Use of electronic cigarettes and alternative tobacco products among Romanian adolescents

Int J Public Health. 2016 Mar;61(2):199-207. doi: 10.1007/s00038-015-0774-8. Epub 2016 Jan 5.


Objectives: To assess socio-demographic and smoking-related correlates of e-cigarette and alternative tobacco products (ATPs) use in a multi-ethnic group of adolescents in Tîrgu Mures, Romania.

Methods: The cross-sectional study included 1835 high school students from Tirgu Mures, Romania. Socio-demographic variables and data about smoking and e-cigarettes and ATP use were collected using an online questionnaire. Chi-square tests or one-way ANOVA were applied to compare never smokers, non-current smokers, and current smokers. Multiple logistic regression was conducted to determine the correlates of e-cigarettes and ATP use.

Results: The most frequently tried non-cigarette nicotine and tobacco products were e-cigarette (38.5 %), cigar (31.4 %) and waterpipe (21.1 %). Ever trying and current use of cigarettes were the most important correlates of e-cigarette and ATPs use. Sex, ethnicity, sensation seeking and perceived peer smoking were correlates of several ATPs use.

Conclusions: The results of this study may inform the development of tailored tobacco control programs.

Keywords: Adolescents; Alternative tobacco products; Correlates; Electronic cigarette; Romania.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adolescent Behavior
  • Cross-Sectional Studies
  • Electronic Nicotine Delivery Systems / statistics & numerical data*
  • Ethnic Groups
  • Female
  • Humans
  • Male
  • Peer Group
  • Romania / epidemiology
  • Smoking / epidemiology*
  • Tobacco Products*