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Adolescent Use of E-Cigarettes and Waterpipes in Ontario: A Study on Trends and Implications

This research explores the prevalence of e-cigarette and waterpipe use among Ontario adolescents, emphasizing the association with tobacco cigarettes and demographic factors. The study reveals insights into these alternative devices and underscores the need for increased awareness and public health education.

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Adolescent Use of E-Cigarettes and Waterpipes in Ontario: A Study on Trends and Implications

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  1. E-Cigarette and Waterpipe Use Among Adolescents in Ontario Hayley A. Hamilton1,2, Roberta Ferrence2,3, Angela Boak1, Robert Schwartz1,2.3, Robert E. Mann1,2, Shawn O’Connor1,2,3, Edward M. Adlaf1,2 1 Centre for Addiction and Mental Health; 2Dalla Lana School of Public Health, University of Toronto; 3 Ontario Tobacco Research Unit

  2. Background • Alternative devices are gaining in popularity • Marketing often targets youth • Knowledge of these devices and their safety varies

  3. Electronic Cigarette • Electronic Nicotine Delivery Systems (ENDS) • Contains unknown quantities of nicotine and other chemicals • Lack of data that differentiates between nicotine and non-nicotine use among adolescents

  4. Waterpipe • Contains nicotine and other toxins that contribute to cancer and other illnesses • Little knowledge of adolescent use

  5. Research Objectives • To describe the prevalence of waterpipe use and nicotine and non-nicotine e-cigarette use among adolescents in Ontario • To describe the association between use of alternative devices and use of tobacco cigarettes and sociodemographicfactors.

  6. Data • 2013 Ontario Student Drug Use and Health Survey (OSDUHS) • Students in grades 7-12 • E-cigarette & waterpipe use first asked in 2013

  7. Measure • E-cigarette use – lifetime use; half sample of high school students only • Waterpipe use – past year & lifetime; half sample of students;

  8. Lifetime use, Grades 9-12

  9. Lifetime use (cont’d)

  10. Gender & Grade Differences

  11. Type of E-Cigarette Among E-Cigarette Users 1 Among e-cigarette users who have or have not used tobacco cigarettes in past year

  12. Adjusted Odds Ratios 1 E-cigarette (n=2814); Waterpipe (n=2801) 1 E-cigarette & waterpipe regressed on all characteristics listed 2 Alcohol use – excludes those who drink at special events only

  13. Conclusion • Largely used by those who have smoked tobacco cigarettes and drank alcohol in the past year • Need to establish safety given relatively high use • Greater public health education

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