Smoking Intention and Progression From E-Cigarette Use to Cigarette Smoking

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Abstract

OBJECTIVES: To investigate whether the prospective association between electronic cigarette (e-cigarette) use and cigarette smoking is dependent on smoking intention status. METHODS: Waves 2 and 3 data of the Population Assessment of Tobacco and Health (PATH) Study, a US nationally representative prospective cohort study of tobacco use. Data were collected in 2014-2015 (wave 2) and 2015-2016 (wave 3) and analyzed in 2019. RESULTS: At wave 2, 12.8% of adolescent never-smokers of conventional cigarettes had intention to smoke and 8.5% had ever used an e-cigarette. At wave 3, 3.2% had ever smoked a cigarette. Both smoking intention and ever using e-cigarettes at wave 2 were positively associated with cigarette smoking at wave 3 (adjusted odds ratio [aOR] = 3.03; 95% confidence interval [CI] = 1.97-4.68, P < .001; aOR = 4.62, 95% CI = 2.87-7.42, P < .001, respectively). The interaction between smoking intention and ever using e-cigarettes was significant (aOR = 0.34, 95% CI = 0.18-0.64, P 4 times the odds of cigarette smoking (aOR = 4.62; 95% CI 2.87-7.42; P

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Owotomo, O., Stritzel, H., McCabe, S. E., Boyd, C. J., & Maslowsky, J. (2020). Smoking Intention and Progression From E-Cigarette Use to Cigarette Smoking. Pediatrics, 146(6). https://doi.org/10.1542/peds.2020-002881

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