AUTHOR=Fan Jiannan , Mao Tao , Zhen Shiqi , Xu Yan , Qu Chen 

TITLE=Comparative analysis of e-cigarette prevalence and influencing factors among adolescents in Jiangsu Province, China

JOURNAL=Frontiers in Public Health

VOLUME=Volume 11 - 2023

YEAR=2023

URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2023.1221334

DOI=10.3389/fpubh.2023.1221334

ISSN=2296-2565

ABSTRACT=The objectives of this study were to investigate electronic cigarette (ecigarette) and cigarette use in Jiangsu Province, China, by analyzing the two-year trends of e-cigarette usingsmoking and to explore the factors influencing the experimentation and use of e-cigarettes. Methods: We conducted a cross-sectional study following the standard methodology of the Global Youth Tobacco Survey in 2019 and 2021. A three-stage cluster sampling design was applied. Eighty-two schools in 14 districts (counties) in Jiangsu Province were surveyed. All computations were performed using the SPSS 21.0 complex samples procedure. Multivariate logistic regression was used to explore the factors influencing e-cigarette experimentation and use. Results: A total of 12,410 and 12,880 students were surveyed in 2019 and 2021, respectively. E-cigarette experimentation increased from 9.34% in 2019 to 13.07% in 2021 (P<0.001). E-cigarette use increased from 2.23% in 2019 to 3.74% in 2021 (P<0.001). Conclusion: E-cigarette use among adolescents has been on the rise in recent years. Ecigarette use is associated with past cigarette use and a strong desire to smoke. It is crucial to take health education and tobacco control efforts to reduce adolescents' ecigarette use rate.