Prevalence and correlates of electronic cigarette use among adolescents in Greece: a preliminary cross-sectional analysis of nationwide survey data

Addict Behav. 2015 Dec;51:88-92. doi: 10.1016/j.addbeh.2015.07.021. Epub 2015 Jul 26.


Introduction: This study reports the prevalence of electronic cigarette (e-cigarette) use among adolescents in Greece and explores how dual smokers of e-cigarettes and combustible (conventional) cigarettes differ from smokers of only combustible cigarettes across socio-demographic, familial, psychosomatic health and substance use characteristics.

Methods: Self-reports on smoking were collected from a nationally representative sample of 1320 15-year-old Greek students in the 2014 Health Behaviour in School-aged Children study. Bivariate and multivariable logistic regression analyses were carried out with dependent variables a) lifetime smoking conventional cigarettes and b) lifetime e-cigarette use among lifetime smokers.

Results: About 36.9% of 15-year-olds reported lifetime smoking of conventional cigarettes, and 16.6% lifetime use of e-cigarettes, mostly experimenting (0.5% reported current e-cigarette use). Six in 7 ever e-cigarette smokers had smoked conventional cigarettes. Peers who smoke and lifetime cannabis use were significant correlates of both lifetime conventional cigarette and e-cigarette smoking, but more strongly for smoking conventional cigarettes. Alcohol use and low parental monitoring correlated with tobacco smoking but not e-cigarette use. Girls were more likely than boys to report lifetime use of tobacco, but, among lifetime smokers, boys had almost seven times the odds of girls of e-cigarette use. In lifetime smokers, low life satisfaction in females and current smoking of conventional tobacco were independently associated with the experimentation with e-cigarettes.

Conclusions: Experimental use of e-cigarettes is relatively widespread among adolescents in Greece. Targeted interventions should focus on male smokers and the role of peer processes and cannabis use in the risk of experimenting with e-cigarettes.

Keywords: Adolescents; E-cigarettes; Greece; HBSC; Smoking; Tobacco.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adolescent Behavior / psychology*
  • Alcohol Drinking / epidemiology
  • Alcohol Drinking / psychology
  • Comorbidity
  • Cross-Sectional Studies
  • Electronic Nicotine Delivery Systems / psychology*
  • Electronic Nicotine Delivery Systems / statistics & numerical data*
  • Female
  • Greece / epidemiology
  • Health Surveys / statistics & numerical data*
  • Humans
  • Male
  • Marijuana Smoking / epidemiology
  • Marijuana Smoking / psychology
  • Peer Group
  • Prevalence
  • Sex Distribution
  • Smoking / epidemiology
  • Smoking / psychology