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Int. J. Environ. Res. Public Health 2017, 14(10), 1260; https://doi.org/10.3390/ijerph14101260

Symptoms during Adolescents’ First Use of Cigarettes and E-Cigarettes: A Pilot Study

1
Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA
2
Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27599, USA
3
Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27599, USA
4
Department of Epidemiology, University of Washington Seattle; Seattle, WA 98195, USA
*
Author to whom correspondence should be addressed.
Received: 7 August 2017 / Revised: 11 October 2017 / Accepted: 16 October 2017 / Published: 20 October 2017
(This article belongs to the Special Issue Electronic Cigarette Use and Public Health)
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Abstract

Symptoms adolescents experience during their first time using a cigarette predict their current use, but little is known regarding the symptoms experienced during first e-cigarette use. We conducted a pilot study to understand the symptoms adolescents experience when they first tried cigarettes and e-cigarettes and the associations between these symptoms and current use. Participants were 41 adolescents in two U.S. cities who had tried cigarettes or e-cigarettes. We asked adolescents to recall the symptoms they experienced during their first cigarette or e-cigarette and categorized symptoms as negative (felt bad, coughing/chest pain, bad taste, upset stomach, dizzy/lightheaded) or positive (felt relaxed, rush/buzz). Adolescents reported fewer negative symptoms for first e-cigarette than first cigarette use (all p < 0.05). Current cigarette smoking was associated with endorsing fewer negative symptoms (OR = 0.49, 95% CI = [0.25, 0.95]) and more positive symptoms (OR = 7.11, 95% CI = [1.47, 34.33]) at first cigarette use. First e-cigarette use symptoms were not associated with current e-cigarette use. Adolescents reported fewer negative symptoms from first e-cigarette than from first cigarette, and e-cigarette symptoms did not influence use as they do for cigarettes. Additional research is needed to confirm these findings in longitudinal studies. View Full-Text
Keywords: electronic cigarettes; tobacco; addiction; adolescents; smoking electronic cigarettes; tobacco; addiction; adolescents; smoking
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Chen, M.S.; Hall, M.G.; Parada, H.; Peebles, K.; Brodar, K.E.; Brewer, N.T. Symptoms during Adolescents’ First Use of Cigarettes and E-Cigarettes: A Pilot Study. Int. J. Environ. Res. Public Health 2017, 14, 1260.

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