Relationship between e-cigarette point of sale recall and e-cigarette use in secondary school children: a cross-sectional study



Best C, Haseen F, van der Sluijs W, Ozakinci G, Currie D, Eadie D, Stead M, MacKintosh AM, Pearce J, Tisch C, MacGregor A, Amos A, Frank JW & 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, Art. No.: 310.

Background  There has been a rapid increase in the retail availability of e-cigarettes in the UK and elsewhere. It is known that exposure to cigarette point-of-sale (POS) displays influences smoking behaviour and intentions in young people. However, there is as yet no evidence regarding the relationship between e-cigarette POS display exposure and e-cigarette use in young people.  Methods  This cross sectional survey was conducted in four high schools in Scotland. A response rate of 87% and a total sample of 3808 was achieved. Analysis was by logistic regression on e-cigarette outcomes with standard errors adjusted for clustering within schools. The logistic regression models were adjusted for recall of other e-cigarette adverts, smoking status, and demographic variables. Multiple chained imputation was employed to assess the consistency of the findings across different methods of handling missing data.  Results  Adolescents who recalled seeing e-cigarettes in small shops were more likely to have tried an e-cigarette (OR 1.92 99% CI 1.61 to 2.29). Adolescents who recalled seeing e-cigarettes for sale in small shops (OR 1.80 99% CI 1.08 to 2.99) or supermarkets (OR 1.70 99% CI 1.22 to 2.36) were more likely to intend to try them in the next 6months.  Conclusions  This study has found a cross-sectional association between self-reported recall of e-cigarette POS displays and use of, and intention to use, e-cigarettes. The magnitude of this association is comparable to that between tobacco point of sale recall and intention to use traditional cigarettes in the same sample. Further longitudinal data is required to confirm a causal relationship between e-cigarette point of sale exposure and their use and future use by young people.

E-cigarettes; Vaping; Adolescents; Advertising; Point of sale display; Smoking; Tobacco control

BMC Public Health: Volume 16

FundersNational Institute for Health Research
Publication date14/04/2016
Publication date online14/04/2016
Date accepted by journal16/03/2016
PublisherBioMed Central

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Dr Catherine Best

Dr Catherine Best

Lecturer Statistician, Institute for Social Marketing

Ms Anne Marie MacKintosh

Ms Anne Marie MacKintosh

Senior Researcher, Institute for Social Marketing

Professor Gozde Ozakinci

Professor Gozde Ozakinci

Professor and Deputy Dean of Faculty, Psychology

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