# Susceptibility to Electronic Cigarette and Consumption Patterns in Adolescents

## TL;DR

This study explores factors influencing susceptibility to electronic cigarette use among adolescents, highlighting the role of social and personal traits.

## Contribution

The study introduces an extended index of susceptibility to identify adolescents at risk of electronic cigarette use.

## Key findings

- 45.9% of adolescents had used electronic cigarettes, with 20.8% being current users.
- Social factors like friend consumption and receiving offers were linked to initiation of EC use.
- Intrapersonal traits like impulsivity and affectivity influenced susceptibility to EC use.

## Abstract

The use of electronic cigarettes (ECs) is a major problem globally. Susceptibility and curiosity are important factors that develop prior to the onset of substance use, such as ECs, and are therefore considered as predictors. Both factors are used to obtain an extended index of susceptibility (ESIe-c), which allows the identification of adolescents who are at risk of starting to use these devices. The aim of this study was to determine the prevalence of EC consumption and to assess the association of possible predictors with susceptibility to use and experimentation with ECs among adolescents. A cross-sectional study was carried out in 377 adolescents (53.0% female). Participants were compared according to their experimentation with ECs. A total of 45.9% had already used electronic cigarettes, and 20.8% were current users. Among those who had not tried electronic cigarettes, 43.3% had a medium-high susceptibility to EC initiation. Consumption among close friends, receiving offers of consumption and alcohol consumption were associated with initiation. There was an inverse association between a medium susceptibility index electronic cigarette score and the consumption of cigarettes and positive affect; on the other hand, the lack of premeditation was associated with a higher susceptibility index score. Intrapersonal factors and social factors seem to influence the ESIe-c and onset of EC use, respectively. The main conclusion in this study is that susceptibility is influenced by intrapersonal factors such as affectivity and impulsivity through the lack of premeditation, and by social factors such as EC consumption by best friends.