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01.11.2023 | Original Article

Association Between E-cigarette Exposure and Susceptibility: the Mediation Effect of Perception

verfasst von: Lulu Zhang, JuanJuan Wang, Ziyan Li, Suizi Zhao, Jingfen Zhu

Erschienen in: International Journal of Mental Health and Addiction

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Abstract

This study aims to explore the relationship between e-cigarette social environment exposure, perceptions, and susceptibility. We surveyed 4290 middle school students aged 13–18 in Shanghai, China. A multivariate logistic regression was performed to assess the correlation of e-cigarette social environment exposure, perceptions, and susceptibility in adolescents. A structural equation model was performed to explore the mediation effects of perception. It was found that there was a high rate of social environment exposure to e-cigarettes among adolescents in Shanghai, China. The exposure rate of e-cigarette secondhand aerosol, e-cigarette sales, and e-cigarette information was 42.1%, 69.1%, and 82.3%, respectively. E-cigarette social environment exposure could not only directly affect e-cigarette susceptibility, but also played a role through the mediation effect of perceptions, which accounted for 37.48%. E-cigarette exposure had a greater impact on benefit perceptions than harm perceptions. The influence of various types of e-cigarette exposure and perceptions on susceptibility was different. Among the exposure factors, the risk of secondhand aerosol exposure was the highest (OR = 1.56, 95% CI: 1.16–2.11). Among the perceptual factors, the risk of self-benefit perception was the highest (OR = 4.06, 95% CI: 2.91–5.68), and the risk of socio-environmental benefit perception was the lowest (OR = 1.85, 95% CI: 1.40–2.45). Hence, it is necessary to supervise exposure to e-cigarettes more strictly and strengthen the education of adolescents on e-cigarette cognition.
Literatur
Zurück zum Zitat Bandura, A. (1986). Social foundations of thought and action (pp. 23–28). NJ: Englewood Cliffs. Bandura, A. (1986). Social foundations of thought and action (pp. 23–28). NJ: Englewood Cliffs.
Zurück zum Zitat Best, C., Haseen, F., van der Sluijs, W., Ozakinci, G., Currie, D., Eadie, D., . . . Haw, S. (2016). Relationship between e-cigarette point of sale recall and e-cigarette use in secondary school children: A cross-sectional study. BMC Public Health, 16. ARTN 310 https://​doi.​org/​10.​1186/​s12889-016-2968-2 Best, C., Haseen, F., van der Sluijs, W., Ozakinci, G., Currie, D., Eadie, D., . . . Haw, S. (2016). Relationship between e-cigarette point of sale recall and e-cigarette use in secondary school children: A cross-sectional study. BMC Public Health, 16. ARTN 310 https://​doi.​org/​10.​1186/​s12889-016-2968-2
Zurück zum Zitat Jiang, N., Xu, S., Li, L., El-Shahawy, O., Freudenberg, N., Shearston, J. A., & Sherman, S. E. (2022). The mediating effect of e-cigarette harm perception in the relationship between e-cigarette advertising exposure and e-cigarette use. International Journal of Environmental Research and Public Health, 19(10), ARTN 6215. https://​doi.​org/​10.​3390/​ijerph19106215 CrossRef Jiang, N., Xu, S., Li, L., El-Shahawy, O., Freudenberg, N., Shearston, J. A., & Sherman, S. E. (2022). The mediating effect of e-cigarette harm perception in the relationship between e-cigarette advertising exposure and e-cigarette use. International Journal of Environmental Research and Public Health, 19(10), ARTN 6215. https://​doi.​org/​10.​3390/​ijerph19106215 CrossRef
Zurück zum Zitat Villanti, A. C., Rath, J. M., Williams, V. F., Pearson, J. L., Richardson, A., Abrams, D. B., . . . Vallone, D. M. (2016). Impact of exposure to electronic cigarette advertising on susceptibility and trial of electronic cigarettes and cigarettes in US young adults: A randomized controlled trial. Nicotine Tob Res, 18(5), 1331–1339. https://​doi.​org/​10.​1093/​ntr/​ntv235 Villanti, A. C., Rath, J. M., Williams, V. F., Pearson, J. L., Richardson, A., Abrams, D. B., . . . Vallone, D. M. (2016). Impact of exposure to electronic cigarette advertising on susceptibility and trial of electronic cigarettes and cigarettes in US young adults: A randomized controlled trial. Nicotine Tob Res, 18(5), 1331–1339. https://​doi.​org/​10.​1093/​ntr/​ntv235
Zurück zum Zitat Wang, F. S., Chen, L. Y., & Zhang, M. M. (2017). Electronic Cigarette - From Made in China to Created in China. Consumer Electronics, 04, 38–43. Wang, F. S., Chen, L. Y., & Zhang, M. M. (2017). Electronic Cigarette - From Made in China to Created in China. Consumer Electronics, 04, 38–43.
Zurück zum Zitat Zhang, F. F., Zhang, W. C., Shen, K., Yang, S. Y., & Jiang, Y. G. (2021). Analysis of influencing factors of cigarette and e-cigarette experiment among young students in Songjiang District, Shanghai. Occupation and Health, 204, 2687–2691. Zhang, F. F., Zhang, W. C., Shen, K., Yang, S. Y., & Jiang, Y. G. (2021). Analysis of influencing factors of cigarette and e-cigarette experiment among young students in Songjiang District, Shanghai. Occupation and Health, 204, 2687–2691.
Metadaten
Titel
Association Between E-cigarette Exposure and Susceptibility: the Mediation Effect of Perception
verfasst von
Lulu Zhang
JuanJuan Wang
Ziyan Li
Suizi Zhao
Jingfen Zhu
Publikationsdatum
01.11.2023
Verlag
Springer US
Erschienen in
International Journal of Mental Health and Addiction
Print ISSN: 1557-1874
Elektronische ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-023-01171-2

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