Inside the Adolescent Voice: A Qualitative Analysis of the Appeal of Different Tobacco Products

Overview

Journal Tob Induc Dis

Date 2021 Mar 3

PMID 33654482

Citations 8

Authors

Jessica Liu

Divya Ramamurthi

Bonnie Halpern-Felsher

Affiliations

Soon will be listed here.

Abstract

Introduction: While cigarette use has decreased, adolescents' overall use of tobacco (e.g. e-cigarettes, cigars, and hookah) has increased. The purpose of this qualitative study is to highlight the decision-making process of adolescents to use certain products over others and why certain tobacco products appeal to them.

Methods: Twenty-five participants were recruited from a larger study surveying adolescents' perceptions and tobacco use (772 high school students). The participants were involved in one-on-one semi-structured phone interviews on the appeal of different tobacco products. Interviews were recorded, transcribed verbatim, and analyzed by identifying relevant codes and themes.

Results: Participants for this study had a mean age of 16.4 (SD=1.2) years; over half (14/25) were female. Three major themes emerged from the interviews: 1) social context and circumstances to use, including using and sharing with peers, and reducing boredom; 2) importance of flavors, smell, taste, smoke tricks, and accessibility of products; and 3) misperceptions and misinformation of product risks.

Conclusions: The findings that emerged showed why participants favored certain tobacco products, especially e-cigarettes, over others. The results support areas for future research and practice, and inform how interventions can better address the appeal of different tobacco products to ultimately prevent adolescent use.

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References

Crosnoe R, Johnson M . Research on Adolescence in the Twenty-First Century. Annu Rev Sociol. 2017; 37:439-460. PMC: 5695926. DOI: 10.1146/annurev-soc-081309-150008. View

Phua J, Jin S, Hahm J . Celebrity-endorsed e-cigarette brand Instagram advertisements: Effects on young adults' attitudes towards e-cigarettes and smoking intentions. J Health Psychol. 2017; 23(4):550-560. DOI: 10.1177/1359105317693912. View

Padon A, Maloney E, Cappella J . Youth-Targeted E-cigarette Marketing in the US. Tob Regul Sci. 2017; 3(1):95-101. PMC: 5221880. DOI: 10.18001/TRS.3.1.9. View

Leventhal A, Strong D, Kirkpatrick M, Unger J, Sussman S, Riggs N . Association of Electronic Cigarette Use With Initiation of Combustible Tobacco Product Smoking in Early Adolescence. JAMA. 2015; 314(7):700-7. PMC: 4771179. DOI: 10.1001/jama.2015.8950. View

Roditis M, Halpern-Felsher B . Adolescents' Perceptions of Risks and Benefits of Conventional Cigarettes, E-cigarettes, and Marijuana: A Qualitative Analysis. J Adolesc Health. 2015; 57(2):179-85. PMC: 4515157. DOI: 10.1016/j.jadohealth.2015.04.002. View

Nguyen N, McKelvey K, Halpern-Felsher B . Popular Flavors Used in Alternative Tobacco Products Among Young Adults. J Adolesc Health. 2019; 65(2):306-308. PMC: 6658125. DOI: 10.1016/j.jadohealth.2019.05.004. View

McKelvey K, Baiocchi M, Halpern-Felsher B . Adolescents' and Young Adults' Use and Perceptions of Pod-Based Electronic Cigarettes. JAMA Netw Open. 2019; 1(6):e183535. PMC: 6324423. DOI: 10.1001/jamanetworkopen.2018.3535. View

Liu J, Mathur Gaiha S, Halpern-Felsher B . A Breath of Knowledge: Overview of Current Adolescent E-cigarette Prevention and Cessation Programs. Curr Addict Rep. 2020; 7(4):520-532. PMC: 7661014. DOI: 10.1007/s40429-020-00345-5. View

Schaefer D, Adams J, Haas S . Social networks and smoking: exploring the effects of peer influence and smoker popularity through simulations. Health Educ Behav. 2013; 40(1 Suppl):24S-32S. PMC: 4587387. DOI: 10.1177/1090198113493091. View

10.

Persoskie A, OBrien E, Nguyen A, Tworek C . Measuring youth beliefs about the harms of e-cigarettes and smokeless tobacco compared to cigarettes. Addict Behav. 2017; 70:7-13. PMC: 5359056. DOI: 10.1016/j.addbeh.2017.01.033. View

11.

Kong G, Morean M, Cavallo D, Camenga D, Krishnan-Sarin S . Sources of electronic cigarette acquisition among adolescents in Connecticut. Tob Regul Sci. 2017; 3(1):10-16. PMC: 5656288. DOI: 10.18001/TRS.3.1.2. View

12.

Camenga D, Fiellin L, Pendergrass T, Miller E, Pentz M, Hieftje K . Adolescents' perceptions of flavored tobacco products, including E-cigarettes: A qualitative study to inform FDA tobacco education efforts through videogames. Addict Behav. 2018; 82:189-194. PMC: 6699146. DOI: 10.1016/j.addbeh.2018.03.021. View

13.

Bernat D, Gasquet N, Wilson K, Porter L, Choi K . Electronic Cigarette Harm and Benefit Perceptions and Use Among Youth. Am J Prev Med. 2018; 55(3):361-367. PMC: 6168072. DOI: 10.1016/j.amepre.2018.04.043. View

14.

McCausland K, Maycock B, Leaver T, Jancey J . The Messages Presented in Electronic Cigarette-Related Social Media Promotions and Discussion: Scoping Review. J Med Internet Res. 2019; 21(2):e11953. PMC: 6379814. DOI: 10.2196/11953. View

15.

Amrock S, Lee L, Weitzman M . Perceptions of e-Cigarettes and Noncigarette Tobacco Products Among US Youth. Pediatrics. 2016; 138(5). PMC: 5079074. DOI: 10.1542/peds.2015-4306. View

16.

Kong G, Bold K, Cavallo D, Davis D, Jackson A, Krishnan-Sarin S . Informing the development of adolescent e-cigarette cessation interventions: A qualitative study. Addict Behav. 2020; 114:106720. PMC: 7785614. DOI: 10.1016/j.addbeh.2020.106720. View

17.

Jenssen B, Boykan R . Electronic Cigarettes and Youth in the United States: A Call to Action (at the Local, National and Global Levels). Children (Basel). 2019; 6(2). PMC: 6406299. DOI: 10.3390/children6020030. View

18.

Cornacchione J, Wagoner K, Wiseman K, Kelley D, Noar S, Smith M . Adolescent and Young Adult Perceptions of Hookah and Little Cigars/Cigarillos: Implications for Risk Messages. J Health Commun. 2016; 21(7):818-25. PMC: 5003089. DOI: 10.1080/10810730.2016.1177141. View

19.

Clark E, Jones C, Williams J, Kurti A, Norotsky M, Danforth C . Vaporous Marketing: Uncovering Pervasive Electronic Cigarette Advertisements on Twitter. PLoS One. 2016; 11(7):e0157304. PMC: 4943591. DOI: 10.1371/journal.pone.0157304. View

20.

Mejia R, Morello P, Perez A, Pena L, Braun S, Arillo Santillan E . Movies promote tobacco use amongst adolescents: The need for policies to prevent this phenomenon. Rev Asoc Med Argent. 2018; 131(1):24-31. PMC: 6172004. View