Washington: Researchers have found that besides advertisements, peers, and the internet, the family attitude towards vaping is one of the significant factors responsible for influencing teenagers’ perception of e-cigarettes.
Published in the Journal of — Pediatric Nursing — the study is one of a few to examine the perception adolescents have of e-cigarettes and where these youth receive information about the products.
E-cigarette use has exploded in recent years, rising from less than 2% of high school and middle school students in 2011 to more than 27% in 2018, becoming the most commonly used tobacco product among teens, according to the Centres for Disease Control (CDC).
In the wake of recent vaping-related illnesses and deaths, teenage perceptions of the products are crucial to guiding the development of interventions, said Eunhee Park, PhD, lead investigator and assistant professor in the UB School of Nursing.
“E-cigarette use is an emerging health issue,” said Park. “Given this rapid increase in e-cigarette use among adolescents who are at a developmentally sensitive stage in their lives, a great deal of concern has been expressed about the implications for their health now and in the future.”
The UB researchers interviewed adolescent users and non-users of e-cigarettes in the Western New York area to learn about their attitudes toward vaping.
Unique to this population is that while many adults turn to vaping to help them quit smoking conventional cigarettes, the majority of teens have never smoked cigarettes, said Park.
Compared to other illicit substances, participants generally had a more positive view of e-cigarettes and acknowledged the popularity and acceptance of vaping among their peers.
However, where their perceptions differed is that participants who vaped viewed e-cigarettes as safe, while non-users considered the product to be less harmful than cigarettes, but still dangerous and addictive.
Although the harms associated with cigarettes were well known among adolescents, the majority of participants had a vague understanding of the potential dangers of e-cigarette use.
The variety of flavours available for e-cigarettes was an attractive feature for participants who vaped, as they generally disliked the taste of cigarettes. Non-users were the only participants who viewed e-cigarettes as a gateway to other drugs and risky behaviours.
“The fact that non-users were particularly concerned about gateway effects could be used in prevention programs to keep them from starting e-cigarette use,” said Park.
“However, once adolescents have used e-cigarettes, pleasant and attractive features, such as flavors, may need to be the most important aspects to be addressed in interventions,” added Park.
Participants listed family, advertisements, peers, the internet and social media sites such as Instagram as sources of information about e-cigarettes.
Non-users were more likely to have parents who viewed vaping negatively.
Participants who used e-cigarettes, on the other hand, reported having older siblings who used the products to quit smoking, influencing their perception of e-cigarettes as beneficial and potentially providing easier access to vaping products, revealed Park.
Surprisingly, health care providers were not mentioned as a source of information on e-cigarettes. Given that health care providers are expected to be reliable experts on all health-related matters, it is important for them to understand this new phenomenon and provide an effective preventive effort,” said Park.
The researchers call for mandatory education on e-cigarette use for teens, and for the inclusion of appropriate warnings on products and in advertisements to adolescents. Increased regulation of flavored e-cigarettes may also be a promising approach to intervention, said Park.