Electronic cigarette smoking as a health risk factor for modern adolescents

O.V. Dobrianska


Background. In our country, the reduced prevalence of usual cigarette smoking among the adolescents and the increased prevalence of alternative types of smoking, particularly the electronic cigarettes, is established. That is why the study on the prevalence of electronic cigarette smoking among the adolescents is a topical issue. The purpose was to study the prevalence of electronic cigarette smoking among the adolescents in Ukraine and to evaluate the influence of this type of smoking on adolescents’ health. Materials and methods. In the article, we used the analytical, sociological, mathematic methods. The objects of study were 7–9 graders attending schools of different regions of Ukraine. In the frame of Global Youth Tobacco Survey (2017), we performed the questioning of the students. The survey was carried out using questionnaire unified for all World Health Organization countries. The questionnaire included a set of questions regarding electronic cigarette smoking. The total number of respondents was 4,065. Results. According to the results of Global Youth Tobacco Survey (2017), the share of electronic cigarette smokers is 18.4 % (among them, boys — 22.6 %, girls — 14.0 %) which is 2 times higher as compared to that of usual cigarette smokers — 9.2 % (boys — 10.8 %, girls — 7.7 %). We also determined the regional peculiarities of the prevalence of electronic cigarette smoking among the children: the highest level of electronic cigarette smoking was in Kyiv and Eastern region of the country, the lowest — in the Western and Northern regions. Conclusions. The lack of fundamental studies of the electronic cigarette impact on the children’s health, the absence of law legislation determining age limitations of using these electronic devices can be considered as a threat for public health.


electronic cigarette smoking; health of adolescents; prevalence of smoking; survey of schoolchildren


World Health Organization. WHO report on the global tobacco epidemic 2017. Available from: Accessed: July 19, 2017.

World Health Organization. WHO Regional Office for Europe. Global Adult Tobacco Survey Ukraine 2017: Executive Summary. Available from:

World Health Organization. WHO Regional Office for Europe. Health Behaviour in School-aged Children (HBSC). Available from:

Balakirjeva OM, Bondar TV, Pryjmak JuJu, et al. Kurinnja, vzhyvannja alkogolju ta narkotychnyh rechovyn sered pidlitkiv, jaki navchajut'sja: poshyrennja j tendencii' v Ukrai'ni : Za rezul'tatamy doslidzhennja 2015 roku v ramkah mizhnarodnogo proektu ESPAD [Smoking, alcohol and drug use among adolescents who study: distribution and trends in Ukraine: Based on the results of a 2015 study under the international project ESPAD]. Kyiv: Poligrafichnyj centr Foliant; 2015. 200 p. (in Ukrainian).

Campaign for Tobacco-Free Kids. Ukraine 2011 (Ages 13-15) Global Youth Tobacco Survey (GYTS): Fact Sheet. Available from: Accessed: June 25, 2012.

Zhu SH, Sun JY, Bonnevie E, et al. Four hundred and sixty brands of e-cigarettes and counting: implications for product regulation. Tob Control. 2014 Jul;23 Suppl 3:iii3-9. doi: 10.1136/tobaccocontrol-2014-051670. 

Leventhal AM, Strong DR, Kirkpatrick MG, et al. Association of Electronic Cigarette Use With Initiation of Combustible Tobacco Product Smoking in Early Adolescence. JAMA. 2015 Aug 18;314(7):700-7. doi: 10.1001/jama.2015.8950.

World Health Organization. International Agency for Research of Cancer. What are electronic cigarettes (e-cigarettes)? Available from:

McCubbin A, Fallin-Bennett A, Barnett J, Ashford K. Perceptions and use of electronic cigarettes in pregnancy. Health Educ Res. 2017 Feb 1;32(1):22-32. doi: 10.1093/her/cyw059.

Rubinstein ML, Delucchi K, Benowitz NL, Ramo DE. Adolescent Exposure to Toxic Volatile Organic Chemicals From E-Cigarettes. Pediatrics. 2018 Apr;141(4). pii: e20173557. doi: 10.1542/peds.2017-3557.

Starek-Swiechowicz B, Starek A. Diacetyl exposure as a pneumotoxic factor: a review. Rocz Panstw Zakl Hig. 2014;65(2):87-92.

US Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults. A Report of the Surgeon General: Executive Summary. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2016. 28 p.

Bold KW, Kong G, Camenga DR, et al. Trajectories of E-Cigarette and Conventional Cigarette Use Among Youth. Pediatrics. 2018 Jan;141(1). pii: e20171832. doi: 10.1542/peds.2017-1832.

Cheng T. Chemical evaluatuion of electronic cigarettes. Tob Control. 2014 May;23 Suppl 2:ii11-7. doi: 10.1136/tobaccocontrol-2013-051482.

Babуi VF, Bren NI, Kondratenko OYe. Electronic cigarettes: a review of research on their danger and principles of their use. Environment and health. 2018;(87):36-41. (in Ukrainian).

Lisko JG, Tran H, Stanfill SB, Blount BC, Watson CH. Chemical Composition and Evaluation of Nicotine, Tobacco Alkaloids, pH, and Selected Flavors in E-Cigarette Cartridges and Refill Solutions. Nicotine Tob Res. 2015 Oct;17(10):1270-8. doi: 10.1093/ntr/ntu279.

Kim H, Shin HS. Determination of tobacco-specific nitrosamines in replacement liquids of electronic cigarettes by liquid chromatography-tandem mass spectrometry. J Chromatogr A. 2013 May 24;1291:48-55. doi: 10.1016/j.chroma.2013.03.035.

Flavors for electronic cigarettes damage the blood vessels. Available from: Accessed: June 15, 2018. (in Ukrainian).

Gallus S, Lugo A, Pacifici R, et al. E-cigarette awareness, use, and harm perception in Italy: a national representative survey. Nicotine Tob Res. 2014 Dec;16(12):1541-8. doi: 10.1093/ntr/ntu124.

Agaku IT, King BA, Husten CG, et al. Tobacco product use among adults--United States, 2012-2013. MMWR Morb Mortal Wkly Rep. 2014 Jun 27;63(25):542-7.

Hajek P, Etter JF, Benowitz N, Eissenberg T, McRobbie H. Electronic cigarettes: review of use, content, safety, effects on smokers and potential for harm and benefit. Addiction. 2014 Nov;109(11):1801-10. doi: 10.1111/add.12659.

European Parliament. Council of the European Union. Directive 2014/40/eu of the European Parliament and of the Council of 3 April 2014 on the approximation of the laws, regulations and administrative provisions of the Member States concerning the manufacture, presentation and sale of tobacco and related products and repealing Directive 2001/37/EC. Available from: Accessed: April 29, 2014.

Copyright (c) 2018 CHILD`S HEALTH

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.


© Publishing House Zaslavsky, 1997-2020


   Seo анализ сайта