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Recommendations for future research exploring e-cigarette use and later cigarette smoking in young people: Results from a consultation exercise

Conde, Monserrat; Pesko, Michael F; Shahab, Lion; Begh, Rachna; Lindson, Nicola; Jackson, Sarah E; Kale, Dimitra; ... Hartmann-Boyce, Jamie; + view all (2025) Recommendations for future research exploring e-cigarette use and later cigarette smoking in young people: Results from a consultation exercise. ADDICTION 10.1111/add.70038. (In press). Green open access

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Abstract

Background and Aims: Exploring the relationship between vaping and smoking in young people is a key area of research that can inform e-cigarette policy. Rigorous evidence mapping and synthesis have highlighted gaps and methodological concerns in the evidence base. This study provides recommendations for the conduct and reporting of future quantitative primary research exploring e-cigarette use and later cigarette smoking in young people (≤29 years). Methods: We developed a draft version of recommendations based on the critical appraisal of studies, findings of a systematic review and an evidence and gap map. We used an anonymized on-line survey to run a consultation exercise with stakeholders, including researchers, non-profit/charity workers and clinicians. Respondents rated the perceived importance of each draft recommendation on a 5-point Likert scale and provided open-ended comments, where relevant. We developed a final set of recommendations based on this stakeholder input. Results: We initially came up with a list of 22 recommendations, which 36 stakeholders rated in the on-line survey. Most were researchers (n = 26) and from the USA (n = 18). Following feedback, this resulted in a final set of 23 recommendations, including recommendations for planning, data collection, data analysis and reporting. Examining causes of differences in vaping-smoking associations, including equity factors (e.g. socioeconomic status) and contextual factors (e.g. jurisdiction levels), and generating representative longitudinal data from countries other than the USA, Canada and UK, particularly low- and middle-income countries, were strongly endorsed recommendations. A new recommendation to report characteristics of e-cigarettes (e.g. flavours) was added. Conclusions: This study provides 23 recommendations for conducting and reporting future quantitative research exploring e-cigarette use/availability and later combustible cigarette smoking in young people. Most of the recommendations are specific to studies using repeat cross-sectional data tracking population trends and to longitudinal cohort studies tracking behaviours in individuals.

Type: Article
Title: Recommendations for future research exploring e-cigarette use and later cigarette smoking in young people: Results from a consultation exercise
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/add.70038
Publisher version: https://doi.org/10.1111/add.70038
Language: English
Additional information: © 2025 The Author(s). Addiction published by John Wiley & Sons Ltd on behalf of Society for the Study of Addiction. This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/).
Keywords: electronic cigarettes, recommendations, smoking, vaping, young people, youth
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Education
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education
UCL > Provost and Vice Provost Offices > School of Education > UCL Institute of Education > IOE - Social Research Institute
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Behavioural Science and Health
URI: https://discovery.ucl.ac.uk/id/eprint/10210383
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