Dual use of electronic and tobacco cigarettes among adolescents: a cross-sectional study in Poland
- 741 Downloads
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.
A cross-sectional survey of a sample of 2213 Polish students aged 16–18 conducted between December 2013 and February 2014.
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.
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.
KeywordsElectronic cigarette Tobacco cigarette Dual use Adolescent
Mr. McGuire was supported with a scholarship funded by the Roswell Park Alliance Foundation. We thank Danielle Smith and Craig Steger for editorial help.
Compliance with ethical standards
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.
- Durmowicz EL (2014) The impact of electronic cigarettes on the paediatric population. Tob Control 23(suppl 2):ii41–ii46Google Scholar
- Kinnunen JM, Ollila H, El-Amin SE-T, Pere LA, Lindfors PL, Rimpelä AH (2014) Awareness and determinants of electronic cigarette use among Finnish adolescents in 2013: a population-based study. Tob Control:tobaccocontrol-2013-051512Google Scholar
- Public Opinion Research Center (2014) Youth in Poland A.D. 2013. Warsaw, Poland. http://www.cinn.gov.pl/portal?id=15&res_id=673746. Accessed 21 August 2015
- Vardavas CI, Filippidis FT, Agaku IT (2014) Determinants and prevalence of e-cigarette use throughout the European Union: a secondary analysis of 26 566 youth and adults from 27 Countries. Tob Control:tobaccocontrol-2013-051394Google Scholar