ArticleAmerican journal of health promotion : AJHP2025
Adolescent Perspectives on Their E-Cigarette Initiation Experiences.
Article in American journal of health promotion : AJHP, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The trial behind it
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Who cites it
5 citing papers in PubMed.
- Sharing Antivaping Social Media Messages.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025Trial
- Relational Victimization, Depressive Symptoms, and E-cigarette Use Intentions Among Adolescents: A Parallel Process Growth Curve Model.Research on child and adolescent psychopathology · 2026Article
- A cross-sectional study of predictors of perceptions of addiction among college students using Electronic Nicotine Delivery System users.Tobacco prevention & cessation · 2026Article
- Electronic Cigarette Use (Vaping) Among Adolescents: A Narrative Review of an Emerging Public Health Epidemic.Cureus · 2025Review
- Electronic Cigarette Perception in Baltimore High Schools.Open journal of psychology · 2025Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeTo examine adolescents' perspectives regarding external and internal influences of the e-cigarette initiation process.
designSemi-structured, in-depth qualitative interviews.
settingCalifornia, remote videoconference.
participantsAdolescents ages 13-17 who currently or previously used e-cigarettes (n = 47).
methodInterviews occurred from May 2020-February 2021. Two researchers coded transcripts based on a codebook developed inductively. Coded excerpts were reviewed to identify encompassing themes related to adolescent e-cigarette initiation.
resultsAdolescents were often near e-cigarette use by peers, family members, and others, creating ample opportunities to try e-cigarettes in response to curiosity, peer pressure, and desires to cope with stress or belong to a group. Adverse first experiences were common (eg, throat irritation, nausea), but many adolescents vaped again or continued to use regularly in attempts to cement friendships or alleviate symptoms of stress and anxiety. Specific characteristics of e-cigarette devices, including low-cost, concealability, and variety in designs and flavors facilitated initiation, continued use, and nicotine dependence.
conclusionsAdolescents progress to e-cigarette use via a multistage process, starting where social expectations and opportunity converge. While individual circumstances vary, many continue to vape as a perceived coping tool for emotional issues, to gain social belonging, or influenced by e-cigarette characteristics that contribute to ongoing use and dependence. Efforts to deter use should address the devices themselves and the social forces driving youth interest in them.
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Registered trials
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