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Dual use of electronic and tobacco cigarettes among adolescents: a cross-sectional study in Poland

  • Original Article
  • Published:
International Journal of Public Health

Abstract

Objectives

Electronic cigarettes (e-cigarettes) are gaining in popularity among youth. While these products may be beneficial in adult smokers, the effect on young users of electronic and tobacco cigarettes (dual users) is unknown. The objective of this study was to assess the frequency of dual use among adolescents and to compare tobacco cigarette consumption among dual and exclusive tobacco cigarette users.

Methods

A cross-sectional survey of a sample of 2213 Polish students aged 16–18 conducted between December 2013 and February 2014.

Results

Overall, 21.8 % of students were dual users. Dual users were more likely to smoke tobacco cigarettes on a daily basis [adjusted odds ratio, AOR 3.54 (95 % CI 2.34–5.36) and less likely to smoke fewer cigarettes per day (AOR 0.27 (95 % CI 0.12–0.57)] than exclusive tobacco cigarette users.

Conclusions

The frequency of dual use was higher than exclusive use of a single product among Polish adolescents. Young dual users do not smoke a lower number of tobacco cigarettes per day than exclusive tobacco cigarette users.

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Acknowledgments

Mr. McGuire was supported with a scholarship funded by the Roswell Park Alliance Foundation. We thank Danielle Smith and Craig Steger for editorial help.

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Authors and Affiliations

  1. Department of Health Behavior, Roswell Park Cancer Institute, Elms and Carlton Streets, Buffalo, NY, 14263, USA

    Maciej L. Goniewicz, Noel J. Leigh & Connor McGuire

  2. Division of Laboratory Medicine in Sosnowiec, Department of General and Inorganic Chemistry, School of Pharmacy, Medical University of Silesia, Katowice, Poland

    Michal Gawron & Andrzej Sobczak

  3. Department of Public Health and Social Medicine, Medical University of Gdansk, Gdansk, Poland

    Justyna Nadolska & Lukasz Balwicki

  4. Department of Chemical Hazards, Institute of Occupational and Environmental Health, Sosnowiec, Poland

    Andrzej Sobczak

Authors
  1. Maciej L. Goniewicz
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  2. Noel J. Leigh
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  3. Michal Gawron
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  4. Justyna Nadolska
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  5. Lukasz Balwicki
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  6. Connor McGuire
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  7. Andrzej Sobczak
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Corresponding author

Correspondence to Maciej L. Goniewicz.

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Conflict of interest

Dr. Goniewicz reports grants from Pfizer Inc., a manufacturer of smoking cessation drugs, outside the submitted work; Dr. Balwicki reports grants from Tobacco-Free Kids, outside the submitted work; Dr. Sobczak reports personal fees from the eSmoking Institute, Poznan, Poland and non-financial support from Chic Group LTD, a manufacturer of electronic cigarettes in Poland, outside the submitted work. The other authors have nothing to disclose.

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This article is part of the special issue “Electronic Cigarettes and Public Health”.

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Goniewicz, M.L., Leigh, N.J., Gawron, M. et al. Dual use of electronic and tobacco cigarettes among adolescents: a cross-sectional study in Poland. Int J Public Health 61, 189–197 (2016). https://doi.org/10.1007/s00038-015-0756-x

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  • DOI: https://doi.org/10.1007/s00038-015-0756-x

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