Use and susceptibility of youth aged 13–15 years to cigarettes, e-cigarettes and heated tobacco products: results of the Global Youth Tobacco Survey 2022 in eight Italian regions.
Smoking is a leading risk factor for many preventable chronic diseases across the lifespan. Adolescence represents a critical period for the adoption of health-risk behaviours, including tobacco and nicotine products consumption. Evidence shows that adolescents who are susceptible to tobacco use are...
| Published in: | European Journal of Public Health Vol. 35; no. 5; pp. 930 - 938 |
|---|---|
| Main Authors: | , , , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Oxford University Press / USA
Oct2025
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188809836&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188809836 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Oct2025 vid: 35 iid: 5 pid: 622 pub: Oxford University Press / USA artinfo: ui: 188809836 188809836 188809836 10.1093/eurpub/ckaf126 188809836 ppf: 930 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Use and susceptibility of youth aged 13–15 years to cigarettes, e-cigarettes and heated tobacco products: results of the Global Youth Tobacco Survey 2022 in eight Italian regions. aug: au: Zamagni, Giulia Concina, Federica Pani, Paola Gorini, Giuseppe Asta, Federica Mastrobattista, Luisa Timelli, Laura Spizzichino, Lorenzo Carletti, Claudia Ronfani, Luca Minardi, Valentina 2022, GYTS Group affil: Clinical Epidemiology and Public Health Research Unit, Institute for Maternal and Child Health—IRCCS "Burlo Garofolo", Trieste, Italy sug: subj: Smoking Epidemiology Smoking Risk Factors Electronic Cigarettes Utilization Tobacco Products Utilization Risk Taking Behavior In Adolescence Risk Assessment Human Male Female Adolescence Surveys Italy Peer Group Sex Factors Friendship Parents Advertising School Health Education Multiple Logistic Regression Cross Sectional Studies Sociodemographic Factors Questionnaires Univariate Statistics Descriptive Statistics Data Analysis Software Odds Ratio Confidence Intervals Funding Source Smoking Cessation Programs Chi Square Test Probability Sample Geographic Factors Adolescent: 13-18 years Male Female ab: Smoking is a leading risk factor for many preventable chronic diseases across the lifespan. Adolescence represents a critical period for the adoption of health-risk behaviours, including tobacco and nicotine products consumption. Evidence shows that adolescents who are susceptible to tobacco use are more likely to initiate and maintain smoking than their non-susceptible peers. This study examines factors associated with susceptibility to cigarettes, electronic cigarettes (e-cigs) and heated tobacco products (HTPs) in adolescents aged 13–15 years. Data were drawn from the 2022 Global Youth Tobacco Survey conducted in eight Italian regions. Susceptibility to tobacco products was measured through intentions to use tobacco and responses to hypothetical peer offers. Influencing factors (i.e. age, gender, having smoking friends or parents, exposure to tobacco advertising and to anti-smoking messages at school) were evaluated using a multivariable random intercept logistic regression to account for variability between macro-regions (North, Centre, South). The study included 17 713 participants from 738 schools and 1219 classes. Susceptibility to cigarettes was 27.8%, to e-cigs 36.6%, and to HTPs 29.5%. Regional differences emerged, with higher cigarette susceptibility in the South and higher e-cig susceptibility in the North. Having smoking friends was the strongest risk factor [cigarettes: odds ratio (OR) = 2.02, e-cigs: OR = 2.03, HTPs: OR = 2.22]. Anti-smoking messages at school were protective (cigarettes: OR = 0.92, e-cigarettes: OR = 0.91, HTPs: OR = 0.88). Individual factors had a stronger influence than geographical differences. The findings underscore the need for comprehensive tobacco control policies addressing the rising prevalence of poly-product use, stronger marketing regulations, and school-based and peer-led interventions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|