ArticleInternational journal of occupational medicine and environmental health2025
Parental influence and multiple nicotine product use patterns among adolescents: a cross-sectional study of family context and e-cigarette use.
Article in International journal of occupational medicine and environmental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
objectivesAdolescent e‑cigarette use is a growing public health concern, yet the influence of family context and risk perceptions on usage patterns remains poorly understood. MATERIAL AND
methodsThis cross-sectional study investigated relationships between family context, risk perceptions, and e‑cigarette use patterns among a nationally representative sample of 4797 Polish adolescents aged 15-18 years who were current e‑cigarette users (defined as use in the past 30 days). Using computer-assisted web interviews, the authors assessed family factors (parental awareness, attitudes, and nicotine use), risk perceptions, and e‑cigarette use behaviors.
resultsAmong adolescent e‑cigarette users, 92.6% engaged in poly-nicotine use (i.e., used ≥1 other nicotine product) with only 7.4% reporting exclusive e‑cigarette use. Notably, 46.7% of participants reported extensive multiple product use (concurrent use of ≥5 products). Structural equation modeling demonstrated that family context significantly influenced e‑cigarette use patterns, both directly (β = 0.31, p < 0.001) and indirectly through risk perceptions (β = 0.12). Risk perception emerged as the strongest direct predictor of e‑cigarette use patterns (β = 0.41, p < 0.001). Parental e‑cigarette use was associated with a 70% increase in adolescents' likelihood of intensive e‑cigarette use (≥10 times daily) (OR = 1.70, 95% CI: 1.39-2.07, p < 0.001). Traditional cigarette initiation (compared to e‑cigarette initiation) was associated with almost twice the likelihood of multiple nicotine product use (OR = 1.89, 95% CI: 1.67-2.13, p < 0.001).
conclusionsThese findings highlight the significant influence of family context and risk perceptions on adolescent nicotine use behaviors, suggesting that family-based interventions addressing these factors could be effective prevention strategies. IInt J Occup Med Environ Health. 2025;38(5):512-27.
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