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Related Experiment Video

Updated: Dec 5, 2025

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E-cigarette use perceptions that differentiate e-cigarette susceptibility and use among high school students.

Annabel Burnley1,2, Krysten W Bold3, Grace Kong3

  • 1Department of Psychology, University of Amsterdam, Amsterdam, The Netherlands.

The American Journal of Drug and Alcohol Abuse
|October 15, 2020
PubMed
Summary

Adolescent e-cigarette use perceptions vary by use status. Perceived benefits like relaxation increase susceptibility, while perceived risks like heart attack decrease it, informing prevention strategies.

Keywords:
E-cigaretteacquisitionadolescentsbenefit perceptionrisk perceptionsusceptibility

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Area of Science:

  • Public Health
  • Adolescent Health
  • Behavioral Science

Background:

  • E-cigarette use is a growing public health concern among adolescents.
  • Understanding adolescent perceptions of e-cigarette use is crucial for intervention.

Purpose of the Study:

  • To investigate how perceptions of e-cigarette benefits and risks differ between adolescent e-cigarette users and non-users.
  • To identify perceptions associated with susceptibility to future e-cigarette use.

Main Methods:

  • Surveys were administered to 2,592 high school students (grades 9-12) in Connecticut in Spring 2015.
  • Students were categorized into non-susceptible never-users, susceptible never-users, and ever-users.
  • Multinomial logistic regression analyzed the association between 12 e-cigarette use perceptions and use/susceptibility status.

Main Results:

  • Perceptions of feeling relaxed were associated with higher odds of both susceptibility and ever-use.
  • "Control weight" and "look cool" perceptions increased susceptibility odds.
  • Perceived risks like "heart attack," "bad breath," and "lung cancer" were associated with lower odds of susceptibility or ever-use.

Conclusions:

  • Adolescent perceptions of e-cigarette use significantly differ based on their current use and susceptibility status.
  • Findings can inform targeted prevention campaigns by addressing specific perceived benefits and risks.
  • Identifying vulnerable youth through their perceptions can guide tailored public health interventions.