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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Does exposure to cigarette brands increase the likelihood of adolescent e-cigarette use? A cross-sectional study
Authors: Best, Catherine
van, der Sluijs Winfried
Haseen, Farhana
Eadie, Douglas
Stead, Martine
MacKintosh, Anne Marie
Pearce, Jamie
Tisch, Catherine
MacGregor, Andy
Amos, Amanda
Miller, Martine
Frank, John W
Haw, Sally
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Keywords: Health policy
Public health
Smoking and tobacco
Issue Date: Feb-2016
Publisher: BMJ Publishing
Citation: Best C, van der Sluijs W, Haseen F, Eadie D, Stead M, MacKintosh AM, Pearce J, Tisch C, MacGregor A, Amos A, Miller M, Frank JW & Haw S (2016) Does exposure to cigarette brands increase the likelihood of adolescent e-cigarette use? A cross-sectional study, BMJ Open, 6 (2), Art. No.: e008734.
Abstract: OBJECTIVE: To examine the relationship between tobacco cigarette brand recognition, and e-cigarette use in adolescents.  DESIGN: Cross-sectional observational study.  SETTING: High schools in Scotland.  PARTICIPANTS: Questionnaires were administered to pupils in Secondary 2 (S2 mean age: 14.0 years) and Secondary 4 (S4 mean age: 15.9 years) across 4 communities in Scotland. An 86\% response rate with a total sample of 1404 pupils was achieved.  MAIN OUTCOME MEASURES: Self-reported previous use of e-cigarettes and self-reported intention to try e-cigarettes in the next 6 months.  RESULTS: 75\% (1029/1377) of respondents had heard of e-cigarettes (69.5\% S2, 81.1\% S4), and of these, 17.3\% (10.6\% S2, 24.3\% S4 n=1020) had ever tried an e-cigarette. 6.8\% (3.7\% S2, 10.0\% S4 n=1019) reported that they intended to try an e-cigarette in the next 6 months. Recognition of more cigarette brands was associated with greater probability of previous e-cigarette use (OR 1.20, 99\% CI 1.05 to 1.38) as was having a best friend who smoked (OR 3.17, 99\% CI 1.42 to 7.09). Intention to try e-cigarettes was related to higher cigarette brand recognition (OR 1.41, 99\% CI 1.07 to 1.87), hanging around in the street or park more than once a week (OR 3.78, 99\% CI 1.93 to 7.39) and living in areas of high tobacco retail density (OR 1.20, 99\% CI 1.08 to 1.34). Never having smoked was a protective factor for both future intention to try, and past e-cigarette use (OR 0.07, 99\% CI 0.02 to 0.25; and OR 0.10, 99\% CI 0.07 to 0.16, respectively).  CONCLUSIONS: Higher cigarette brand recognition was associated with increased probability of previous use and of intention to use e-cigarettes. The impact of tobacco control measures such as restricting point-of-sale displays on the uptake of e-cigarettes in young people should be evaluated.
Type: Journal Article
DOI Link:
Rights: This is an Open Access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) license, which permits others to distribute, remix, adapt and build upon this work, for commercial use, provided the original work is properly cited. See:
Affiliation: HS Research - Stirling
University of St Andrews
University of St Andrews
Institute for Social Marketing
Institute for Social Marketing
Institute for Social Marketing
University of Edinburgh
University of Edinburgh
Scottish Centre For Social Research
University of Edinburgh
University of Edinburgh
University of Edinburgh
HS Research - Stirling

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