ArticleBMJ open2020
Electronic cigarette use among university students aged 18-24 years in New Zealand: results of a 2018 national cross-sectional survey.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Global prevalence of E-cigarette use among students: Systematic review and meta-analysis.PloS one · 2025Pooled it
- Pooled it
- Knowledge, Attitude, and Use of E-Cigarettes Among Syrian University Students: A Cross-Sectional Study.Health science reports · 2026Article
- Perception of e-cigarette as a harmful product delays initiation by two years among Mexican students aged 14-29 years.BMC pulmonary medicine · 2026Observational
- Social Influences Across Vaping Trajectories of Female Tertiary Students.Drug and alcohol review · 2026Article
- "Stealth Vaping Is Everywhere": The Narratives of Young Māori Adults in New Zealand.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Knowledge, attitude, practice and policy support of college students toward electronic cigarette use: a nationwide multicentric study in Iran.BMC public health · 2025Article
- Clearing the fog: Australian medical students and the e-cigarette knowledge void - a cross-sectional survey.BMC medical education · 2025Article
- E-Cigarette Use Among University Students: A Structured Literature Review of Health Risks, Behavioral and Social Determinants, and Nursing Implications.Healthcare (Basel, Switzerland) · 2025Review
- The Impact of Electronic Cigarettes on Oral Health: Analytic Cross-Sectional Study.Journal of pharmacy & bioallied sciences · 2025Article
- Protective Factors Against e-Cigarette Use Among First Nations People Aged 16-24 in the Next Generation Youth Wellbeing Study.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025Article
- E-cigarette use and health information needs among a university student population in Melbourne, Australia.Frontiers in public health · 2025Article
- E-cigarette use and knowledge of its effect on oral health among health sciences students in Trinidad and Tobago.Frontiers in oral health · 2025Article
- Decision to use e-cigarettes and associated factors among students of a university in Northern Thailand.Tobacco induced diseases · 2025Article
- Assessing the knowledge, attitude and practice of electronic cigarettes and their associated factors among undergraduate students of Institute of Medicine, Nepal: a cross-sectional study.BMC public health · 2024Article
- Association of Electronic Cigarette Usage with the Subsequent Initiation of Combustible Cigarette Smoking among Dental Students in Riyadh, Saudi Arabia: A Longitudinal Study.Healthcare (Basel, Switzerland) · 2024Article
- Review
- Article
- Fuzzy-set qualitative comparative analysis of factors affecting the use of e-cigarettes among college students in Guangdong province.Tobacco induced diseases · 2024Article
- Rat bronchoalveolar lavage proteome changes following e-cigarette aerosol exposures.American journal of physiology. Lung cellular and molecular physiology · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine electronic cigarette use, reasons for use and perceptions of harm among university students.
designCross-sectional study.
settingUniversity students across New Zealand.
methodsWe analysed data from a 2018 cross-sectional survey of university students, weighted to account for undersampling and oversampling by gender and university size. χ
participantsThe sample comprised 1476 students: 62.3% aged 18-20 years, 37.7% aged 21-24 years; 38.6% male, 61.4% female; 7.9% Māori and 92.1% non-Māori.
results40.5% of respondents (95% CI 37.9 to 43.1) reported ever, 6.1% (4.9-7.4) current and 1.7% (1.1-2.5) daily use. Regardless of frequency, 11.5% of vapers had vaped daily for ≥1 month, 70.2% of whom used nicotine-containing devices; 80.8% reported not vaping in indoor and 73.8% in outdoor smoke-free spaces. Among ever vapers, curiosity (67.4%), enjoyment (14.4%) and quitting (2.4%) were common reasons for vaping. 76.1% (73.4-78.7) of respondents believed e-cigarettes were less harmful than cigarettes.More males than females reported vaping (ever, current, daily and daily for ≥1 month), nicotine use and belief that e-cigarettes were less harmful than cigarettes. More participants aged 18-20 years reported not vaping in outdoor smoke-free spaces, vaping out of curiosity and belief that e-cigarettes were less harmful than cigarettes, while more participants aged 21-24 years vaped daily for ≥1 month and for enjoyment. More Māori than non-Māori ever vaped. More cigarette smokers than non-smokers vaped (ever, current, daily and daily for ≥1 month), used nicotine and vaped to quit, while more non-smokers did not vape in smoke-free spaces and vaped out of curiosity.
conclusionsOur results suggest high prevalence of e-cigarette ever and current use, particularly among males and smokers. Many vaped out of curiosity and perceived e-cigarettes as less harmful than cigarettes.
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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.