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Symptoms during Adolescents’ First Use of Cigarettes and E-Cigarettes: A Pilot Study

Author

Listed:
  • May S. Chen

    (Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA)

  • Marissa G. Hall

    (Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA
    Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27599, USA)

  • Humberto Parada

    (Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27599, USA
    Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA)

  • Kathryn Peebles

    (Department of Epidemiology, University of Washington Seattle; Seattle, WA 98195, USA)

  • Kaitlyn E. Brodar

    (Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA)

  • Noel T. Brewer

    (Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA
    Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27599, USA)

Abstract

Symptoms adolescents experience during their first time using a cigarette predict their current use, but little is known regarding the symptoms experienced during first e-cigarette use. We conducted a pilot study to understand the symptoms adolescents experience when they first tried cigarettes and e-cigarettes and the associations between these symptoms and current use. Participants were 41 adolescents in two U.S. cities who had tried cigarettes or e-cigarettes. We asked adolescents to recall the symptoms they experienced during their first cigarette or e-cigarette and categorized symptoms as negative (felt bad, coughing/chest pain, bad taste, upset stomach, dizzy/lightheaded) or positive (felt relaxed, rush/buzz). Adolescents reported fewer negative symptoms for first e-cigarette than first cigarette use (all p < 0.05). Current cigarette smoking was associated with endorsing fewer negative symptoms (OR = 0.49, 95% CI = [0.25, 0.95]) and more positive symptoms (OR = 7.11, 95% CI = [1.47, 34.33]) at first cigarette use. First e-cigarette use symptoms were not associated with current e-cigarette use. Adolescents reported fewer negative symptoms from first e-cigarette than from first cigarette, and e-cigarette symptoms did not influence use as they do for cigarettes. Additional research is needed to confirm these findings in longitudinal studies.

Suggested Citation

  • May S. Chen & Marissa G. Hall & Humberto Parada & Kathryn Peebles & Kaitlyn E. Brodar & Noel T. Brewer, 2017. "Symptoms during Adolescents’ First Use of Cigarettes and E-Cigarettes: A Pilot Study," IJERPH, MDPI, vol. 14(10), pages 1-7, October.
    • Handle: RePEc:gam:jijerp:v:14:y:2017:i:10:p:1260-:d:115729
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    Cited by:

    1. Walton Sumner & Konstantinos Farsalinos, 2018. "Lessons and Guidance from the Special Issue on Electronic Cigarette Use and Public Health," IJERPH, MDPI, vol. 15(7), pages 1-9, June.
    2. Dominika Cichońska & Aida Kusiak & Barbara Kochańska & Jolanta Ochocińska & Dariusz Świetlik, 2019. "Influence of Electronic Cigarettes on Selected Antibacterial Properties of Saliva," IJERPH, MDPI, vol. 16(22), pages 1-7, November.

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