ArticleBMJ open2020
Cross-sectional study on the awareness, susceptibility and use of heated tobacco products among adolescents in Guatemala City, Guatemala.
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 17 papers.
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Who cites it
17 citing papers in PubMed, 24 citations in OpenAlex.
- Effects of tobacco product type and characteristics on appeal and perceived harm: Results from a discrete choice experiment among Guatemalan adolescents.Preventive medicine · 2021Trial
- The Role of Family and Peer Influence in Shaping Teen Smoking Attitudes in Romania.Journal of clinical medicine · 2026Article
- Occupational fall incidence associated with heated tobacco product use and lifestyle behaviors in Japan.Scientific reports · 2025Article
- Lil Solid: a more affordable option for heated tobacco products in Guatemala.Tobacco control · 2025Article
- Longitudinal analysis of predictors of electronic cigarette trial among adolescents in Guatemala.Addictive behaviors · 2025Article
- Review
- Article
- Factors Associated With the Changes in Smoking and Electronic cigarette use in Adolescents During the COVID-19 Pandemic: A Longitudinal Analysis.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024Article
- Tobacco industry strategies to influence the regulation of new and emerging tobacco and nicotine products in Latin America and the Caribbean.Revista panamericana de salud publica = Pan American journal of public health · 2024Article
- Changes in substance use among adolescents before and during the COVID-19 pandemic in Guatemala.Frontiers in psychiatry · 2024Article
- Susceptibility to e-cigarette adoption among tobacco-naïve youths: a cross-sectional study in Shenzhen, China.Frontiers in public health · 2024Article
- Understanding e-cigarette content and promotion on YouTube through machine learning.Tobacco control · 2023Article
- First tobacco product tried and current use of cigarettes and electronic cigarettes among adolescents from Guatemala City.Salud publica de Mexico · 2023Article
- Heated tobacco product use, its correlates, and reasons for use among Mexican smokers.Drug and alcohol dependence · 2022Article
- Assessment of IQOS Marketing Strategies at Points-of-Sale in Israel at a Time of Regulatory Transition.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022Article
- Article
- Occupational difference in use of heated tobacco products: a cross-sectional analysis of retail workers in Japan.BMJ open · 2021Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 4 countries.
Funding
Abstract
objectivesHeated tobacco products (HTPs) are increasingly marketed worldwide, yet limited research on HTPs has been conducted in low and middle-income countries (LMICs) or among adolescents. Guatemala is one of the few LMICs where HTPs are available. This study examined prevalence and correlates of HTP awareness, susceptibility and use among adolescents in Guatemala. DESIGN, SETTING AND
participantsA cross-sectional survey on HTP awareness, susceptibility and use was conducted among 2870 students between the ages of 13 and 17 in private schools in Guatemala City, Guatemala. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was susceptibility to future use of HTP among school-aged current and never smokers in Guatemala. We also explored awareness and use of HTPs. Multivariate binomial regression models were used to explore associations between these outcomes and both sociodemographic factors and established smoking correlates.
resultsOf all students (n=2870), about half were aware of HTPs (52.4%) and susceptible to future or continued use (52.4%). Whereas 8.4% of students had tried HTPs in the lifetime (but not in the last month), only 2.9% used HTPs in the past month. Independent correlates of HTP susceptibility and ever-use included: use of other tobacco products (current smoking: adjusted OR (AOR)=10.53 and 6.63, respectively; current e-cigarette use: AOR=21.87 and 10.40, respectively), moderate alcohol consumption (AOR=1.49 and 1.19, respectively), marijuana use in the past 30 days (AOR=3.49 and 2.29, respectively) and having friends who use HTPs (AOR=1.83 and 7.28, respectively).
conclusionsAmong this sample of adolescents in Guatemala City, where tobacco control is weak, the prevalence of HTP use was low but susceptibility to future use was high. Tobacco prevention and intervention strategies for cigarettes and e-cigarettes should now also include HTPs, which tend to be used by similar adolescent populations (ie, those who use other substances or are exposed to tobacco through family and friends).
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