Differences in risk indicators associated with electronic cigarette use and tobacco smoking among adolescents and young people in Nigeria.

Introduction:
This text provides an analysis of a study examining the relationship between e-cigarette use and smoking among adolescents and young adults in Nigeria. The study aimed to determine the proportion of young people who use e-cigarettes and smoke tobacco and to identify the differences in factors associated with the use of e-cigarettes and tobacco smoking.

Key Points:

* The study found that a high proportion of adolescents and young adults in Nigeria use e-cigarettes and smoke tobacco.
* Individual and familial factors were associated with both e-cigarette use and tobacco smoking.
* Tobacco smoking was a significant risk indicator for e-cigarette use and vice versa.
* COVID-19 infection and living with HIV were associated with higher odds of using e-cigarettes.
* Males, 15-17 year-olds, and those with moderate anxiety were more likely to smoke tobacco.
* Participants with health conditions, COVID-19 infection, and living with HIV were more likely to use e-cigarettes than smoke tobacco.
* The study suggests that public health interventions targeting common risk factors for e-cigarette use and tobacco smoking among adolescents and young adults in Nigeria are urgently needed.

Main Message:
The study highlights the urgent need for public health interventions to address the high proportion of adolescents and young adults in Nigeria who use e-cigarettes and smoke tobacco. The findings suggest that there are common individual and familial risk factors associated with both e-cigarette use and tobacco smoking, indicating that interventions targeting these factors could be effective in reducing the use of both products. Additionally, the study highlights the need for targeted interventions for vulnerable populations, such as those living with HIV and those infected with COVID-19. Overall, the study emphasizes the importance of addressing the tobacco and e-cigarette use crisis among adolescents and young adults in Nigeria through strategic planning and effective interventions.

Folayan MO, Alade O, Adeyemo Y, et al. Differences in risk indicators associated with electronic cigarette use and tobacco smoking among adolescents and young people in Nigeria. BMJ open respiratory research. 2022;9(1). doi:10.1136/bmjresp-2022-001285