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Research Article
Sai Yin Ho
University of Hong Kong
Corresponding Author
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Smoking is a major cause of health inequities. However, sociodemographic differences in adolescent tobacco use are unclear, especially for new tobacco products. We investigated tobacco use patterns and sociodemographic correlates in Hong Kong adolescents. In a territory-wide school-based survey, 33 991 students (US grade 7–12) completed an anonymous questionnaire. Tobacco use prevalences and current-ever use ratios by sociodemographic factors were calculated. Generalised linear mixed models were used in association analyses. Current use was highest for cigarettes (3.19%), closely followed by alternative tobacco products (2.96%). Current-ever use ratios were highest for heated tobacco products (HTPs, 0.60), followed by nicotine-containing e-cigarettes (0.52), waterpipe (0.51) and cigarettes (0.35). Student use prevalences and current-ever use ratios of all products showed J-shaped relations with family affluence, being highest in the richest families. Tobacco use was also associated with higher grades, the lowest parental education and boys, but current-ever use ratios of HTP and waterpipe were higher in girls. The results suggested that adolescent ever users of nicotine-containing alternative products were more likely to keep using them than cigarettes, and the richest adolescents were at the highest risks of tobacco use. Diverse tobacco control measures are needed to improve health equity, especially on alternative products.
Keywords
Tobacco, Alternative tobacco products, Electronic cigarettes, Heated tobacco products, Sociodemographic factors, Adolescents
Figure 1
No competing interests reported.
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CURRENT STATUS: Under Review
Version 1
Posted 22 Feb, 2021
No community comments so far
Editorial decision: Major revision
On 24 Mar, 2021
Reviews received
Received 21 Mar, 2021
Reviewers agreed
On 10 Mar, 2021
Reviewers invited
Invitations sent on 09 Mar, 2021
Editor assigned
On 01 Mar, 2021
Editor invited
On 16 Feb, 2021
Submission checks complete
On 16 Feb, 2021
First submitted
On 08 Feb, 2021
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A new preprint design is coming!
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This preprint is under consideration at Scientific Reports. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
Sai Yin Ho
University of Hong Kong
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 22 Feb, 2021
No community comments so far
Editorial decision: Major revision
On 24 Mar, 2021
Reviews received
Received 21 Mar, 2021
Reviewers agreed
On 10 Mar, 2021
Reviewers invited
Invitations sent on 09 Mar, 2021
Editor assigned
On 01 Mar, 2021
Editor invited
On 16 Feb, 2021
Submission checks complete
On 16 Feb, 2021
First submitted
On 08 Feb, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Smoking is a major cause of health inequities. However, sociodemographic differences in adolescent tobacco use are unclear, especially for new tobacco products. We investigated tobacco use patterns and sociodemographic correlates in Hong Kong adolescents. In a territory-wide school-based survey, 33 991 students (US grade 7–12) completed an anonymous questionnaire. Tobacco use prevalences and current-ever use ratios by sociodemographic factors were calculated. Generalised linear mixed models were used in association analyses. Current use was highest for cigarettes (3.19%), closely followed by alternative tobacco products (2.96%). Current-ever use ratios were highest for heated tobacco products (HTPs, 0.60), followed by nicotine-containing e-cigarettes (0.52), waterpipe (0.51) and cigarettes (0.35). Student use prevalences and current-ever use ratios of all products showed J-shaped relations with family affluence, being highest in the richest families. Tobacco use was also associated with higher grades, the lowest parental education and boys, but current-ever use ratios of HTP and waterpipe were higher in girls. The results suggested that adolescent ever users of nicotine-containing alternative products were more likely to keep using them than cigarettes, and the richest adolescents were at the highest risks of tobacco use. Diverse tobacco control measures are needed to improve health equity, especially on alternative products.
Figure 1
No competing interests reported.
This is a list of supplementary files associated with this preprint. Click to download.
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