Pathways of Nicotine Product Use: A Qualitative study of Youth and Young adults in California

Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco
Tamar M J AntinGeoffrey Hunt

Abstract

Existing research on youth's adoption of alternative nicotine delivery systems (ANDS) has focused on identifying pathways of nicotine product use, specifically examining whether vaping encourages progression to smoking. Few studies have considered other pathways of initiation. Qualitative studies suggest that meanings of vaping vary significantly, suggestive of the need for a more nuanced understanding of the role of vaping for youth with different pathways into vaping and smoking. We conducted in-depth qualitative interviews with 49 Californian youth between 15-25 years old who reported ever vaping nicotine to gain a deeper understanding of their initiation pathways of vaping and smoking, paying special attention to youth's experiences and reasons for ANDS initiation and use. Categorizing participants into initiation pathways by self-reported use and age of initiation of ANDS and cigarettes, we then compared the meaning and role of vaping across 3 distinct pathways of use: (1) smoking to vaping, (2) vaping to smoking, and (3) vaping only. The most common pathway reported was smoking to vaping (74%), eight participants began vaping prior to smoking, and five participants reported only vaping but never smoking. Analysis of parti...Continue Reading

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Citations

Jun 3, 2021·International Journal of Environmental Research and Public Health·Tamar M J AntinRachelle Annechino

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