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dc.contributor.authorRaitasalo, Kirsimarja
dc.contributor.authorBye, Elin Kristin
dc.contributor.authorPisinger, Charlotta
dc.contributor.authorScheffels, Janne
dc.contributor.authorTokle, Rikke
dc.contributor.authorKinnunen, Janna M.
dc.contributor.authorOllila, Hanna M.
dc.contributor.authorRimpelä, Arja
dc.coverage.spatialNordenen_US
dc.date.accessioned2022-09-21T11:54:37Z
dc.date.available2022-09-21T11:54:37Z
dc.date.created2022-03-24T10:44:19Z
dc.date.issued2022-01-07
dc.identifier.citationInternational Journal of Environmental Research and Public Health (IJERPH). 2022, 19 (2), .en_US
dc.identifier.issn1661-7827
dc.identifier.issn1660-4601
dc.identifier.urihttps://hdl.handle.net/11250/3020204
dc.description.abstractNew tobacco and nicotine products have emerged on the market in recent years. Most research has concerned only one product at a time, usually e-cigarettes, while little is known about the multiple use of tobacco and nicotine products among adolescents. We examined single, dual, and triple use of cigarettes, e-cigarettes, and snus among Nordic adolescents, using data of 15–16-year-olds (n = 16,125) from the European School Survey Project on Alcohol and other Drugs (ESPAD) collected in 2015 and 2019 from Denmark, Finland, Iceland, Norway, Sweden, and the Faroe Islands. Country-specific lifetime use of any of these products ranged between 40% and 50%, and current use between 17% and 31%. Cigarettes were the most common product in all countries except for Iceland, where e-cigarettes were remarkably more common. The proportion of dual and triple users was unexpectedly high among both experimental (24%–49%) and current users (31–42%). Triple use was less common than dual use. The users’ patterns varied somewhat between the countries, and Iceland differed substantially from the other countries, with a high proportion of single e-cigarette users. More knowledge on the patterns of multiple use of tobacco and nicotine products and on the potential risk and protective factors is needed for targeted intervention and prevention efforts.en_US
dc.description.sponsorshipThis research was financially supported by the Nordic Cancer Union (R250-A14491), Juho Vainio Foundation (202010401), and Tampere University Hospital (State Research Funding numbers 9X048 and 9AA066).en_US
dc.language.isoengen_US
dc.publisherMDPIen_US
dc.relation.ispartofseriesInternational Journal of Environmental Research and Public Health (IJERPH);Volume 19 / Issue 2
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.subjectMultiple useen_US
dc.subjectCigarettesen_US
dc.subjectElectronic cigarettesen_US
dc.subjectSnusen_US
dc.subjectNordic countriesen_US
dc.titleSingle, Dual, and Triple Use of Cigarettes, e-Cigarettes, and Snus among Adolescents in the Nordic Countriesen_US
dc.typePeer revieweden_US
dc.typeJournal articleen_US
dc.description.versionpublishedVersionen_US
dc.rights.holder© 2022 by the authorsen_US
dc.source.articlenumber683en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.doihttps://doi.org/10.1080/09687637.2021.2023468
dc.identifier.cristin2012213
dc.source.journalInternational Journal of Environmental Research and Public Health (IJERPH)en_US
dc.source.volume19en_US
dc.source.issue2en_US
dc.source.pagenumber1-11en_US
dc.relation.projectNordic Cancer Union: R250-A14491en_US
dc.relation.projectJuho Vainion Säatiö: 202010401en_US
dc.relation.projectTampereen yliopistollinen sairaala: 9X048en_US
dc.relation.projectTampereen yliopistollinen sairaala: 9AA066en_US


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Navngivelse 4.0 Internasjonal
Except where otherwise noted, this item's license is described as Navngivelse 4.0 Internasjonal