Epidemiology of Traditional Cigarette and E-Cigarette Use Among Adolescents in Poland: Analysis of Sociodemographic Risk Factors

Abstract

Background: E-cigarettes are electronic nicotine-dispensing systems in the form of an aerosol. Their popularity among adolescents is growing at an exceedingly fast pace. Methods: This study aimed to determine the prevalence of the use of traditional cigarettes and e-cigarettes and identify demographic risk factors for the use of these products by adolescents in large and small cities and rural areas in Poland. This cross-sectional study conducted in 2021 aimed to assess the prevalence of traditional cigarette and e-cigarette use among adolescents aged 12–18 in Poland, while identifying demographic risk factors associated with their usage. A total of 10,388 adolescents participated, predominantly from rural areas. Results: Findings revealed that 12.3% were traditional cigarette smokers, with 90% smoking in the past month, while 14.9% were e-cigarette users, with 84.7% using them in the past month. Dual users accounted for 6.4% of respondents. Non-smokers were younger, and e-cigarette users were more likely to be boys from larger cities. Moreover, mothers of non-smokers tended to have higher education levels than those of traditional cigarette smokers. Conclusions: This study provides important new insights into demographic predictors associated with the use of specific devices, which can help inform targeted interventions to reduce e-cigarette use.