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J Adolesc Health. 2015 Jul;57(1):123-5. doi: 10.1016/j.jadohealth.2015.03.006. Epub 2015 Apr 28.

Use of Conventional and Alternative Tobacco and Nicotine Products Among a Sample of Canadian Youth.

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School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada.
School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada. Electronic address:
Propel Centre for Population Health Impact, University of Waterloo, Waterloo, Ontario, Canada.



The purpose of this study was to examine the use of conventional and alternative tobacco and nicotine products among secondary school students.


Respondents were 44,163 grade 9-12 students who participated in Year 2 (2013-2014) of COMPASS, a cohort study of 89 purposefully sampled secondary schools in Ontario and Alberta, Canada. Past-month use of various tobacco and nicotine products was assessed, as well as correlates of use, using a generalized linear mixed effects model.


Overall, 21.2% of the sample reported past-month use of any tobacco or nicotine product, with 7.2% reporting past-month use of e-cigarettes. E-cigarette users reported significantly greater prevalence of current use for all products. Students who were male, white, had more spending money, and had a history of tobacco use were more likely to report past-month use of e-cigarettes.


Approximately one fifth of youth reported past-month use of a nicotine product, with e-cigarettes being the third most common product. Overall, the findings suggest a rapidly evolving nicotine market.


Alternative tobacco products; Electronic cigarettes; Nicotine

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