ArticleTobacco control2024
E-cigarette use among early adolescent tobacco cigarette smokers: testing the disruption and entrenchment hypotheses in two longitudinal cohorts.
Article in Tobacco control, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 12 citations in OpenAlex.
- Do youth e-cigarette users perceive smoking as attractive? The dynamics of demographics and contextual factors.International journal of public health · 2026Article
- Policy influences on adolescent risk perceptions of vaping.Journal of epidemiology and community health · 2025Article
- Risk of adolescent cigarette use in three UK birth cohorts before and after e-cigarettes.Tobacco control · 2025Article
- Preventing and addressing youth vaping in British Columbia, Canada: Evidence from triangulation of a scoping review of vaping policy and qualitative interviews with school-aged youth.Preventive medicine reports · 2025Review
- School-based smoking prevention strategies for adolescents in a conservative LMIC context: a qualitative study from Egypt.Frontiers in public health · 2025Article
- Longitudinal associations of e-cigarette use with cigarette, marijuana, and other drug use initiation among US adolescents and young adults: Findings from the population assessment of tobacco and health study (Waves 1-6).Drug and alcohol dependence · 2024Article
- Exploring Vaping Patterns and Weight Management-Related Concerns among Adolescents and Young Adults: A Systematic Review.Journal of clinical medicine · 2024Review
- Vaping: Public Health, Social Media, and Toxicity.Online journal of public health informatics · 2024Article
- Vaping product exposure system (VaPES): a novelInhalation toxicology · 2023Article
- England Is Handing out E-Cigarettes: Is the "Swap to Stop" Tobacco Control Scheme Harm Reduction or Harm Production?American journal of respiratory and critical care medicine · 2023Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectiveUsing longitudinal data from two large-scale cohorts in the UK and USA, we examine whether e-cigarette use steers adolescent early smokers away from tobacco cigarettes (disruption hypothesis) or deepens early patterns of tobacco smoking (entrenchment hypothesis) in comparison with early smokers who do not use e-cigarettes.
methodsYouth who smoked tobacco cigarettes by early adolescence (before age 15) were selected from the ongoing UK Millennium Cohort Study (n=1090) and the US Population Assessment of Tobacco and Health (n=803) study. In regression models, the focal predictor was lifetime use of an e-cigarette by early adolescence and the primary outcome was current tobacco use by late adolescence (before age 18). Logistic and multinomial models controlled for early adolescent risk factors and sociodemographic background, and were weighted for attrition and adjusted for complex survey designs.
resultsAmong youth who were early cigarette smokers, 57% of UK and 58% of US youth also used e-cigarettes. The odds of later adolescent smoking among early smoking youth were significantly higher among e-cigarette users relative to those who had not used e-cigarettes (adjusted OR (AOR
conclusionsDespite national differences in e-cigarette regulation and marketing, there is evidence e-cigarette use among early adolescent smokers in the UK and USA leads to higher odds of any smoking and more frequent tobacco cigarette use later in adolescence.
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