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Int J Environ Res Public Health. 2016 Nov 9;13(11). pii: E1114.

Changes in Electronic Cigarette Use from 2013 to 2015 and Reasons for Use among Finnish Adolescents.

Author information

1
School of Health Sciences, University of Tampere, 33014 Tampere, Finland. jaana.m.kinnunen@staff.uta.fi.
2
Department of Health, National Institute for Health and Welfare, 00271 Helsinki, Finland. hanna.ollila@thl.fi.
3
School of Health Sciences, University of Tampere, 33014 Tampere, Finland. pirjo.lindfors@uta.fi.
4
PERLA-Tampere Centre for Childhood, Youth and Family Research, University of Tampere, 33014 Tampere, Finland. pirjo.lindfors@uta.fi.
5
School of Health Sciences, University of Tampere, 33014 Tampere, Finland. arja.rimpela@uta.fi.
6
PERLA-Tampere Centre for Childhood, Youth and Family Research, University of Tampere, 33014 Tampere, Finland. arja.rimpela@uta.fi.
7
Department of Adolescent Psychiatry, Pitkäniemi Hospital, Tampere University Hospital, 33380 Nokia, Finland. arja.rimpela@uta.fi.

Abstract

Electronic cigarettes are quite a new potential source of nicotine addiction among youth. More research is needed, particularly on e-liquid use and socioeconomic factors as potential determinants. We studied changes from 2013 to 2015 in adolescent e-cigarette awareness and ever-use, types of e-liquids, and determinants in Finland. In 2015, we studied weekly use and reasons for ever-use. Data were from two national surveys of 12-18-year-old Finns (2013, n = 3535, response rate 38%; 2015, n = 6698, 41%). Descriptive statistics and logistic regression analysis were used. Awareness and ever-use of e-cigarettes increased significantly from 2013 to 2015 in all age and gender groups. Ever-use increased from 17.4% to 25%, with half having tried nicotine e-liquids. In 2015, weekly use was rare (1.5%). Daily cigarette smoking was the strongest determinant (OR 51.75; 95% CI 38.18-70.14) for e-cigarette ever-use, as for e-cigarette weekly use, but smoking experimentation and ever-use of snus (Swedish type moist snuff) and waterpipes alongside parental smoking and poor academic achievement also increased the odds for ever-use. The most common reason behind e-cigarette ever-use was the desire to try something new. To conclude, adolescent e-cigarette ever-use is increasing, and also among never-smokers. Tobacco-related factors are stronger determinants for e-cigarette use than socioeconomic factors.

KEYWORDS:

Finland; adolescents; electronic cigarette; electronic nicotine delivery system; tobacco use

PMID:
27834885
PMCID:
PMC5129324
DOI:
10.3390/ijerph13111114
[Indexed for MEDLINE]
Free PMC Article

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