Tobacco Use Insights最新文献

{"title":"Age of Onset of Susceptibility to Different Tobacco Products Among Non-Susceptible US Young Adults: Findings from the Population Assessment of Tobacco and Health Study Waves 2-4 (2014-2017).","authors":"Adriana Pérez,&nbsp;Meagan A Bluestein,&nbsp;Arnold E Kuk,&nbsp;Baojiang Chen,&nbsp;Kymberle L Sterling,&nbsp;Melissa B Harrell","doi":"10.1177/1179173X211065643","DOIUrl":"https://doi.org/10.1177/1179173X211065643","url":null,"abstract":"<p><strong>Introduction: </strong>Initiation of tobacco products is increasing in young adulthood. This study prospectively estimated the age of onset of susceptibility to cigarettes, e-cigarettes, hookah, smokeless tobacco, and cigarillos among young adults, which is a cognitive precursor to initiation.</p><p><strong>Methods: </strong>Secondary data analyses of the Population Assessment of Tobacco and Health (PATH) study, a nationally representative longitudinal cohort study of US adults. Young adults (18-24 years) who were non-susceptible to each tobacco product (cigarettes, e-cigarettes, hookah, smokeless tobacco, and cigarillos) at waves 2 or 3 were followed-up into waves 3-4 to prospectively estimate the age of onset of susceptibility to each tobacco product. Weighted interval-censored survival methods and interval-censored Cox regression models were implemented to estimate the age of onset of susceptibility, and to estimate differences in the hazard function by sex and by race/ethnicity, while controlling for the total number of other tobacco products ever used at their first wave of participation in PATH.</p><p><strong>Results: </strong>By age 21, 16.5%, 16.0%, 12.6%, 12.4%, and 5.9% of young adults reported onset of susceptibility to hookah, e-cigarettes, cigarillos, cigarettes, and smokeless tobacco, respectively. Among young adults who were non-susceptible to each tobacco product at waves 2 or 3, the highest increase in onset of susceptibility occurred between ages 18 and 19 for cigarettes, e-cigarettes, and hookah, while the highest increase in onset of susceptibility occurs between ages 22 and 23 for cigarillos. Young adult males had increased risk of onset of susceptibility to cigarillos and smokeless tobacco at earlier ages than young adult females. Differences in onset of susceptibility to each tobacco product were also observed by race/ethnicity among young adults.</p><p><strong>Conclusions: </strong>With the changing landscape of tobacco products, monitoring the age of onset of susceptibility of tobacco product use among non-susceptible young adults longitudinally is critical to prevent initiation. Communication and education campaigns tailored to address differences in susceptibility among young adults by tobacco product and sociodemographic factors will be useful.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"14 ","pages":"1179173X211065643"},"PeriodicalIF":2.2,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8d/0a/10.1177_1179173X211065643.PMC8671673.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10334781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of E-Cigarette Initiation: Findings From the Youth and Young Adult Panel Study.","authors":"Navitha Jayakumar, Shawn O'Connor, Lori Diemert, Robert Schwartz","doi":"10.1177/1179173X20977486","DOIUrl":"10.1177/1179173X20977486","url":null,"abstract":"<p><strong>Objectives: </strong>Although previous studies have identified reasons why youth try e-cigarettes, longitudinal research is needed to identify predictors of e-cigarette initiation. This study assesses predictors of e-cigarette initiation among youth and young adults in the 2018-2019 Youth and Young Adult Panel Study.</p><p><strong>Methods: </strong>This study examined the proportion of Canadian participants aged 16 to 25 (n = 137) reporting never use of e-cigarettes at baseline in 2018. Individuals were categorized as not initiated and initiated at 12-month follow-up. We examined demographic characteristics, substance use, health status, social influences and perception by initiation category. Adjusted odds ratios (AORs) were calculated using logistic regression models and multivariable logistic regression model.</p><p><strong>Results: </strong>Among the 137 never e-cigarette users at baseline, 59% remained never users while 41% initiated use of e-cigarettes during the 12-month follow-up. The results of multivariable logistic regression analysis showed that regularly seeing anyone use e-cigarettes (AOR: 4.11; 95% CI: 1.04, 16.31) and seeing anyone use e-cigarettes very often or always at baseline (AOR: 4.54; 95% CI: 1.21, 17.01) is associated with initiating e-cigarette use among youth and young adults.</p><p><strong>Conclusion: </strong>The results revealed social influences to be the most important predictors of initiation among youth and young adults. Interventions to prevent youth and young adults from initiating e-cigarette use should expand from only focusing on peer use to reducing use in public space such as parks and recreational facilities.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20977486"},"PeriodicalIF":2.1,"publicationDate":"2020-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/02/f5/10.1177_1179173X20977486.PMC7780163.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38820946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Korean American Smokers' Perspectives on Mobile Smoking Cessation Applications.","authors":"Joonwoo Moon,&nbsp;Julaine S Rigg,&nbsp;Janice E Smith","doi":"10.1177/1179173X20972384","DOIUrl":"https://doi.org/10.1177/1179173X20972384","url":null,"abstract":"<p><strong>Introduction: </strong>The primary purpose of this research is to investigate the adoption process of mobile smoking cessation apps for Korean American smokers with the eventual purpose of proposing a new combined model of smartphone smoking cessation adoption.</p><p><strong>Methods: </strong>From September 2018 to March 2019, a total of 227 Korean American smokers responded to surveys regarding the effectiveness of mobile applications for smoking cessation. A path analysis was used to analyze the predictors of adopting and using smoking cessation applications available via smartphones.</p><p><strong>Results: </strong>Perceived benefits and self-efficacy were important factors for influencing the perceived usefulness of a smoking cessation mobile app. Moreover, the perceived usefulness of a smoking cessation mobile app was also positively related to intention to use a smoking cessation mobile app.</p><p><strong>Conclusion: </strong>Although mobile smoking cessation apps can help many individuals quit smoking, most Korean American smokers are not current users of smoking cessation mobile apps. Therefore, there is a strong need to use strategic evidence-based communication interventions for promoting the widespread adoption of smoking cessation applications.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20972384"},"PeriodicalIF":2.2,"publicationDate":"2020-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179173X20972384","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38784490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Social Inequalities in Smoking Differ by Immigration Status in Young Adults Living in an Urban Setting? Findings From the Interdisciplinary Study of Inequalities in Smoking.","authors":"Jodi Kalubi,&nbsp;Zobelle Tchouaga,&nbsp;Adrian Ghenadenik,&nbsp;Jennifer O'Loughlin,&nbsp;Katherine L Frohlich","doi":"10.1177/1179173X20972728","DOIUrl":"https://doi.org/10.1177/1179173X20972728","url":null,"abstract":"<p><strong>Objectives: </strong>We assessed whether social inequalities in smoking observed among young adults born in Canada were also apparent in same-age immigrants.</p><p><strong>Methods: </strong>Data were drawn from an investigation of social inequalities in smoking conducted in an urban setting (Montreal, Canada). The sample included 2077 young adults age 18 to 25 (56.6% female; 18.9% immigrants who had lived in Canada 11.6 (SD 6.4) years on average). The association between education and current smoking was examined in multivariable logistic regression analyses conducted separately in young adults born in Canada and in immigrants.</p><p><strong>Results: </strong>About 19.5% of immigrants were current smokers compared to 23.8% of young adults born in Canada. In immigrants, relative to those with university education, the adjusted odds ratios (OR) (95% confidence interval) for current smoking were 1.2 (0.6, 2.3) among those with pre-university/vocational training and 1.5 (0.7, 2.9) among those with high school education. In non-immigrants, the adjusted ORs were 1.9 (1.4, 2.5) among those with pre-university/vocational training and 4.0 (2.9, 5.5) among those with high school.</p><p><strong>Conclusion: </strong>Young adults who had immigrated to Canada did not manifest the strong social gradient in smoking apparent in young adults born in Canada. Increased understanding of the underpinnings of this difference could inform development of interventions that aim to reduce social inequalities in smoking.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20972728"},"PeriodicalIF":2.2,"publicationDate":"2020-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179173X20972728","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38682294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lifestyle and Long-Term Smoking Cessation.","authors":"Tove Sohlberg,&nbsp;Karin Helmersson Bergmark","doi":"10.1177/1179173X20963062","DOIUrl":"https://doi.org/10.1177/1179173X20963062","url":null,"abstract":"<p><strong>Background: </strong>Since smoking is the leading cause of preventable death, discouraging smoking initiation, encouraging smoking cessation, and exploring factors that help individuals to stay smoke free are immensely important. One such relevant factor may be the impact of lifestyle for long-term smoking cessation.</p><p><strong>Method: </strong>A representative sample of successful quitters was recruited for a study about smoking cessation. These respondents are now part of a 7-year follow-up with the overall aim of revealing factors affecting long-term smoking cessation. Descriptive analyses were carried out at baseline and at follow-up, as well as a further two-step cluster analysis to explore profiles of long-term smoke-free individuals.</p><p><strong>Results: </strong>A majority did not make any particular lifestyle changes, but among those who did, most adopted a healthier lifestyle and/or increased their quota of physical training, where permanent changes in this direction seem to promote a more enduring smoke-free life.</p><p><strong>Conclusions: </strong>Individuals who want to quit smoking should be encouraged to increase their level of physical activity. Swedish health care institutions should be able to provide support for this both initially and over time to promote the long-term maintenance of a smoke-free lifestyle.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20963062"},"PeriodicalIF":2.2,"publicationDate":"2020-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179173X20963062","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38554787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of a School-Based Tobacco Prevention Program for Middle School Students in Saudi Arabia: A Quasi-Experimental Controlled Trial.","authors":"Dania E Al Agili,&nbsp;Hamisu M Salihu","doi":"10.1177/1179173X20953403","DOIUrl":"https://doi.org/10.1177/1179173X20953403","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of a school-based tobacco program in preventing initiation of tobacco use among adolescents in Saudi Arabia.</p><p><strong>Methods: </strong>We used a quasi-experimental controlled design. Four intervention and four control schools were selected from the regional education registry. A baseline questionnaire was administered to all grade 7 students before implementing the tobacco prevention program, Dentists Fighting Nicotine Dependence (DFND). The intervention group (n =379) received the DFND program whereas the control group (n = 255) received the regular tobacco program administered by the Department of Education. The program was delivered by trained health educators over 5 weeks. Pre- and post-test surveys (immediate and 2-year post-intervention) were collected. Study outcomes were current tobacco use, tobacco knowledge, attitude towards not using tobacco, and perceived behavioral control (PBC) of tobacco use. Covariates included sex, parent education, academic performance, absenteeism, student allowance, and religiosity. Data were analyzed using a two-level hierarchical mixed models.</p><p><strong>Results: </strong>In the immediate post-test, 597 participants (intervention, n = 366; control, n = 231) were surveyed. There was no difference in tobacco use between intervention and control schools, however, the intervention group had significantly higher mean scores for knowledge (β = 1.27, SE = 0.27, <i>P</i> < .01) and attitude toward not using tobacco (β = 5.17, SE = 2.48, <i>P</i> < .05) after adjusting for covariates. At 2-year post-intervention, 463 participants (intervention, n = 289; control, n = 173) were surveyed. There were no differences in tobacco use, knowledge, attitude or PBC between intervention and control groups.</p><p><strong>Conclusions: </strong>Our program did not impact tobacco use. In the short-term, the program significantly improved knowledge and attitude towards not using tobacco. These effects decayed 2 years post-intervention without additional programming. Increasing the effectiveness of DFND may be achieved by expanding curriculum content and practice time throughout the school years and by targeting high-risk adolescents within the program.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20953403"},"PeriodicalIF":2.2,"publicationDate":"2020-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179173X20953403","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38629757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public Support for E-Cigarette-related Policies among a Nationally Representative Sample of US Adults.","authors":"Lauren Czaplicki,&nbsp;Randall Simpson,&nbsp;Yitong Zhou,&nbsp;Minal Patel,&nbsp;Alison F Cuccia,&nbsp;Donna M Vallone,&nbsp;Barbara A Schillo","doi":"10.1177/1179173X20959700","DOIUrl":"https://doi.org/10.1177/1179173X20959700","url":null,"abstract":"<p><strong>Background: </strong>The wide availability of flavored e-cigarettes and broad use of e-cigarettes in public places may contribute to the rapidly increasing rates of use among youth and young adults in the U.S. However, policies at the federal, state and local levels can address these factors.</p><p><strong>Objective: </strong>Assess public support for 5 e-cigarette-related policies and evaluate response patterns by demographics, tobacco use, e-cigarette harm perceptions, geographic region, and strength of state-level clean indoor air policies.</p><p><strong>Methods: </strong>Data were collected Oct-Dec 2018 from a nationally representative online panel of U.S. adults (n = 3211). We measured support for 5 policies: (1) a ban on the sale flavored e-cigarettes; (2) requiring tobacco products, like e-cigarettes, be kept out of view in stores where adolescents shop; and prohibiting e-cigarette use in (3) all public places; (4) restaurants; and (5) bars. Weighted, adjusted logistic regressions modeled variation in policy support.</p><p><strong>Results: </strong>A majority of respondents (63.3%) supported a flavor ban, with no differences in support by smoking status. Most respondents supported keeping tobacco products out of view (78.0%) and prohibiting e-cigarette use in indoor public places (82.9%), restaurants (86.5%), and bars (76.1%). In the adjusted models, current e-cigarette users had significantly lower odds of policy support compared to never users. We observed no differences in support by geographic region or strength of state-level clean indoor air policies.</p><p><strong>Conclusion: </strong>Results suggest high levels of public support to regulate e-cigarette flavors, marketing, and use in public places. Targeted messaging may be needed to increase support among current e-cigarette users.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20959700"},"PeriodicalIF":2.2,"publicationDate":"2020-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179173X20959700","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38527434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"YES it's the Perfect Time to Quit\": Fueling Tobacco Cessation in India during COVID-19 Pandemic.","authors":"Shekhar Grover,&nbsp;Vikrant Mohanty,&nbsp;Swati Jain,&nbsp;Tanu Anand,&nbsp;Mira B Aghi","doi":"10.1177/1179173X20960447","DOIUrl":"https://doi.org/10.1177/1179173X20960447","url":null,"abstract":"<p><p>Entire world is battling the Novel Coronavirus Disease (COVID-19) pandemic. India too, has undertaken stringent containment measures to combat this disease. The country is in a state of national lockdown, which has inadvertently led more than a quarter of the Indian population to not use tobacco. This paper discusses the opportunity that surfaces with unavailability of tobacco products, and advocates the need for escalation of tobacco cessation services as well as strategic management of stress to stay tobacco-free.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20960447"},"PeriodicalIF":2.2,"publicationDate":"2020-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179173X20960447","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38469270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tobacco Use Among the Youth in India: Evidence From Global Adult Tobacco Survey-2 (2016-2017).","authors":"Shekhar Grover,&nbsp;Tanu Anand,&nbsp;Jugal Kishore,&nbsp;Jaya Prasad Tripathy,&nbsp;Dhirendra N Sinha","doi":"10.1177/1179173X20927397","DOIUrl":"https://doi.org/10.1177/1179173X20927397","url":null,"abstract":"<p><strong>Background: </strong>Worldwide, tobacco use is a serious public health concern affecting the youth. A vast majority of tobacco users start using tobacco well before the age of 18 years which has enormous psychosocial and health effects.</p><p><strong>Objectives: </strong>To estimate the prevalence of individual forms of tobacco usage among youth aged 15 to 24 years and to assess the association of sociodemographic factors with tobacco use.</p><p><strong>Methods: </strong>The source of data was a cross-sectional GATS-2 survey in India (analysed using SPSSv17.0) which used a multistage, geographically stratified cluster sampling method. Bivariate analysis was done for evaluation of the possible association of tobacco use with sociodemographic factors. Multivariable logistic regression analysis was conducted to determine the relative strength of association between those factors and tobacco use.</p><p><strong>Results: </strong>There were 13 329 respondents (44.9% males and 55.1% females) aged 15 to 24 years. Overall, 11.9% of respondents were using tobacco. The prevalence of smoke and smokeless tobacco usage was 5% and 10.9%, respectively, whereas 2% of respondents reported dual usage. The odds of using any form of tobacco were significantly higher among respondents aged 20 to 24 years (odds ratio [OR]: 2 [1.76-2.77]) who were primarily residing in rural areas (adjusted odds ratio [aOR]: 1.36 [1.2-1.54]) and were unmarried (aOR: 1.56 [1.37-1.88]). The odds of using any form of tobacco were significantly lower among females (aOR: 0.21 [0.19-0.24]), literate individuals (aOR: 0.33 [0.29-0.37]), and those who were unemployed/students/homemakers (aOR: 0.44 [0.39-0.50]).</p><p><strong>Conclusions: </strong>The overall tobacco usage of 11.9% among young people in the age group of 15 to 24 years is a matter of concern. The study identified several sociodemographic factors significantly associated with tobacco use, implying the need for designing interventions considering social vulnerabilities of youth.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20927397"},"PeriodicalIF":2.2,"publicationDate":"2020-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179173X20927397","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38452436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceptions and Use of Electronic Nicotine Delivery Systems Among Floridian Middle and High School Students: Secondary Analysis of Cross-sectional Survey Results.","authors":"Anastasiya Ferrell,&nbsp;Linda Hadddad,&nbsp;Jennifer Harrison Elder,&nbsp;Cyndi Garvan,&nbsp;Christa L Cook,&nbsp;Ramzi Salloum","doi":"10.1177/1179173X20953402","DOIUrl":"https://doi.org/10.1177/1179173X20953402","url":null,"abstract":"<p><strong>Introduction: </strong>Rapid increase in youth use of Electronic Nicotine Delivery Systems (ENDS) led the state and the federal governments to implement minimum-age policies to restrict minors' access to vaping products. Limited success of the age restrictions fueled efforts to increase the distribution age of all tobacco products to 21 (ie, Tobacco 21 or T21 policies). With limited data on the T21 policies, the current study examines the prevalence of ENDS use and the perceptions about ENDS among youth in the pre- and post-policy-implementation periods for one of these bans in the state of Florida.</p><p><strong>Methods: </strong>This study conducted secondary analysis on the responses from the 2014 and 2015 Florida Youth Tobacco Survey, which collected cross-sectional data.</p><p><strong>Results: </strong>Compared to the data from spring of 2014, the minimum-age policy enacted on July 1, 2014 did not lead to a significant decrease in Florida's high school and middle school students' <i>ever</i> ENDS use (14.9% in 2014 vs 25.8% in 2015) and <i>current</i> ENDS use (7.5% in 2014 vs 12.4% in 2015). There was some ambiguity among students regarding the ENDS harm-more students in 2015 thought of ENDS as both equally (11.0% vs 7.7%) and less (32.4% vs 28%) harmful than cigarettes. There was a decrease in the proportion of students who were unsure about their answer to this question (51.5% vs 59.2%).</p><p><strong>Conclusions: </strong>Policy change alone may not be effective in shifting the trend of ENDS use among middle and high school students. Although students may know about some of the ENDS effects, many of them are still not aware about the harms. Interventions in school and in the community should be aiming to raise this awareness.</p>","PeriodicalId":43361,"journal":{"name":"Tobacco Use Insights","volume":"13 ","pages":"1179173X20953402"},"PeriodicalIF":2.2,"publicationDate":"2020-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1179173X20953402","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38987563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}