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Does e-cigarette experimentation increase the transition to daily smoking among young ever-smokers in France?

TitleDoes e-cigarette experimentation increase the transition to daily smoking among young ever-smokers in France?
Publication TypeJournal Article
Year of Publication2020
AuthorsChyderiotis S., Benrnarhnia T., Beck F., Spilka S., Legleye S.
Date Published2020/03
Type of ArticleArticle
ISBN Number0376-8716
Accession NumberWOS:000520941900017
KeywordsAdolescents; E-cigarette; gateway; high-school-students; middle; model; Propensity score; propensity score methods; Psychiatry; reliability; self-reported age; Substance Abuse; Tobacco; Tobacco smoking; united-states; Vaping

Introduction: According to multiple studies, e-cigarette use among adolescents is associated with subsequent smoking initiation. However, little is known about its effect on the transition from smoking initiation to daily smoking. Methods: Using retrospective data from a French national representative survey collected in 2017 (n = 39,115), we analyzed the role of ever using e-cigarettes on daily cigarette smoking status at 17 among ever smokers (n = 21,401). Risk-ratios (RR) were computed through modified Poisson regressions with an inverse probability of treatment weighting (IPTW) approach. Results: Among French adolescents aged 17, 16.8 % declared current e-cigarette use (1.9 % reported daily use) and 34.1 % cigarette smoking (25.1 % reported daily smoking). Among ever-smokers, adolescents who declared having ever used e-cigarettes were less likely than those who did not to transition to daily smoking at 17: RR = 0.62 95 %CI [0.60 - 0.64]. We found similar results for those who experimented with e-cigarettes before initiating smoking, RR = 0.76 95 %CI [0.66 - 0.89]. Conclusions: Our results found no evidence of an increased risk of transitioning to daily smoking at 17 among ever-smokers who also experimented with e-cigarettes. Further studies should investigate the longer-term role of vaping on future smoking habits with the use of causal inference methods.

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