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J Adolesc Health. 2014 Nov;55(5):713-5. doi: 10.1016/j.jadohealth.2014.07.015.

Rise in electronic cigarette use among adolescents in Poland.

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Division of Cancer Prevention and Population Sciences, Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, New York. Electronic address:
Department of General and Analytical Chemistry, Medical University of Silesia, Sosnowiec, Poland.
Department of Public Health and Social Medicine, Medical University of Gdansk, Gdansk, Poland.
Department of General and Analytical Chemistry, Medical University of Silesia, Sosnowiec, Poland; Department of Chemical Hazards, Institute of Occupational and Environmental Health, Sosnowiec, Poland.



Despite the potential negative health effects of electronic cigarettes (e-cigarettes), these devices are increasing in popularity worldwide, especially among youth.


We compared data from two cross-sectional studies conducted in Poland among students aged 15-19 years in 2010-2011 and 2013-2014. We tested differences between samples in the prevalence of e-cigarette use, tobacco cigarette smoking, and simultaneous use of both tobacco and e-cigarettes ("dual use") using a multilevel linear mixed model regression.


We found that the current use of e-cigarettes among adolescents in Poland was significantly higher in the 2013-2014 sample than the 2010-2011 sample (29.9% vs. 5.5%, respectively; p < .05). Dual use of tobacco and e-cigarettes was also significantly higher (21.8% vs. 3.6%, respectively; p < .05). Interestingly, the prevalence of smoking tobacco cigarettes also increased (from 23.9% in 2010-2011 to 38.0% in 2013-2014; p < .05).


Observed parallel increase in e-cigarette use and smoking prevalence does not support the idea that e-cigarettes are displacing tobacco cigarettes in this population.


Adolescents; Electronic cigarettes; Nicotine; Smoking; e-cigarettes

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