A longitudinal study of electronic cigarette use and onset of conventional cigarette smoking and marijuana use among Mexican adolescents.
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Purpose This study evaluated whether e-cigarette trial among Mexican adolescents increased the likelihood of trial and use of conventional cigarettes or marijuana use at follow-up.Method A school-based longitudinal survey was conducted in 60 public middle schools from the three largest cities in Mexico. Students (12-13years old) were surveyed in 2015 and followed up 20 months later (n=6574). Generalized estimating equations models were used to evaluate the association between e-cigarette trial at baseline and conventional cigarettes smoking and marijuana use at follow-up.Result Adolescents who had tried e-cigarettes (but not cigarettes) at baseline were more likely to have tried conventional cigarettes at followup compared to adolescents who had tried neither e-cigarettes nor cigarettes (43% vs. 24%, respectively; RR 1.41, 95% CI 1.18-1.70). We also found that adolescents who had tried both conventional cigarettes and e-cigarettes at baseline were more likely to have tried marijuana at follow-up compared to adolescents who had tried neither tobacco product (20% vs. 4%, respectively; RR 2.67, 95% CI 1.78-4.02). Trial of only e-cigarettes was not independently associated with marijuana use at followup.Conclusions Adolescents who had tried e-cigarettes were more likely to have tried conventional cigarettes and marijuana 20 months later. Although e-cigarettes have been banned in Mexico, it is likely that additional policies and public health campaigns are needed to reduce adolescent use of e-cigarettes and its consequences.
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- Authors
- Lozano, P., Barrientos-Gutierrez, I., Arillo-Santillan, E., Morello, P., Mejia, R., Sargent, J. D., & Thrasher, J. F.
- Affiliations
- University of South Carolina (US)
- Center for the Study of State and Society (AR)
- Dartmouth Cancer Center (US)
- Corresponding author
- Lozano, Paula
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2017-11
- Volume
- 180
- Pages
- 427-430
- ISSN
- 0376-8716 (ISSN-L)
- PMC
- PMC5771440
- OpenAlex
- W2760421673
- Cited by
- 85
- References
- 21
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 5 · 2023: 8 · 2022: 8 · 2021: 12 · 2020: 11 · 2019: 17 · 2018: 17 · 2017: 1
- FWCI
- 9.31
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Fogarty International Center and the National Cancer Institute of the United States’ National Institute of Health (R01 TW009274)
- Topics
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- electronic cigarettes, adolescent smoking, conventional cigarette smoking, cannabis use, e-cigarette initiation, adolescent substance use, Mexican adolescents, school-based survey
- MeSH terms
- Cigarette Smoking, Adolescent, Marijuana Abuse, Humans, Longitudinal Studies, Mexico, Surveys and Questionnaires, Students, Mexican Americans, Electronic Nicotine Delivery Systems
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