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      Is e-cigarette advertising associated with e-cigarette use among young people? New survey evidence from Poland

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          Abstract

          Objective

          Young people are routinely exposed to e-cigarettes advertising. We examined the impact of e-cigarette advertising on e-cigarette use in a large representative sample of adolescents.

          Methods

          Data came from cross-sectional sample of the nationwide study on the health effects of tobacco products called PolNicoYouth, which included adolescents aged 15–18 years ( N = 7,498). Data were collected through a detailed questionnaire recommended by international health organizations for monitoring tobacco use by adolescents. Simple and multiple logistic regression analyzes were conducted, adjusting for sex, age, type of school, place of residence, smoking of traditional cigarettes and parental smoking. Frequencies and proportions for descriptive statistics, and adjusted odds ratios with 95% confidence intervals for logistic regression models were reported.

          Results

          Approximately, 56% of interviewees had noticed some form of e-cigarettes advertising. Exposure to e-cigarette advertising was significantly associated with ever use of e-cigarettes (OR = 1.29; 95% CI: 1.09–1.53). Exposure to e-cigarette advertising via club/pub/disco was significantly associated with current e-cigarette use (OR = 1.58; 95% CI: 1.06–2.36). Adolescents who have ever used e-cigarettes were more likely than never users to report exposure to advertisements on club/pub/disco (OR = 1.57; 95% CI: 1.08–2.30) and internet (OR = 1.22; 95% CI: 1.01–1.47).

          Conclusion

          Despite the applicable advertising restrictions, the majority of young people declared contact with e-cigarette advertising, which shows the urgent need for more global action. The internet and advertisements in clubs, pubs and discos seem to be the key places of exposure. These forms of exposure need to be urgently addressed given their clear link to e-cigarette use.

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          Most cited references23

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          • Article: not found

          Association Between Initial Use of e-Cigarettes and Subsequent Cigarette Smoking Among Adolescents and Young Adults: A Systematic Review and Meta-analysis.

          The public health implications of e-cigarettes depend, in part, on whether e-cigarette use affects the risk of cigarette smoking.
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            • Article: not found

            E-cigarettes and smoking cessation in real-world and clinical settings: a systematic review and meta-analysis.

            Smokers increasingly use e-cigarettes for many reasons, including attempts to quit combustible cigarettes and to use nicotine where smoking is prohibited. We aimed to assess the association between e-cigarette use and cigarette smoking cessation among adult cigarette smokers, irrespective of their motivation for using e-cigarettes.
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              Is Open Access

              An updated overview of e-cigarette impact on human health

              The electronic cigarette ( e-cigarette ), for many considered as a safe alternative to conventional cigarettes, has revolutionised the tobacco industry in the last decades. In e-cigarettes , tobacco combustion is replaced by e-liquid heating, leading some manufacturers to propose that e-cigarettes have less harmful respiratory effects than tobacco consumption. Other innovative features such as the adjustment of nicotine content and the choice of pleasant flavours have won over many users. Nevertheless, the safety of e-cigarette consumption and its potential as a smoking cessation method remain controversial due to limited evidence. Moreover, it has been reported that the heating process itself can lead to the formation of new decomposition compounds of questionable toxicity. Numerous in vivo and in vitro studies have been performed to better understand the impact of these new inhalable compounds on human health. Results of toxicological analyses suggest that e-cigarettes can be safer than conventional cigarettes, although harmful effects from short-term e-cigarette use have been described. Worryingly, the potential long-term effects of e-cigarette consumption have been scarcely investigated. In this review, we take stock of the main findings in this field and their consequences for human health including coronavirus disease 2019 (COVID-19).
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                Author and article information

                Contributors
                URI : https://loop.frontiersin.org/people/2765731/overviewRole: Role: Role: Role: Role:
                Role: Role: Role:
                Role: Role: Role:
                Role: Role: Role: Role: Role: Role:
                Journal
                Front Public Health
                Front Public Health
                Front. Public Health
                Frontiers in Public Health
                Frontiers Media S.A.
                2296-2565
                07 October 2024
                2024
                : 12
                : 1448011
                Affiliations
                [1] 1Department of Hygiene and Epidemiology, Medical University of Łódź , Łódź, Poland
                [2] 2Department of Informatics in Business and Medicine, University of Łódź , Łódź, Poland
                [3] 3Department of Public Health and Social Medicine, Medical University of Gdańsk , Gdańsk, Poland
                Author notes

                Edited by: Keryn E. Pasch, The University of Texas at Austin, United States

                Reviewed by: Vijay Sivaraman, North Carolina Central University, United States

                Marta Kożybska, Pomeranian Medical University, Poland

                *Correspondence: Beata Świątkowska, beata.swiatkowska@ 123456umed.lodz.pl
                Article
                10.3389/fpubh.2024.1448011
                11491323
                39435405
                9b5f4c84-12a2-48e4-abf0-1c6ba8b05393
                Copyright © 2024 Świątkowska, Zajdel, Balwicki and Kaleta.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 19 June 2024
                : 20 September 2024
                Page count
                Figures: 0, Tables: 3, Equations: 0, References: 26, Pages: 6, Words: 4960
                Funding
                The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.
                Categories
                Public Health
                Original Research
                Custom metadata
                Substance Use Disorders and Behavioral Addictions

                adolescents,advertising,e-cigarettes,youth,promotional activities

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