Nicotine dependence among adolescents single and dual cigarette users
Document Type
Article
Publication Date
2-1-2021
Abstract
The prevalence of concurrent use of combustible and electronic cigarettes (dual-use) is on the rise among Malaysian adolescents. This study compares nicotine dependence among exclusive cigarette users, e-cigarette users, and dual adolescent users. A total of 227 adolescent smokers completed a self-administrated questionnaire with items based on Hooked on Nicotine Checklist (HONC) incorporated. Endorsement of at least one HONC item indicates nicotine dependence. Exhaled carbon monoxide readings and salivary cotinine data were also collected. Over half (52.9%) of the participants were exclusive e-cigarette users (EC). The prevalence of exclusive conventional cigarette smokers (CC) and dual users was 11.9% and 35.2%, respectively. Adolescents who have mothers with secondary school education were more likely to become addicted to nicotine (Adjusted Odd Ratio (aOR) = 2.72; 95% CI = 1.17-6.32). Adolescents' ``mother's education'' level predicted nicotine dependence. This highlighted the need to target families within the identified demography with a more supportive anti-tobacco program.
Keywords
Nicotine dependence, HONC, Malaysian, Adolescent, Dual user, Salivary cotinine, Smoking
Divisions
Dentistry,fac_med
Funders
Universiti Malaya (RU029-2014)
Publication Title
Children-Basel
Volume
8
Issue
2
Publisher
MDPI
Publisher Location
ST ALBAN-ANLAGE 66, CH-4052 BASEL, SWITZERLAND