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Electronic Cigarettes Use and Intention to Cigarette Smoking among Never-Smoking Adolescents and Young Adults: A Meta-Analysis

Author

Listed:
  • Jieming Zhong

    (Zhejiang Provincial Center for Disease Control and Prevention, 3399 Binsheng Road, Hangzhou 310051, China
    These authors contributed equally to this work.)

  • Shuangshuang Cao

    (Yidu Central Hospital of Weifang, 4138 Linglong Road, Qingzhou 262500, China
    These authors contributed equally to this work.)

  • Weiwei Gong

    (Zhejiang Provincial Center for Disease Control and Prevention, 3399 Binsheng Road, Hangzhou 310051, China)

  • Fangrong Fei

    (Zhejiang Provincial Center for Disease Control and Prevention, 3399 Binsheng Road, Hangzhou 310051, China)

  • Meng Wang

    (Zhejiang Provincial Center for Disease Control and Prevention, 3399 Binsheng Road, Hangzhou 310051, China)

Abstract

Electronic cigarettes (e-cigarettes) use is becoming increasingly common, especially among adolescents and young adults, and there is little evidence on the impact of e-cigarettes use on never-smokers. With a meta-analysis method, we explore the association between e-cigarettes use and smoking intention that predicts future cigarette smoking. Studies were identified by searching three databases up to January 2016. The meta-analysis results were presented as pooled odds ratio (OR) with 95% confidence interval (CI) calculated by a fixed-effects model. A total of six studies (91,051 participants, including 1452 with ever e-cigarettes use) were included in this meta-analysis study. We found that never-smoking adolescents and young adults who used e-cigarettes have more than 2 times increased odds of intention to cigarette smoking (OR = 2.21, 95% CI: 1.86–2.61) compared to those who never used, with low evidence of between-study heterogeneity ( p = 0.28, I 2 = 20.1%). Among never-smoking adolescents and young adults, e-cigarettes use was associated with increased smoking intention.

Suggested Citation

  • Jieming Zhong & Shuangshuang Cao & Weiwei Gong & Fangrong Fei & Meng Wang, 2016. "Electronic Cigarettes Use and Intention to Cigarette Smoking among Never-Smoking Adolescents and Young Adults: A Meta-Analysis," IJERPH, MDPI, vol. 13(5), pages 1-9, May.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:5:p:465-:d:69365
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    References listed on IDEAS

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    1. Choi, K. & Forster, J., 2013. "Characteristics associated with awareness, perceptions, and use of electronic nicotine delivery systems among young US Midwestern adults," American Journal of Public Health, American Public Health Association, vol. 103(3), pages 556-561.
    2. Shannon Gravely & Geoffrey T. Fong & K. Michael Cummings & Mi Yan & Anne C. K. Quah & Ron Borland & Hua-Hie Yong & Sara C. Hitchman & Ann McNeill & David Hammond & James F. Thrasher & Marc C. Willemse, 2014. "Awareness, Trial, and Current Use of Electronic Cigarettes in 10 Countries: Findings from the ITC Project," IJERPH, MDPI, vol. 11(11), pages 1-14, November.
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    Cited by:

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    2. Anna M. Morris & Stephen S. Leonard & Jefferson R. Fowles & Theresa E. Boots & Anna Mnatsakanova & Kathleen R. Attfield, 2021. "Effects of E-Cigarette Flavoring Chemicals on Human Macrophages and Bronchial Epithelial Cells," IJERPH, MDPI, vol. 18(21), pages 1-22, October.
    3. A. Kapan & S. Stefanac & I. Sandner & S. Haider & I. Grabovac & T.E. Dorner, 2020. "Use of Electronic Cigarettes in European Populations: A Narrative Review," IJERPH, MDPI, vol. 17(6), pages 1-22, March.
    4. Crystal Lin & Shivani Mathur Gaiha & Bonnie Halpern-Felsher, 2022. "Nicotine Dependence from Different E-Cigarette Devices and Combustible Cigarettes among US Adolescent and Young Adult Users," IJERPH, MDPI, vol. 19(10), pages 1-9, May.
    5. Eboneé N. Butler & Marissa G. Hall & May S. Chen & Jessica K. Pepper & Hart Blanton & Noel T. Brewer, 2020. "The Prototypes of Tobacco Users Scale (POTUS) for Cigarette Smoking and E-Cigarette Use: Development and Validation," IJERPH, MDPI, vol. 17(17), pages 1-12, August.

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