REVIEW PAPER
Smoking by family members and friends and electronic-cigarette use in adolescence: A systematic review and meta-analysis
Jian-Wei Wang 1,  
Ru-Ying Hu 2  
 
 
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1
Yidu Central Hospital of Weifang, Qingzhou, Shandong, China
2
Zhejiang Provincial Center for Disease Control and Prevention, Hangzhou, Zhejiang, China
Publish date: 2018-02-27
 
Tob. Induc. Dis. 2018;16(February):5
KEYWORDS:
TOPICS:
ABSTRACT:
Introduction:
Evidence suggests that smoking by family members and friends is a strong predictor of smoking uptake in adolescents, yet the influence on electronic cigarette (e-cigarette) use has not been systematically reviewed and quantified.

Methods:
Relevant studies were identified by searches of the PubMed and ScienceDirect databases up to December 2016. The summary odds ratios (ORs) with 95% confidence intervals (CIs) were calculated using a random-effects model.

Results:
A total of 21 studies were included in this meta-analysis. A positive association was observed between adolescent e-cigarette use and smoking by family members (OR=1.47, 95% CI=1.30-1.66) and friends (OR=2.72, 95% CI=1.87-3.95), even after adjusting for the individual smoking status. Stratified by family members, the association with smoking in siblings (OR=1.87, 95% CI=1.35-2.60) was more prominent than that in parents (OR=1.41, 95% CI=1.19- 1.68) and other family members (OR=1.39, 95% CI=1.12-1.72).

Conclusions:
The present meta-analysis suggests that smoking by family members and friends is significantly associated with increased probability of e-cigarette use in adolescents.

CORRESPONDING AUTHOR:
Ru-Ying Hu   
Zhejiang Provincial Center for Disease Control and Prevention, 3399 Binsheng Road, Hangzhou, 310051, China
 
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