Factors associated with experimentation of electronic cigarettes among Parisian teenagers in 2013
Bertrand Dautzenberg 1, 2, 3  
,   Ivan Berlin 2, 3,   Marie-Laure Tanguy 2,   Nicole Rieu 4,   Pierre Birkui 1
More details
Hide details
Paris Sans Tabac (PST), Paris, France
University Hospital Pitié Salpêtrière-Charles Foix (APHP), Paris, France
Université Pierre et Marie Curie (upmc), Faculté de médecine, Paris, France
Rectorat Académie de Paris, Paris, France
Bertrand Dautzenberg   

Paris Sans Tabac (PST), Paris, France
Submission date: 2014-09-28
Acceptance date: 2015-12-14
Publication date: 2015-12-16
Tobacco Induced Diseases 2015;13(December):40
Electronic cigarettes (e-cig.) became widely used among adults. Data are insufficient about e-cig. experimentation among youth.

To assess prevalence of e-cig. experimentation and associated factors among the 12 to 19 years old we analyse a cross sectional school based survey in the city of Paris, France in 2013 on a randomly selected sample of 2 % of schoolchildren (n = 3 279). Self-report questionnaire include demographic, individual and family smoking characteristics and questions about e-cig: “Have you ever used an e-cigarette?”- “Did you use e-cigarette in the last 30 days?”-“Did you try e-cigarette as a first tobacco product?”

In 2013, 17.9 % (564) schoolchildren reported having experienced the e-cig (boys: 19.0 %, girls: 16.8 %) compared to 9.8 % in 2012. Experimentation rate increases from 5 % among the 12 to 30 % among the 16-year-old. E-cig. experimentation was significantly associated with 11 parameters including : age >15 years (OR: 0.66 (IC95 % = 0.46–0.94)); smoking 10 cigarettes or more (OR = 5.67 (IC95 % = 3.11–10.34)), best friends and siblings smoker (OR = 1.54 (IC95 % = 1.11–2.14)) and (OR = 1.88 (IC95 % = 1.41–2.52)); experimentation of shisha (OR = 2.60 (IC95 % = 1.75–3.86)), cannabis use (OR = 1.90 (IC95 % = 1.32–2.72)); having two parents who forbid smoking (OR = 2.32 (IC95 % = 1.63–3.30)). Only 5.6 % of the study population (and 32.5 % of e-cig. experimenters (183/564)) have used it in the last 30 days; 1.7 % of the study population and 10.0 % of e-cig. experimenters were non-smokers (56/564).

Rate of e-cig. experimentation among schoolchildren increased by 8.1 % in 1 year. Non-smoking youth may use e-cig. Prospective studies are urgently needed to assess the evolution of e-cig. use both among smoking and non-smoking youth.

Rapport et avis d’experts sur la cigarette électronique, OFTA 2013, Paris France http://www.ladocumentationfran... Access on the 30 novembre 2015.
Polosa R, Morjaria JB, Caponnetto P, Campagna D, Russo C, Alamo A, et al. Effectiveness and tolerability of electronic cigarette in real-life:a 24-month prospective observational study. Intern Emerg Med. 2014;20:537–46.
Burstyn I. Peering through the mist systematic review of what the chemistry of contaminants in electronic cigarettes tells us about health risks. BMC Public Health. 2014;14:18. doi:10.1186/1471-2458-14-18.
McNeill A, Brose LS, Calder R, Hitchman SC. E-cigarettes: an evidence update. A report commissioned by Public Health England.
Conseil Supérieur de la Santé. Avis 9265 Etat des lieux: cigarette électronique 2015.
WHO – World Health Organization. Electronic nicotine delivery systems – reports by WHO. 2014; FCTC/COP/6/Rev1 FCTC Who framework convention on tabacco control. Internet:
Neuberger M. The electronic cigarette: a wolf in sheep’s clothing. Wien Klin Wochenschr. 2015;127:385–7.
Schneider S, Diehl K. Vaping as a catalyst for smoking? An initial model on the initiation of electronic cigarette use and the transition to tobacco smoking among adolescents. Nicotine Tob Res. 2015. [Epub ahead of print].
McRobbie H, Bullen C, Hartmann-Boyce J, Hajek P. Electronic cigarettes for smoking cessation and reduction. Cochrane Database Syst Rev. 2014;12:CD010216. doi:10.1002/14651858.CD010216.pub2.
Dautzenberg B, Birkui P, Noël M, Dorsett J, Osman M, Dautzenberg MD. Electronic cigarette: a new tobacco product for schoolchildren in Paris. Open J Respir Dis. 2013;3:21–4.
European commission. Special Eurobarometer 385 attitudes of Europeans towards tobacco, 2012. Access on the 30 Novembre 2015.
Cho JH, Shin E, Moon SS. Electronic-cigarette smoking experience among adolescents. J Adolesc Health. 2011;49:542–674.
Dutra LM, Glantz AS. Electronic cigarettes and conventional cigarette use among US adolescents. A cross-sectional study. JAMA pediatrics. 2014;168:610–7.
Goniewicz ML, Zielinska-Danch W. Electronic cigarette use among teenagers and young adults in Poland. Pediatrics. 2012;130:e879–85.
Sutfin EL, McCoy TP, Morrell HE, Hoeppner BB, Wolfson M. Electronic cigarette use by college students. Drug Alcohol Depend. 2013;131:214–21.
Kralikova E, Kubatova S, Truneckova K, Kmetova A, Hajek P. The electronic cigarette:what proportion of smokers has tried it and how many use it regularly? Addiction. 2012;107:1528–9.
King BA, Alam S, Promoff G, Arrazola R, Dube SR. Awareness and ever use of electronic cigarettes among U.S. adults, 2010–2011. Nicotine Tob Res. 2013;18:1623–7.
Adkison SE, O’Connor RJ, Bansal-Travers M, Hyland A, Borland R, Yong HH, et al. Electronic nicotine delivery systems: international tobacco control four- country survey. Am J Prev Med. 2013;44:207–15.
Smoking by family members and friends and electroniccigarette use in adolescence: A systematic review and metaanalysis
Jian-Wei Wang, Shuang-Shuang Cao, Ru-Ying Hu
Tobacco Induced Diseases
Overview of Electronic Nicotine Delivery Systems: A Systematic Review
Allison M. Glasser, Lauren Collins, Jennifer L. Pearson, Haneen Abudayyeh, Raymond S. Niaura, David B. Abrams, Andrea C. Villanti
American Journal of Preventive Medicine
The Associations Between E-Cigarettes and Binge Drinking, Marijuana Use, and Energy Drinks Mixed With Alcohol
Sandra Milicic, Scott T. Leatherdale
Journal of Adolescent Health
Le tabagisme et la cigarette électronique en France
Ivan Berlin
La Presse Médicale
E-Cigarette Use Among Adolescents: An Overview of the Literature and Future Perspectives
Evanthia P. Perikleous, Paschalis Steiropoulos, Emmanouil Paraskakis, Theodoros C. Constantinidis, Evangelia Nena
Frontiers in Public Health
Le tabac et l’enfant : naissance d’une addiction
B. Dautzenberg
Bulletin de l'Académie Nationale de Médecine
Association Between Electronic Cigarette Use and Marijuana Use Among Adolescents and Young Adults
Nicholas Chadi, Rachel Schroeder, Jens Jensen, Sharon Levy
JAMA Pediatrics
Use of Electronic Cigarettes in European Populations: A Narrative Review
A. Kapan, S. Stefanac, I. Sandner, S. Haider, I. Grabovac, T.E. Dorner
International Journal of Environmental Research and Public Health
Association of E-cigarettes with adolescent alcohol use and binge drinking-drunkenness: a systematic review and meta-analysis
Ava Rothrock, Halle Andris, Sarah Swetland, Valeria Chavez, Shira Isaak, Maria Pagane, Jake Romney, Steven Rothrock
The American Journal of Drug and Alcohol Abuse