Evidence map›Paper›PMID 34312291›Full record

ArticlePediatrics2021

Protective Factors Against Vaping and Other Tobacco Use.

Nicholas Szoko, Maya I Ragavan, Susheel K Khetarpal, Kar-Hai Chu, Alison J Culyba

Abstract read
In one paragraph

Article in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

  1. Protective Factors Against Violence and Substance Use in Adolescents: A Latent Class Analysis.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026
    Article
  2. Multi-level Risk and Protective Factors for Vaping Onset and Escalation Among Youth: a Focus on LGBTQ + Disparities.Prevention science : the official journal of the Society for Prevention Research · 2026
    Review
  3. Article
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  9. The school community's role in addressing vaping: Findings from qualitative research to inform pedagogy, practice and policy.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Article
  10. Article
  11. School Connectedness and Adolescent E-cigarette Susceptibility in an Urban Sample of Middle and High School Students.Prevention science : the official journal of the Society for Prevention Research · 2024
    Article
  12. Household vaping bans and youth e-cigarette use.Addiction (Abingdon, England) · 2024
    Article
  13. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nicholas SzokoUPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania nicholas.szoko@chp.edu.
Maya I RagavanSchool of Medicine.
Susheel K KhetarpalSchool of Medicine.
Kar-Hai ChuGraduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania.
Alison J CulybaSchool of Medicine.

Funding

University of Pittsburgh Clinical and Translational Science InstituteUL1TR001857 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2016 to 2025
$129.3M
Institutional Career Development CoreKL2TR001856 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI RAY, KRISTIN N, RUBIO, DORIS M · 2016 to 2025
$13.8M
Supporting Social Connections and Social Infrastructure to Address Youth ViolenceK23HD098277 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CULYBA, ALISON J. · 2019 to 2023
$860k
NCATS NIH HHS KL2 TR001856NCATS NIH HHS UL1 TR001857NICHD NIH HHS K23 HD098277
6 · The paper itself

Abstract

BACKGROUND AND

objectivesVaping has gained popularity among adolescents despite negative health consequences. Few studies have focused on factors that may protect against vaping. We sought to determine if future orientation, parental monitoring, school connectedness, and social support are associated with decreased risk of vaping and other forms of tobacco use.

methodsData were obtained via anonymous school-based health behavior surveys among ninth- through 12th-graders in Pittsburgh, PA (

resultsMean age was 15.7 years, 1446 (58.1%) respondents were female, and 671 youth (27.0%) reported recent vaping. Positive future orientation and high parental monitoring were associated with significantly lower prevalence of recent vaping (adjusted prevalence ratio: 0.84 [95% confidence interval: 0.73-0.97] and adjusted prevalence ratio: 0.73 [95% confidence interval: 0.62-0.85], respectively). There were no significant relationships between social support or school connectedness and vaping. All 4 protective factors were inversely associated with other forms of tobacco use. No factors were significantly associated with intent to quit tobacco products.

conclusionsFindings reveal significant inverse associations between future orientation, parental monitoring, and vaping but no relationship between protective factors and intent to quit tobacco products. Developing interventions to foster protective factors in youth and their parental supports may inform primary prevention efforts to reduce vaping and other tobacco use.

Indexed as

Protective FactorsAdolescentCross-Sectional StudiesFemaleHumansMaleSelf ReportTobacco UseVaping

Identifiers

PMID34312291
PMCPMC8344349

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.