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Article

E-Cigarette-Only and Dual Use among Adolescents in Ireland: Emerging Behaviours with Different Risk Profiles

by
Andrea K. Bowe
1,*,
Frank Doyle
2,
Debbi Stanistreet
3,
Emer O’Connell
1,
Michéal Durcan
4,
Emmet Major
5,
Diarmuid O’Donovan
6 and
Paul Kavanagh
3,7
1
Department of Public Health West, Health Service Executive, Merlin Park, Galway, Ireland
2
Department of Health Psychology, Royal College of Surgeons in Ireland, Dublin 2, Ireland
3
Department of Public Health and Epidemiology, Royal College of Surgeons in Ireland, Dublin 2, Ireland
4
Western Region Drug & Alcohol Task Force, Health Service Executive, Parkmore, Galway, Ireland
5
Western Region Drug & Alcohol Task Force, Galway Roscommon Education Training Board, Parkmore Galway, Ireland
6
School of Medicine, Dentistry and Biomedical Sciences, Centre for Public Health, Queens University, Belfast BT97BL, UK
7
Institution: Health Intelligence, Strategic Planning and Transformation, Health Service Executive, Dublin 1, Ireland
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(1), 332; https://doi.org/10.3390/ijerph18010332
Submission received: 3 December 2020 / Revised: 16 December 2020 / Accepted: 31 December 2020 / Published: 5 January 2021
(This article belongs to the Special Issue Adolescent Substance Use and Related Harms)
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Abstract

E-cigarette-only use and dual-use are emerging behaviours among adolescent nicotine product users which have not yet been sufficiently explored. This study examines the prevalence of, and the factors associated with, nicotine product use in adolescence. The study is a cross-sectional analysis of the 2018 Planet Youth survey completed by 15–16 year olds in the West of Ireland in 2018. The outcome of interest was current nicotine product use, defined as use at least once in the past 30 days. A main effects multinomial logistic regression model was used to examine the association between potential risk and protective factors and nicotine product use. Among 4422 adolescents 22.1% were current nicotine product users, consisting of 5.1% e-cigarette only users, 7.7% conventional cigarette only users, and 9.3% dual-users. For risk factors, the odds of association were weaker for e-cigarette only use compared to conventional cigarette and dual use. Participating in team sport four times/week or more significantly reduced the odds of conventional cigarette and dual use but had no association with e-cigarette only use (Cig: adjusted odds ratio (AOR) 0.63, 95% confidence interval (CI) 0.44–0.90; Dual-use: AOR 0.63, 95% CI 0.43–0.93). Similarly, having higher value for conventional social norms reduced the odds of conventional cigarette and dual use but not e-cigarette only use. This is the first study to show, among a generalisable sample, that dual-use is the most prevalent behaviour among adolescent nicotine product users in Ireland. Risk factor profiles differ across categories of use and prevention initiatives must be cognisant of this.
Keywords: electronic nicotine delivery systems risk factors; tobacco products; adolescent; dual-use electronic nicotine delivery systems risk factors; tobacco products; adolescent; dual-use

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MDPI and ACS Style

Bowe, A.K.; Doyle, F.; Stanistreet, D.; O’Connell, E.; Durcan, M.; Major, E.; O’Donovan, D.; Kavanagh, P. E-Cigarette-Only and Dual Use among Adolescents in Ireland: Emerging Behaviours with Different Risk Profiles. Int. J. Environ. Res. Public Health 2021, 18, 332. https://doi.org/10.3390/ijerph18010332

AMA Style

Bowe AK, Doyle F, Stanistreet D, O’Connell E, Durcan M, Major E, O’Donovan D, Kavanagh P. E-Cigarette-Only and Dual Use among Adolescents in Ireland: Emerging Behaviours with Different Risk Profiles. International Journal of Environmental Research and Public Health. 2021; 18(1):332. https://doi.org/10.3390/ijerph18010332

Chicago/Turabian Style

Bowe, Andrea K., Frank Doyle, Debbi Stanistreet, Emer O’Connell, Michéal Durcan, Emmet Major, Diarmuid O’Donovan, and Paul Kavanagh. 2021. "E-Cigarette-Only and Dual Use among Adolescents in Ireland: Emerging Behaviours with Different Risk Profiles" International Journal of Environmental Research and Public Health 18, no. 1: 332. https://doi.org/10.3390/ijerph18010332

APA Style

Bowe, A. K., Doyle, F., Stanistreet, D., O’Connell, E., Durcan, M., Major, E., O’Donovan, D., & Kavanagh, P. (2021). E-Cigarette-Only and Dual Use among Adolescents in Ireland: Emerging Behaviours with Different Risk Profiles. International Journal of Environmental Research and Public Health, 18(1), 332. https://doi.org/10.3390/ijerph18010332

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