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Article

Predictors of E-Cigarette Use Susceptibility—A Study of Young People from a Socio-Economically Disadvantaged Rural Area in Poland

1
Department of Hygiene and Epidemiology, Medical University of Lodz, 90-647 Lodz, Poland
2
Department of Environmental Epidemiology, Nofer Institute of Occupational Medicine, 91-348 Lodz, Poland
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(20), 3935; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16203935
Received: 9 September 2019 / Revised: 9 October 2019 / Accepted: 14 October 2019 / Published: 16 October 2019
(This article belongs to the Special Issue E-Cigarettes: A Global Public Health Perspective)
Identification of the youth at risk of e-cigarette use is crucial for development of effective prevention strategies. The current study aims at evaluation of predictors of susceptibility to e-cigarette initiation and experimentation among adolescents. This cross-sectional study included 1693 students (non-current users of e-cigarettes) attending 21 schools in Piotrkowski district (a socially disadvantaged rural area in central Poland). The regression models were applied so as to study factors linked to susceptibility to e-cigarette use among never users (n = 1054) and ever users (n = 639) of e-cigarettes, with susceptibility defined as the absence of a firm decision not to use these products. A high proportion of the youth was susceptible to e-cigarette use (68% of never and 78% of ever e-cigarette users). The adjusted model confirmed the following risk factors: smoking parents and friends (never users: OR = 3.0; p < 0.001; OR = 2.0; p < 0.05; ever users: OR = 2.2; OR = 2.2; p < 0.01), alcohol consumption (never users: moderate drinking OR = 2.9; p < 0.001; binge drinking OR = 2.2; p < 0.01; ever users: moderate drinking OR = 4.2; p < 0.001), cigarette smoking (never users: OR = 14.1; ever users: OR = 11.3; p < 0.001), and perception that e-cigarettes are less harmful than traditional cigarettes (never users: OR = 1.8; p < 0.001). The youth whose mothers had a medium and high educational level (never users: OR = 2.7; p < 0.01; OR = 2.7; p < 0.05; ever users: OR = 5.4; OR = 4.4; p < 0.001), those who perceived girls who use e-cigarettes as more attractive (never users: OR = 4.1; p < 0.001; ever users: OR = 2.9; p < 0.01), and secondary school students (ever users: OR = 5.6; p < 0.001) had higher odds of susceptibility to e-cigarette use. The youth who had more money per month were less susceptible to e-cigarette experimentation (OR = 0.4; p < 0.001). A multi-level intervention approach, considering vulnerable populations, is required to prevent the youth from e-cigarette initiation and experimentation. View Full-Text
Keywords: e-cigarettes; susceptibility; predictors; youth; socially disadvantaged rural area e-cigarettes; susceptibility; predictors; youth; socially disadvantaged rural area
MDPI and ACS Style

Kaleta, D.; Niedzin, M.; Jankowska, A.; Polańska, K. Predictors of E-Cigarette Use Susceptibility—A Study of Young People from a Socio-Economically Disadvantaged Rural Area in Poland. Int. J. Environ. Res. Public Health 2019, 16, 3935. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16203935

AMA Style

Kaleta D, Niedzin M, Jankowska A, Polańska K. Predictors of E-Cigarette Use Susceptibility—A Study of Young People from a Socio-Economically Disadvantaged Rural Area in Poland. International Journal of Environmental Research and Public Health. 2019; 16(20):3935. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16203935

Chicago/Turabian Style

Kaleta, Dorota, Mirosław Niedzin, Agnieszka Jankowska, and Kinga Polańska. 2019. "Predictors of E-Cigarette Use Susceptibility—A Study of Young People from a Socio-Economically Disadvantaged Rural Area in Poland" International Journal of Environmental Research and Public Health 16, no. 20: 3935. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph16203935

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