Prevalence and factors associated with e-cigarettes consumption among adolescents: A cross-sectional analysis in Latin America and the Caribbean
Abstract
E-cigarette use among adolescents has increased globally; however, there is little evidence about usage patterns and their associated factors in Latin America and the Caribbean. This study aimed to estimate the prevalence and evaluate the factors associated with e-cigarette use among adolescents in 16 Latin American and Caribbean countries. A secondary data analysis was performed using the Global Youth Tobacco Survey collected between 2014 and 2022. Age-standardized prevalences and their respective 95% confidence intervals (95% CI) were calculated, and Poisson regression models were used to identify associated factors, reporting prevalence ratios (PR) and their 95% CIs. Data from 55,330 adolescents were analyzed. The prevalence of e-cigarette use in the past 30 days was 8.0% (95% CI: 6.9%–9.3%), whereas daily use was 0.7% (95% CI: 0.5%–1.1%), with significant differences by sex (p = 0.002). Factors associated with e-cigarette use were older age (PR = 1.29; 95%CI: 1.17-1.41), exposure to tobacco smoke at home (PR = 2.25; 95%CI: 1.46-3.46) and at school (PR = 2.16; 95%CI: 1.77-2.62). On the other hand, daily use was associated with sex (PR = 0.35; 95%CI: 0.17-0.73), spending capacity (PR = 4.01; 95%CI: 1.94-8.27) and exposure to smoking at home (PR = 3.47; 95%CI: 1.54-7.80). Among adolescents in Latin America and the Caribbean, e-cigarette use was significant and depended on the indicator used. Any e-cigarette use was associated with older age, smoking exposure at home and at…
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