E-Cigarette-Only and Dual Use among Adolescents in Ireland: Emerging Behaviours with Different Risk Profiles

Andrea K. Bowe, Frank Doyle, Debbi Stanistreet, Emer O’Connell, Michéal Durcan, Emmet Major, Diarmuid O’Donovan and Paul Kavanagh
Additional contact information
Andrea K. Bowe: Department of Public Health West, Health Service Executive, Merlin Park, Galway, Ireland
Frank Doyle: Department of Health Psychology, Royal College of Surgeons in Ireland, Dublin 2, Ireland
Debbi Stanistreet: Department of Public Health and Epidemiology, Royal College of Surgeons in Ireland, Dublin 2, Ireland
Emer O’Connell: Department of Public Health West, Health Service Executive, Merlin Park, Galway, Ireland
Michéal Durcan: Western Region Drug & Alcohol Task Force, Health Service Executive, Parkmore, Galway, Ireland
Emmet Major: Western Region Drug & Alcohol Task Force, Galway Roscommon Education Training Board, Parkmore Galway, Ireland
Diarmuid O’Donovan: School of Medicine, Dentistry and Biomedical Sciences, Centre for Public Health, Queens University, Belfast BT97BL, UK
Paul Kavanagh: Department of Public Health and Epidemiology, Royal College of Surgeons in Ireland, Dublin 2, Ireland

IJERPH, 2021, vol. 18, issue 1, 1-13

Abstract: E-cigarette-only use and dual-use are emerging behaviours among adolescent nicotine product users which have not yet been sufficiently explored. This study examines the prevalence of, and the factors associated with, nicotine product use in adolescence. The study is a cross-sectional analysis of the 2018 Planet Youth survey completed by 15–16 year olds in the West of Ireland in 2018. The outcome of interest was current nicotine product use, defined as use at least once in the past 30 days. A main effects multinomial logistic regression model was used to examine the association between potential risk and protective factors and nicotine product use. Among 4422 adolescents 22.1% were current nicotine product users, consisting of 5.1% e-cigarette only users, 7.7% conventional cigarette only users, and 9.3% dual-users. For risk factors, the odds of association were weaker for e-cigarette only use compared to conventional cigarette and dual use. Participating in team sport four times/week or more significantly reduced the odds of conventional cigarette and dual use but had no association with e-cigarette only use (Cig: adjusted odds ratio (AOR) 0.63, 95% confidence interval (CI) 0.44–0.90; Dual-use: AOR 0.63, 95% CI 0.43–0.93). Similarly, having higher value for conventional social norms reduced the odds of conventional cigarette and dual use but not e-cigarette only use. This is the first study to show, among a generalisable sample, that dual-use is the most prevalent behaviour among adolescent nicotine product users in Ireland. Risk factor profiles differ across categories of use and prevention initiatives must be cognisant of this.

Keywords: electronic nicotine delivery systems risk factors; tobacco products; adolescent; dual-use (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (4)

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