Investigating Factors Associated with Adolescent Vaping and Cessation: A Qualitative Study
Keywords:Vaping, E-Cigarettes, Addiction, Adolescent, Nicotine, Vaping Cessation
Background: Since 2015, electronic-cigarette (e-cigarette) use increased among adolescents, necessitating research on effective cessation strategies. This qualitative research examined adolescents’ vaping behaviour and the perceived effectiveness of existing and proposed cessation resources, particularly Health Canada’s 2019 “Consider the Consequences of Vaping” video.
Methods: In 2019, we conducted semi-structured interviews with 14 youth (ages 14-18) with e-cigarette use experience in Calgary, Alberta, Canada. The interviews were analyzed using qualitative description in NVivo.
Results: Participants were introduced to vaping through members of their social groups. Parental guardians and friend groups were highly influential in encouraging and discouraging vaping. Almost all participants held the belief that vaping is healthier than smoking and said that Health Canada’s 2019 “Consider the Consequences of Vaping” campaign video required improvement. Many participants desired to cease vaping but lacked the resources to do so.
Conclusions: This research suggests that a presentation from an ex-vaper, in addition to counselling might be the most useful resources to aid young people to cease vaping.
Al-Hamdani, M., Hopkins, D. B., Hardardottir, A., & Davidson, M. (2021). Perceptions and experiences of vaping among youth and young adult E-cigarette users: Considering age, gender, and tobacco use. Journal of Adolescent Health, 68(4), 787-793. https://doi.org/10.1016/j.jadohealth.2020.08.004
Berlin, I., Thomas, D., Le Faou, A., & Cornuz, J. (2020). COVID-19 and smoking. Nicotine & Tobacco Research, 22(9), 1650-1652. https://doi.org/10.1093/ntr/ntaa059
Centers for Disease Control and Prevention. (2020, September 9). Electronic cigarettes. Retrieved August 1, 2020, from https://www.cdc.gov/tobacco/basic_information/e-cigarettes/index.htm
Chadi, N., Hadland, S. E., & Harris, S. K. (2019). Understanding the implications of the “vaping epidemic” among adolescents and young adults: A call for action. Substance Abuse, 40(1), 7-10. https://doi.org/10.1080/08897077.2019.1580241
Chaykowski, K. (2018, November 16). The Disturbing Focus of Juul's Early Marketing Campaigns. Forbes. Retrieved July 10, 2020, from https://www.forbes.com/sites/kathleenchaykowski/2018/11/16/the-disturbing-focus-of-juuls-early-marketing-campaigns/#5967690b14f9
Creswell, J., & Kaplan, S. (2019). How Juul Hooked a Generation on Nicotine. The New York Times. Retrieved July 5, 2020, from https://nytimes.com/2019/11/23/health/juul-vaping-crisis.html
Dumas, T. M., Ellis, W., & Litt, D. M. (2020). What does adolescent substance use look like during the COVID-19 pandemic? Examining changes in frequency, social contexts, and pandemic-related predictors. Journal of Adolescent Health, 67(3), 354-361. https://doi.org/10.1016/j.jadohealth.2020.06.018
Hammond, D., Reid, J. L., Rynard, V. L., Fong, G. T., Cummings, K. M., McNeill, A., Hitchman, S., Thrasher, J. F., Goniewicz, M. L., Bansal-Travers, M., O’Connor, R., Levy, D., Borland, R., & White, C. M. (2019). Prevalence of vaping and smoking among adolescents in Canada, England, and the United States: Repeat national cross sectional surveys. BMJ, l2219. https://doi.org/10.1136/bmj.l2219
Health Canada, & Government of Canada. (2018, June 26). Tobacco and Vaping Products Act. https://www.canada.ca/en/health-canada/services/health-concerns/tobacco/legislation/federal-laws/tobacco-act.html
Health Canada. (2019). Consider the Consequences of Vaping. Canada.ca. Retrieved July 26, 2020, from https://www.canada.ca/en/services/health/campaigns/vaping.html
Heart and Stroke Foundation of Canada. (2018). E-cigarettes in Canada. https://www.heartandstroke.ca/-/media/pdf-files/position-statements/ecigarettesincanada.ashx?la=en&hash=8939FF52C37A5E11C551176982F2E4AC5D38D605
Hopkins, D. B., & Al-Hamdani, M. (2021). Young Canadian E-Cigarette users and the COVID-19 pandemic: Examining vaping behaviors by pandemic onset and gender. Frontiers in Public Health, 8. https://doi.org/10.3389/fpubh.2020.620748
Kilcommons, S., Horwitz, S., Eon Ha, S., Ebbert, K., Restivo, L., Verbeke, M.-C. M., Hays-Alberstat, A., Cooke, L., Mackay, C., Anselmo, M., Mitchell, I., Doig, C. J., & Guichon, J. R. (2020). Is Canadian federal legislation effective in preventing youth access to vaping initiation products? A study using secret shoppers and online access in three Alberta cities. Preventive Medicine Reports, 19, 101117. https://doi.org/10.1016/j.pmedr.2020.101117
Kong, G., Bold, K. W., Cavallo, D. A., Davis, D. R., Jackson, A., & Krishnan-Sarin, S. (2021). Informing the development of adolescent E-cigarette cessation interventions: A qualitative study. Addictive Behaviors, 114, 106720. https://doi.org/10.1016/j.addbeh.2020.106720
Kurtoglu, S., & Gupta, R. (2019, November 13). The Effects of Vaping on the Voice. Osborne Head & Neck Institute. Retrieved August 1, 2020, from https://www.ohniww.org/the-effects-of-vaping-on-the-voice/
McCreary Centre Society. (2021). Youth vaping during COVID-19: BC youth’s experiences during the pandemic. Retrieved April 15, 2021, from https://www.mcs.bc.ca/pdf/youth_vaping_covid19.pdf
Miech, R., Leventhal, A., Johnston, L., O’Malley, P. M., Patrick, M. E., & Barrington-Trimis, J. (2021). Trends in use and perceptions of nicotine vaping among US youth from 2017 to 2020. JAMA Pediatrics, 175(2), 185. https://doi.org/10.1001/jamapediatrics.2020.5667
Mitchell, I., & Guichon, J. R. (2019). Ethics in Pediatrics. Springer, Cham.
Morissette, S. B., Tull, M. T., Gulliver, S. B., Kamholz, B. W., & Zimering, R. T. (2007). Anxiety, anxiety disorders, tobacco use, and nicotine: A critical review of interrelationships. Psychological Bulletin, 133(2), 245-272. https://doi.org/10.1037/0033-2909.133.2.245
National Institutes of Health (NIH). (2020, December 17). Study finds surge of teen vaping levels off, but remains high in early 2020. Retrieved April 15, 2021, from https://www.nih.gov/news-events/news-releases/study-finds-surge-teen-vaping-levels-remains-high-early-2020
Pistillo, F., Clementi, F., Zoli, M., & Gotti, C. (2015). Nicotinic, glutamatergic and dopaminergic synaptic transmission and plasticity in the mesocorticolimbic system: Focus on nicotine effects. Progress in Neurobiology, 124, 1-27. https://doi.org/10.1016/j.pneurobio.2014.10.002
Public Health Ontario. (2014). Evidence Brief: Communicable disease impacts of sharing electronic-cigarettes with drip tips. https://www.publichealthontario.ca/-/media/documents/E/2014/eb-ecig-communicable-driptip.pdf?la=en
Ramamurthi, D., Chau, C., & Jackler, R. K. (2018). JUUL and other stealth vaporisers: Hiding the habit from parents and teachers. Tobacco Control, 28(6), 610-616. https://doi.org/10.1136/tobaccocontrol-2018-054455
Sanchez, S., Kaufman, P., Pelletier, H., Baskerville, B., Feng, P., O'Connor, S., Schwartz, R., & Chaiton, M. (2021). Is vaping cessation like smoking cessation? A qualitative study exploring the responses of youth and young adults who vape e-cigarettes. Addictive Behaviors, 113, 106687. https://doi.org/10.1016/j.addbeh.2020.106687
Sandelowski, M. (2000). Whatever happened to qualitative description? Research in Nursing & Health, 23(4), 334-340. https://doi.org/10.1002/1098-240x(200008)23:4<334::aid-nur9>3.0.co;2-g
Smith, T. T., Nahhas, G. J., Carpenter, M. J., Squeglia, L. M., Diaz, V. A., Leventhal, A. M., & Dahne, J. (2021). Intention to quit vaping among United States adolescents. JAMA Pediatrics, 175(1), 97. https://doi.org/10.1001/jamapediatrics.2020.2348
Stewart-Knox, B. J., Sittlington, J., Rugkåsa, J., Harrisson, S., Treacy, M., & Abaunza, P. S. (2005). Smoking and peer groups: Results from a longitudinal qualitative study of young people in Northern Ireland. British Journal of Social Psychology, 44(3), 397-414. https://doi.org/10.1348/014466604x18073
U.S. Food and Drug Administration. (2019, September 9). FDA warns JUUL labs for marketing unauthorized modified risk tobacco products, including in outreach to youth. https://www.fda.gov/news-events/press-announcements/fda-warns-juul-labs-marketing-unauthorized-modified-risk-tobacco-products-including-outreach-youth
U.S. Public Health Service, Office of the Surgeon General. (2016). E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. https://e-cigarettes.surgeongeneral.gov/documents/2016_SGR_Full_Report_non-508.pdf
Wolf, M., & Laura, K. R. (2020, April 4). EVALI: New information on vaping-induced lung injury. Harvard Health. Retrieved August 1, 2020, from https://www.health.harvard.edu/blog/evali-new-information-on-vaping-induced-lung-injury-2020040319359
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