Is adolescent e-cigarette use associated with smoking in the United Kingdom?: A systematic review with meta-analysis

Aladeokin, Adewale and Haighton, Katie (2019) Is adolescent e-cigarette use associated with smoking in the United Kingdom?: A systematic review with meta-analysis. Tobacco Prevention & Cessation, 5 (April). p. 15. ISSN 2459-3087

[img]
Preview
Text
Tob._Prev._Cessation_2019_5.pdf - Published Version
Available under License Creative Commons Attribution Non-commercial 4.0.

Download (343kB) | Preview
Official URL: http://dx.doi.org/10.18332/tpc/108553

Abstract

Introduction: Though smoking is a public health problem the use of e-cigarettes has been associated with a reduction in smoking in developed countries. However, public health experts have raised concerns about the association of e-cigarette use with an increase in traditional cigarette smoking in adolescents. Reviewlevel evidence is generally supportive of this concern, but as it is mainly based on studies from the USA we investigated if e-cigarette use is associated with traditional cigarette smoking in adolescents (aged 10–19 years) in the UK.

Methods: We conducted a systematic review of empirical studies. Databases (PubMed, Medline via ProQuest, CINAHL and SCOPUS) were searched between January 2005 and May 2018 using search terms based on the concepts: adolescents, traditional cigarette smoking, e-cigarettes, and UK. Using predefined inclusion and exclusion criteria, a total of eight studies (involving 73076 adolescents) were included in this review. Three of the included studies were eligible to be combined in a meta-analysis. The CASP appraisal tool was used to assess study quality while risk of bias was assessed using ROBINS-I.

Results: Studies included in the meta-analysis showed that adolescents who use e-cigarettes are up to six times more likely to smoke traditional cigarettes. Furthermore, results showed that traditional cigarette smoking can also precede e-cigarette use in adolescents and there was increased likelihood of an increase in initial product use (e-cigarette or traditional cigarette) when the alternate product was initiated.

Conclusions: Public health policy makers in the UK still need clear conclusions about the effects and safety of e-cigarettes.

Item Type: Article
Uncontrolled Keywords: adolescent, e-cigarette, United Kingdom, systematic review, smoking
Subjects: L500 Social Work
Department: Faculties > Health and Life Sciences > Social Work, Education and Community Wellbeing
Depositing User: Becky Skoyles
Date Deposited: 24 Apr 2019 10:29
Last Modified: 24 Apr 2019 10:30
URI: http://nrl.northumbria.ac.uk/id/eprint/39040

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year

View more statistics


Policies: NRL Policies | NRL University Deposit Policy | NRL Deposit Licence