TY - JOUR
T1 - The emerging norms of e-cigarette use among adolescents
T2 - A meta-ethnography of qualitative evidence
AU - Smith, Hannah
AU - Lucherini, Mark
AU - Amos, Amanda
AU - Hill, Sarah
N1 - Funding Information: This research was funded by a Cancer Research UK Tobacco Advisory Group ( TAG ) grant (reference: C60404/A27017 ). The funder had no role in data collection, analysis or the writing of this paper.
PY - 2021/8
Y1 - 2021/8
N2 - While qualitative research has indicated that adolescents’ motivation for e-cigarette use is different than adults’, this body of literature has not yet been brought together and synthesised. We reviewed qualitative evidence on perceptions and uses of e-cigarettes in order to explore the emerging norms of vaping among adolescents. We searched five databases for qualitative research in October 2019 with no restrictions on date of publication or data collection. We identified fifteen papers from thirteen studies. Using a meta-ethnographic approach, we identified a spectrum of descriptive and injunctive norms of vaping across the themes of addiction; perceptions of comparative harm; parental perceptions and peer perceptions. We found addiction and perceptions of comparative harm to reflect descriptive norms, while we found clearer evidence explaining the use and non-use of e-cigarettes through parental and peer approval of vaping. However, these norms were fluid, diverse and sometimes contradictory. This review provides a resource for researchers, policymakers and practitioners to better understand the ways that emerging norms could be influenced through policy and practice.
AB - While qualitative research has indicated that adolescents’ motivation for e-cigarette use is different than adults’, this body of literature has not yet been brought together and synthesised. We reviewed qualitative evidence on perceptions and uses of e-cigarettes in order to explore the emerging norms of vaping among adolescents. We searched five databases for qualitative research in October 2019 with no restrictions on date of publication or data collection. We identified fifteen papers from thirteen studies. Using a meta-ethnographic approach, we identified a spectrum of descriptive and injunctive norms of vaping across the themes of addiction; perceptions of comparative harm; parental perceptions and peer perceptions. We found addiction and perceptions of comparative harm to reflect descriptive norms, while we found clearer evidence explaining the use and non-use of e-cigarettes through parental and peer approval of vaping. However, these norms were fluid, diverse and sometimes contradictory. This review provides a resource for researchers, policymakers and practitioners to better understand the ways that emerging norms could be influenced through policy and practice.
KW - e-cigarettes
KW - qualitative research
KW - smoking
KW - social norms
KW - systematic review
KW - vaping
UR - http://www.scopus.com/inward/record.url?scp=85103395816&partnerID=8YFLogxK
U2 - 10.1016/j.drugpo.2021.103227
DO - 10.1016/j.drugpo.2021.103227
M3 - Review article
AN - SCOPUS:85103395816
SN - 0955-3959
VL - 94
JO - International Journal of Drug Policy
JF - International Journal of Drug Policy
M1 - 103227
ER -