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Int. J. Environ. Res. Public Health 2018, 15(1), 54; doi:10.3390/ijerph15010054

Favourable Perceptions of Electronic Cigarettes Relative to Cigarettes and the Associations with Susceptibility to Electronic Cigarette Use in Hong Kong Chinese Adolescents

1
School of Public Health, The University of Hong Kong, Hong Kong, China
2
School of Nursing, The University of Hong Kong, Hong Kong, China
*
Author to whom correspondence should be addressed.
Received: 26 September 2017 / Revised: 24 December 2017 / Accepted: 29 December 2017 / Published: 1 January 2018
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
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Abstract

We investigated favourable perceptions of electronic cigarettes (ECs) relative to cigarettes and their associations with EC use susceptibility in adolescents. Hong Kong Chinese Secondary 1–6 (U.S. grade 7–12) students (n = 40,202) were surveyed in 2014/2015 on EC use, cigarette smoking, favourable perceptions of ECs relative to cigarettes, EC use susceptibility, family smoking, and socio-demographic characteristics. Cox regression yielded adjusted prevalence ratios (APRs) of EC use susceptibility in never users, excluding those unaware of ECs. In all students, 8.9% were ever EC users, 47.2% reported favourable perceptions of ECs relative to cigarettes, such as less likely to cause accidents (25.2%) and less harmful to users (24.5%), and 28.9% did not know ECs. Among never EC users who were aware of ECs (n = 24,663), EC use susceptibility was associated with each of the favourable perceptions, especially greater attractiveness (APR 2.84, 95% CI 2.53–3.19), and better parental (2.75, 2.41–3.15) and school acceptability (2.56, 2.15–3.05). An increased number of favourable perceptions of ECs relative to cigarettes was associated more strongly with the susceptibility (p for trend < 0.001). Our findings inform strategies to reduce unwarranted favourable perceptions and prevent adolescent EC use. View Full-Text
Keywords: electronic cigarettes; perceptions; adolescents; Chinese electronic cigarettes; perceptions; adolescents; Chinese
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Leung, L.T.; Ho, S.Y.; Chen, J.; Wang, M.P.; Lam, T.H. Favourable Perceptions of Electronic Cigarettes Relative to Cigarettes and the Associations with Susceptibility to Electronic Cigarette Use in Hong Kong Chinese Adolescents. Int. J. Environ. Res. Public Health 2018, 15, 54.

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