IJERPH, Vol. 15, Pages 830: The Role of Knowledge and Risk Beliefs in Adolescent E-Cigarette Use: A Pilot Study

IJERPH, Vol. 15, Pages 830: The Role of Knowledge and Risk Beliefs in Adolescent E-Cigarette Use: A Pilot Study

International Journal of Environmental Research and Public Health doi: 10.3390/ijerph15040830

Authors: Jacob A. Rohde Seth M. Noar Casey Horvitz Allison J. Lazard Jennifer Cornacchione Ross Erin L. Sutfin

The use of e-cigarettes and other vaping devices among adolescents is an urgent public health problem due to the concern about adolescent exposure to nicotine. This study examined: (1) adolescents’ knowledge and beliefs about e-cigarette risks; and (2) whether knowledge and risk beliefs were associated with e-cigarette use. N = 69 adolescents completed a cross-sectional survey about e-cigarette knowledge, attitudes (i.e., risk beliefs), and behavior (KAB). Nearly half (47%) of the sample reported ever using e-cigarettes. The majority of adolescents knew about many of the risks of e-cigarettes, with no differences between never- and ever-users. However, risk beliefs, such as worrying about health risks of using e-cigarettes, varied across groups. Compared to never-users, e-cigarette ever-users were significantly less likely to worry about e-cigarette health risks, less likely to think that e-cigarettes would cause them negative health consequences, and less likely to believe that e-cigarette use would lead to addiction. In a multivariable logistic regression, prior combustible cigarette use, mother’s education, and addiction risk beliefs about e-cigarettes emerged as significant predictors of adolescents’ e-cigarette use. This study reveals that while knowledge is not associated with adolescent e-cigarette use, risk beliefs do predict use.

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