Evidence map›Paper›PMID 39912122›Full record

ArticleHealth promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals2025

Protective Factors Against e-Cigarette Use Among First Nations People Aged 16-24 in the Next Generation Youth Wellbeing Study.

Christina L Heris, Simon Graham, Robyn Williams, Emily Banks, Aryati Yashadhana, Katiska Davis, Justine Whitby, Ted Fields, Michelle O'Leary, Rebecca Ivers and 7 more

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In one paragraph

Article in Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Christina L HerisYardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.ORCID https://orcid.org/0000-0003-3857-6817
Simon GrahamPoche Centre for Indigenous Health, Faculty of Medicine and Health, University of Sydney NSW, Sydney, Australia.
Robyn WilliamsHealth Sciences, Medical School, Curtin University, Western, Australia.ORCID https://orcid.org/0000-0003-2099-0032
Emily BanksCentre of Epidemiology for Policy and Practice, National Centre of Epidemiology and Population Health, Australian National University, Canberra, Australia.
Aryati YashadhanaSchool of Population Health, University of New South Wales, Sydney, Australia.
Katiska DavisHealth Sciences, Medical School, Curtin University, Western, Australia.
Justine WhitbyHealth Sciences, Medical School, Curtin University, Western, Australia.
Ted FieldsSchool of Population Health, University of New South Wales, Sydney, Australia.
Michelle O'LearySchool of Population Health, University of New South Wales, Sydney, Australia.
Rebecca IversSchool of Population Health, University of New South Wales, Sydney, Australia.
Bette LiuSchool of Population Health, University of New South Wales, Sydney, Australia.
Christopher D McKayYardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.ORCID https://orcid.org/0000-0002-1430-0480
Francine EadesArea Director Aboriginal Health, East Metropolitan Health Service, Perth Western, Australia.
Lina GubhajuCentre for Epidemiology and Biostatistics, School of Population and Global Health, University of Melbourne, Victoria, Australia.
Tabassum RahmanCentre for Epidemiology and Biostatistics, School of Population and Global Health, University of Melbourne, Victoria, Australia.
Grace JoshyCentre of Epidemiology for Policy and Practice, National Centre of Epidemiology and Population Health, Australian National University, Canberra, Australia.
Sandra EadesCentre for Epidemiology and Biostatistics, School of Population and Global Health, University of Melbourne, Victoria, Australia.

Funding

A Medical Research Future Fund Grant supports the salary of Aryati Yashadhana MRF2009522Emily Banks AM APP2017742National Health and Medical Research CouncilNational Health & Medical Research Council of Australia (NHMRC) 1089104NHMRC Investigator or research fellowship grants supports the salaries of Simon Graham APP2009727Rebecca Ivers AM APP1136430
6 · The paper itself

Abstract

issue addressedAdolescent e-cigarette use is increasing and is associated with subsequent smoking. This study examines potential protective factors associated with not vaping among First Nations adolescents in Australia to inform community programs.

methodsThe 'Next Generation: Youth Wellbeing Study' is a cohort study of First Nations adolescents aged 10-24 years from urban, rural and remote communities in Central Australia, Western Australia and New South Wales. Analysis of self-reported vaping from 16 to 24-year-olds, collected 2018-2020, using multi-level mixed-effects Poisson regression to estimate age-site-adjusted prevalence ratios (PRs) for never-vaping in relation to various factors.

resultsAmong 419 participants, 65% were female, 75% had never vaped, 49% had never smoked and 82% lived in smoke-free homes. Never vaping was more common among those who had: never-smoked (PR = 1.78, 95%CI: 1.56-2.04); never used cannabis (1.89, 1.60-2.24); non-smoking friends (1.38, 1.26-1.51); good mental health (1.15, 1.01-1.30), never diagnosed with depression (1.21, 1.01-1.46) or anxiety (1.31, 1.08-1.57); and no experiences of racism (1.21, 1.08-1.36), no negative criminal justice system experiences (1.25, 1.11-1.41), or vicarious racism through negative media (1.24, 1.10-1.39).

conclusionsMost First Nations adolescents have never vaped, with potential protective factors being better mental health, no other substance use and fewer experiences of racism and justice system interactions. Comprehensive community adolescent prevention programs are needed to prevent vaping and protect future health, including preventing nicotine addiction and future smoking. SO WHAT?: Policies and programs must address e-cigarettes directly as well as structural factors, promoting broader adolescent wellbeing, centring culture and family in a strengths-based approach.

Indexed as

Electronic Nicotine Delivery SystemsVapingAdolescentAustraliaChildCohort StudiesFemaleHumansMaleProtective FactorsYoung AdultAboriginal and Torres Strait Islander peoplee‐cigarettesFirst NationsIndigenoustobaccovapingyoung peopleyouth

Identifiers

PMID39912122
PMCPMC11926581

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.