First tobacco product tried and current use of cigarettes and electronic cigarettes among adolescents from Guatemala City.
Salud Publica Mex
; 65(1, ene-feb): 46-53, 2023 Jan 02.
Article
in En
| MEDLINE
| ID: mdl-36750072
ABSTRACT
OBJECTIVE:
To assess how first experimenting with ciga-rettes or e-cigarettes is associated with current use in Gua-temala, a middle-income country with weak tobacco control and no e-cigarette regulations. MATERIALS ANDMETHODS:
We surveyed students from private schools in Guatemala City, limiting analyses to ever users (n=1 026). Multinomial logistic models regressed current product use on first product used, adjusting for sociodemographics and friends and family use.RESULTS:
The most common first product used was e-cigarettes (56%), followed by flavored cigarettes (24%) and regular cigarettes (20%). At the time of the survey, 4% were exclusive smokers, 37% were exclusive e-cigarette users, 18% dual users, and 40% had ever tried either but were not current users. Compared to those who first tried cigarettes, students who first tried e-cigarettes were less likely to be current smokers (RR=0.19 [CI 0.11,0.31]) or dual users (RR=0.26 [CI 0.14,0.49]) and students who first tried flavored cigarettes were more likely to be current smokers (RR=1.66 [CI=1.13,2.42]).CONCLUSIONS:
In our sample, Guatemalan adolescents from private schools more frequently experiment and continue to use e-cigarettes than cigarettes. There is urgent need to implement e-cigarette restrictions in addition to tobacco control policy implementation.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Tobacco Products
/
Electronic Nicotine Delivery Systems
Type of study:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Humans
Country/Region as subject:
America central
/
Guatemala
Language:
En
Journal:
Salud Publica Mex
Year:
2023
Type:
Article
Affiliation country:
Guatemala