CitationChen, May S.; Hall, Marissa G.; Parada, Humberto, Jr.; Peebles, Kathryn; Brodar, Kaitlyn E.; & Brewer, Noel T. (2017). Symptoms during Adolescents' First Use of Cigarettes and E-Cigarettes: A Pilot Study. International Journal of Environmental Research and Public Health, 14(10), 1260. PMCID: PMC5664761
AbstractSymptoms adolescents experience during their first time using a cigarette predict their current use, but little is known regarding the symptoms experienced during first e-cigarette use. We conducted a pilot study to understand the symptoms adolescents experience when they first tried cigarettes and e-cigarettes and the associations between these symptoms and current use. Participants were 41 adolescents in two U.S. cities who had tried cigarettes or e-cigarettes. We asked adolescents to recall the symptoms they experienced during their first cigarette or e-cigarette and categorized symptoms as negative (felt bad, coughing/chest pain, bad taste, upset stomach, dizzy/lightheaded) or positive (felt relaxed, rush/buzz). Adolescents reported fewer negative symptoms for first e-cigarette than first cigarette use (all p < 0.05). Current cigarette smoking was associated with endorsing fewer negative symptoms (OR = 0.49, 95% CI = [0.25, 0.95]) and more positive symptoms (OR = 7.11, 95% CI = [1.47, 34.33]) at first cigarette use. First e-cigarette use symptoms were not associated with current e-cigarette use. Adolescents reported fewer negative symptoms from first e-cigarette than from first cigarette, and e-cigarette symptoms did not influence use as they do for cigarettes. Additional research is needed to confirm these findings in longitudinal studies.
Reference TypeJournal Article
Journal TitleInternational Journal of Environmental Research and Public Health
Author(s)Chen, May S.
Hall, Marissa G.
Parada, Humberto, Jr.
Brodar, Kaitlyn E.
Brewer, Noel T.