2018 to 2020.Preventive medicine reports · 2023Article
- Use of tobacco and e-cigarettes among youth in Great Britain in 2022: Analysis of a cross-sectional survey.Tobacco induced diseases · 2023Article
Corrections and comments
- Erratum issued
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThough smoking is a public health problem the use of e-cigarettes has been associated with a reduction in smoking in developed countries. However, public health experts have raised concerns about the association of e-cigarette use with an increase in traditional cigarette smoking in adolescents. Review-level evidence is generally supportive of this concern, but as it is mainly based on studies from the USA we investigated if e-cigarette use is associated with traditional cigarette smoking in adolescents (aged 10-19 years) in the UK.
methodsWe conducted a systematic review of empirical studies. Databases (PubMed, Medline via ProQuest, CINAHL and SCOPUS) were searched between January 2005 and May 2018 using search terms based on the concepts: adolescents, traditional cigarette smoking, e-cigarettes, and UK. Using pre-defined inclusion and exclusion criteria, a total of eight studies (involving 73076 adolescents) were included in this review. Three of the included studies were eligible to be combined in a meta-analysis. The CASP appraisal tool was used to assess study quality while risk of bias was assessed using ROBINS-I.
resultsStudies included in the meta-analysis showed that adolescents who use e-cigarettes are up to six times more likely to smoke traditional cigarettes. Furthermore, results showed that traditional cigarette smoking can also precede e-cigarette use in adolescents and there was increased likelihood of an increase in initial product use (e-cigarette or traditional cigarette) when the alternate product was initiated.
conclusionsPublic health policy makers in the UK still need clear conclusions about the effects and safety of e-cigarettes.
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.