The association of modifiable and socio‐demographic factors with first transitions from smoking to exclusive e‐cigarette use, dual use or no nicotine use: Findings from the Avon Longitudinal Study of Parents and Children United Kingdom birth cohort
Background and Aims: E‐cigarettes can aid smoking cessation and reduce carcinogen exposure. Understanding differences in characteristics between young adults who quit smoking, with or without e‐cigarettes, or dual use can help tailor interventions. The aim of this study was to describe first transit...
| Publicado en: | Addiction Vol. 120; no. 9; pp. 1804 - 1816 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Sep2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187112586&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187112586 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Sep2025 vid: 120 iid: 9 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 187112586 185121108 187112586 187112586 10.1111/add.70076 187112586 ppf: 1804 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: The association of modifiable and socio‐demographic factors with first transitions from smoking to exclusive e‐cigarette use, dual use or no nicotine use: Findings from the Avon Longitudinal Study of Parents and Children United Kingdom birth cohort aug: au: Andrayas, Alexandria Heron, Jon Khouja, Jasmine Jones, Hannah Munafò, Marcus Sallis, Hannah Hines, Lindsey Curnow, Elinor affil: School of Psychological Science, University of Bristol, Bristol, UK sug: subj: Substance Abuse Risk Factors Sociodemographic Factors United Kingdom Smoking Risk Factors Smoking Prevention and Control Electronic Cigarettes Utilization Nicotine Smoking Cessation Health Status Evaluation Risk Assessment Self Report Smoking Epidemiology Human Funding Source Association (Research) United Kingdom Prospective Studies Male Female Questionnaires Descriptive Statistics Confidence Intervals Friendship Educational Status Peer Group Cannabis Sedentary Behavior Body Mass Index Parents Young Adult Adult Adult Children Adult: 19-44 years Male Female ab: Background and Aims: E‐cigarettes can aid smoking cessation and reduce carcinogen exposure. Understanding differences in characteristics between young adults who quit smoking, with or without e‐cigarettes, or dual use can help tailor interventions. The aim of this study was to describe first transitions from smoking and explore substance use, sociodemographic, and health characteristic associations with the probability of each possible first transition from smoking. Design and Setting: Longitudinal birth cohort data from the Avon Longitudinal Study of Parents and Children (ALSPAC), conducted in the United Kingdom. Participants: A total of 858 participants were included who reported tobacco smoking in the past month at age 21 during a questionnaire collected in 2013. Measurements: The first reported non‐exclusive smoking event following smoking, observed approximately annually between ages 22 and 30, was categorized as either no nicotine use, exclusive e‐cigarette use, or dual use. Discrete‐time subdistribution hazard models were used to examine associations between different covariates, including substance use, sociodemographic, and health characteristics, with the probability of each first transition from smoking. Analyses were adjusted for early‐life confounders and weighted to mitigate bias. Findings Among participants, 52% stopped nicotine use, 27% reported dual use, and 9% used e‐cigarettes exclusively. Smoking weekly or more (Subdistribution Hazard Ratio [SHR] = 0.28, 95% Confidence Interval [CI] = 0.22–0.35), having many friends who smoke (SHR = 0.64, 95% CI = 0.50–0.81), and lower education (SHR = 0.68, 95% CI = 0.52–0.90) reduced the likelihood of no nicotine use and increased dual use (frequent smoking SHR = 3.00, 95% CI = 1.96–4.59; peer smoking SHR = 1.55, 95% CI = 1.07–2.24; education SHR = 1.72, 95% CI = 1.03–2.90). Cannabis use (SHR = 0.67, 95% CI = 0.49–0.92), drug use (SHR = 0.77, 95% CI = 0.59–0.99), less exercise (SHR = 0.71, 95% CI = 0.53–0.95), and early parenthood (SHR = 0.46, 95% CI = 0.27–0.79) reduced no nicotine use. Higher BMI (SHR = 1.58, 95% CI = 1.08–2.31) increased dual use. Conclusions: In the United Kingdom, young adults who smoke frequently, have more smoking peers, have lower education, engage in drug use, exercise less, or become parents early appear to be less likely to stop nicotine use than other young adults who smoke. Frequent smoking, peer smoking, lower education, and higher body mass index also appear to be associated with increased dual use of cigarettes and e‐cigarettes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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