E-cigarette use among adolescents in Latin America: A systematic review of prevalence and associated factors
Background: Electronic cigarettes, introduced as a safer tobacco alternative, have unintentionally exposed millions of youths to nicotine and harmful chemicals. Adolescence, a key period for forming lifelong habits, has seen rising e-cigarette use, particularly in developing regions like Latin Ameri...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S221133552400367X |
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| author | Juan S. Izquierdo-Condoy Kenny Ruiz Sosa Camila Salazar-Santoliva Natalia Restrepo Guillermo Olaya-Villareal Juan S. Castillo-Concha Valentina Loaiza-Guevara Esteban Ortiz-Prado |
| author_facet | Juan S. Izquierdo-Condoy Kenny Ruiz Sosa Camila Salazar-Santoliva Natalia Restrepo Guillermo Olaya-Villareal Juan S. Castillo-Concha Valentina Loaiza-Guevara Esteban Ortiz-Prado |
| author_sort | Juan S. Izquierdo-Condoy |
| collection | DOAJ |
| description | Background: Electronic cigarettes, introduced as a safer tobacco alternative, have unintentionally exposed millions of youths to nicotine and harmful chemicals. Adolescence, a key period for forming lifelong habits, has seen rising e-cigarette use, particularly in developing regions like Latin America, warranting thorough investigation. Objective: To describe the prevalence and factors associated with e-cigarette use among adolescents in Latin America. Methods: A systematic review was conducted according to PRISMA guidelines, covering studies published between 2003 and May 2024. Database searches included PubMed/Medline, Web of Science, Scopus, Google Scholar, Scielo, and LILACS. A total of 582 studies were identified, of which 14 met the inclusion criteria. Study data were synthesized and assessed using the Newcastle-Ottawa Scale and Joanna Briggs Institute checklist. Results: The prevalence of e-cigarette among adolescents in six Latin American countries ranged from 2.6 % to 64.2 %, with a pooled mean prevalence of 18.9 %, and lifetime use higher than current use. Key associated factors included male sex, concurrent use of tobacco and other substances, social influences, and exposure to online advertising. A widespread lack of knowledge regarding e-cigarette risks, coupled with limited regulatory oversight, may be contributing to higher usage rates. Conclusion: This review underscores critical gaps in data on adolescent e-cigarette use in Latin America and highlights the need for expanded research and targeted public health interventions. Nearly one-fifth of adolescents reported using e-cigarettes. Comprehensive prevention programs addressing factors associated with adolescent e-cigarette use in Latin America, involving diverse stakeholders and integrating education, school-based policies, social media campaigns, and policy restrictions, are strongly recommended. |
| format | Article |
| id | doaj-art-a70608b137684232997315b3344e04e9 |
| institution | Kabale University |
| issn | 2211-3355 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj-art-a70608b137684232997315b3344e04e92025-01-11T06:41:17ZengElsevierPreventive Medicine Reports2211-33552025-01-0149102952E-cigarette use among adolescents in Latin America: A systematic review of prevalence and associated factorsJuan S. Izquierdo-Condoy0Kenny Ruiz Sosa1Camila Salazar-Santoliva2Natalia Restrepo3Guillermo Olaya-Villareal4Juan S. Castillo-Concha5Valentina Loaiza-Guevara6Esteban Ortiz-Prado7One Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, EcuadorOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, EcuadorOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, EcuadorFacultad de Medicina, Fundación Universitaria Autónoma de las Américas, Pereira, ColombiaArea de Medicina Interna, Universidad de Cartagena, Cartagena, ColombiaFacultad de Ciencias de la Salud, Universidad del Quindío, Armenia, ColombiaFacultad de Medicina, Fundación Universitaria Autónoma de las Américas, Pereira, ColombiaOne Health Research Group, Faculty of Medicine, Universidad de las Américas, Quito, Ecuador; Corresponding author.Background: Electronic cigarettes, introduced as a safer tobacco alternative, have unintentionally exposed millions of youths to nicotine and harmful chemicals. Adolescence, a key period for forming lifelong habits, has seen rising e-cigarette use, particularly in developing regions like Latin America, warranting thorough investigation. Objective: To describe the prevalence and factors associated with e-cigarette use among adolescents in Latin America. Methods: A systematic review was conducted according to PRISMA guidelines, covering studies published between 2003 and May 2024. Database searches included PubMed/Medline, Web of Science, Scopus, Google Scholar, Scielo, and LILACS. A total of 582 studies were identified, of which 14 met the inclusion criteria. Study data were synthesized and assessed using the Newcastle-Ottawa Scale and Joanna Briggs Institute checklist. Results: The prevalence of e-cigarette among adolescents in six Latin American countries ranged from 2.6 % to 64.2 %, with a pooled mean prevalence of 18.9 %, and lifetime use higher than current use. Key associated factors included male sex, concurrent use of tobacco and other substances, social influences, and exposure to online advertising. A widespread lack of knowledge regarding e-cigarette risks, coupled with limited regulatory oversight, may be contributing to higher usage rates. Conclusion: This review underscores critical gaps in data on adolescent e-cigarette use in Latin America and highlights the need for expanded research and targeted public health interventions. Nearly one-fifth of adolescents reported using e-cigarettes. Comprehensive prevention programs addressing factors associated with adolescent e-cigarette use in Latin America, involving diverse stakeholders and integrating education, school-based policies, social media campaigns, and policy restrictions, are strongly recommended.http://www.sciencedirect.com/science/article/pii/S221133552400367XE-cigarettesAdolescentsUseAssociated factorsLatin America |
| spellingShingle | Juan S. Izquierdo-Condoy Kenny Ruiz Sosa Camila Salazar-Santoliva Natalia Restrepo Guillermo Olaya-Villareal Juan S. Castillo-Concha Valentina Loaiza-Guevara Esteban Ortiz-Prado E-cigarette use among adolescents in Latin America: A systematic review of prevalence and associated factors Preventive Medicine Reports E-cigarettes Adolescents Use Associated factors Latin America |
| title | E-cigarette use among adolescents in Latin America: A systematic review of prevalence and associated factors |
| title_full | E-cigarette use among adolescents in Latin America: A systematic review of prevalence and associated factors |
| title_fullStr | E-cigarette use among adolescents in Latin America: A systematic review of prevalence and associated factors |
| title_full_unstemmed | E-cigarette use among adolescents in Latin America: A systematic review of prevalence and associated factors |
| title_short | E-cigarette use among adolescents in Latin America: A systematic review of prevalence and associated factors |
| title_sort | e cigarette use among adolescents in latin america a systematic review of prevalence and associated factors |
| topic | E-cigarettes Adolescents Use Associated factors Latin America |
| url | http://www.sciencedirect.com/science/article/pii/S221133552400367X |
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