associations Between Risk Perceptions and Cigarette, E-cigarette, and Dual-Product Use among Canadian adolescents.

Introduction:
This article examines the relationship between tobacco product use, perceived risks, and dual-use status among Canadian adolescents. The study uses data from the 2016-2017 Canadian Student Tobacco, alcohol, and Drugs Survey to assess the association between perceived risk and cigarette, e-cigarette, and dual-use. The results highlight the significance of risk perception in tobacco product use among Canadian youth.

Key Points:

* The study uses data from the 2016-2017 Canadian Student Tobacco, alcohol, and Drugs Survey to assess the association between perceived risk and cigarette, e-cigarette, and dual-use.
* The survey included 52,103 students in Grades 7 to 12, representing a weighted sample of 2,088,473 students.
* The study defines dual-use status as current cigarette-only users, current e-cigarette-only users, dual-users of both products, and nonusers.
* Perceived risk is constructed using the question: "how much do you think people risk harming themselves when they do each of the following activities? . . . (risk behaviors) on a regular basis," for cigarettes and e-cigarettes.
* The responses are classified into four categories: "high-risk perception" of both products, "high-e-cigarette-risk and low-cigarette-risk perception," "low-e-cigarette-risk and high-cigarette-risk perception," and "low-risk perception."
* The study found that adolescents with a high-risk perception of both products were less likely to be dual-users, cigarette-only users, or e-cigarette-only users than those with a low-risk perception of both products.
* however, those with a high-risk perception of both products still had greater odds of e-cigarette use relative to cigarette-only users, as did those with high-e-cigarette-risk and low-cigarette-risk perception, relative to nonusers.

Main Message:
The study emphasizes the importance of risk perception in tobacco product use among Canadian adolescents. The results suggest that a high-risk perception of e-cigarette use is not a sufficient deterrent for e-cigarette use among Canadian youth. The study highlights the need for further research to assess methods of communicating tobacco risks to youth and the importance of implementing effective policies and regulations to reduce tobacco product use among adolescents.

Manzione LC, Shan L, azagba S. associations Between Risk Perceptions and Cigarette, E-cigarette, and Dual-Product Use among Canadian adolescents. Tobacco use insights. 2020;13. doi:10.1177/1179173X20903784