Prevalence of Electronic Cigarette Use among Secondary School Adolescents in Rionegro, Antioquia: A Local Survey

Main Article Content

Luis Jaime Echeverri Vásquez
Jhojan Sebastian Herrera Vargas
Martha Helena Cuellar Santaella
Olga Lucia Morales Múnera
Alfredo Hernández Ruiz

Abstract

Introduction: electronic cigarette (EC) consumption among adolescents is an increasing global public health concern. Although there is national data in Colombia regarding this, local studies that describe this practice on specific contexts are scarce.

Objective: to determine the prevalence of electronic cigarette consumption among secondary school adolescents in Rionegro, Antioquia. Method: a quantitative, observational, and cross-sectional study was conducted between August 2023 and February 2024, targeting students aged 13 to 18 from public and private educational institutions. A cluster probabilistic sampling method was used along with a structured 34-item digital questionnaire assessing sociodemographic characteristics, EC use, consumption patterns, and polysubstance consumption, applying descriptive and bivariate statistics.

Results: a total of 853 students from 10 institutions were included through multistage sampling, of which the average age was 15.3 years and 54.1% were female. Overall, 42.7% reported having used ECs at least once in their lifetime, with a mean initiation age of 13.8 years. Recent use (within the past month) was reported by 13.7%; the most used device type was open system, with nicotine being the most frequently reported substance (46.5%). Additionally, 67% reported alcohol consumption, 17% conventional cigarette smoking, and 6% psychoactive substance use. EC use was significantly associated with these behaviors (p < .001).

Discussion and conclusions: a high prevalence of EC use was observed among secondary school adolescents in Rionegro: 42.7% reported lifetime use and 13.7% recent use. These figures exceed the previously reported national data and are comparable to those in countries with established EC markets, which highlights the magnitude of this phenomenon at the local level.

Keywords:
electronic cigarettes ,   adolescent health ,   prevalence ,   nicotine ,   substance-related disorders
Published: Nov 30, 2025

Article Details

How to Cite
Echeverri Vásquez , L. J. ., Herrera Vargas, J. S., Cuellar Santaella, M. H., Morales Múnera, O. L., & Hernández Ruiz, A. . (2025). Prevalence of Electronic Cigarette Use among Secondary School Adolescents in Rionegro, Antioquia: A Local Survey. Revista Internacional De Investigación En Adicciones, 11(2), 95–102. https://doi.org/10.28931/riiad.2025.389
Section
Original Articles

References

Adkins, S. H., Anderson, K. N., Goodman, A. B., Twentyman, E., Danielson, M. L., Kimball, A., Click, E. S., Ko, J. Y., Evans, M. E., Weissman, D. N., Melstrom, P., Kiernan, E., Krishnasamy, V., Rose, D. A., Jones, C. M., King, B. A., Ellington, S. R., Pollack, L. A., & Wiltz, J. L. (2020). Demographics, Substance Use Behaviors, and Clinical Characteristics of Adolescents With e-Cigarette, or Vaping, Product Use-Associated Lung Injury (EVALI) in the United States in 2019. JAMA Pediatrics, 174(7). https://doi.org/10.1001/jamapediatrics.2020.0756

Bauld, L., MacKintosh, A. M., Eastwood, B., Ford, A., Moore, G., Dockrell, M., Arnott, D., Cheeseman, H., & McNeill, A. (2017). Young People's Use of E-Cigarettes across the United Kingdom: Findings from Five Surveys 2015-2017. International Journal of Environmental Research and Public Health, 14(9), 973. https://doi.org/10.3390/ijerph14090973

Besaratinia, A., & Tommasi, S. (2020). Vaping epidemic: challenges and opportunities. Cancer Causes & Control, 31(7), 663-667. https://doi.org/10.1007/s10552-020-01307-y

Birdsey, J., Cornelius, M., Jamal, A., Park-Lee, E., Cooper, M. R., Wang, J., Sawdey, M. D., Cullen, K. A., & Neff, L. (2023). Tobacco Product Use Among U.S. Middle and High School Students— National Youth Tobacco Survey, 2023. MMWR Morbidity and Mortality Weekly Report, 72(44), 1173-1182. https://doi.org/10.15585/mmwr.mm7244a1

Congreso de la República. (2024). Ley 2354 de 2024: Por medio de la cual se modifica el artículo 1 de la Ley 1335 de 2009 y se dictan otras disposiciones. Diario Oficial No. 52.627. Colombia. https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=240576

Costardi, J. V., Nampo, R. A., Silva, G. L., Ribeiro, M. A., Stella, H. J., Stella, M. B., & Malheiros, S. V. (2015). A review on alcohol: from the central action mechanism to chemical dependency. Revista Da Associação Médica Brasileira, 61(4), 381-387. https://doi.org/10.1590/1806-9282.61.04.381

Departamento Administrativo Nacional de Estadística. (2020). Encuesta nacional de consumo de sustancias psicoactivas(ENCSPA) 2019. https://www.dane.gov.co/index.php/estadisticas-por-tema/salud/encuesta-nacional-de-consumo-de-sustancias-psicoactivas-encspa

Fauzi, R., & Areesantichai, C. (2022). Factors associated with electronic cigarettes use among adolescents in Jakarta, Indonesia. Journal of Health Research, 36(1), 2-11. https://doi.org/10.1108/JHR-01-2020-0008

Hernández-Suárez, H. R., Bartha, I., Lasa-Luaces, E., Rodríguez-Álvarez, M., & Garriga-Baraut, T. (2024). Adolescents and Vaping: The Essentials. Journal of Investigational Allergology and Clinical Immunology, 34(6), 427-429. https://doi.org/10.18176/jiaci.1014

Hwang, J. H., & Park, S. W. (2016). Association between Peer Cigarette Smoking and Electronic Cigarette Smoking among Adolescent Nonsmokers: A National Representative Survey.PLoS ONE, 11(10). https://doi.org/10.1371/journal.pone.0162557

Jane, M. Y., Halim, A. F. N., Ahmad, D., Ahmad, N., Safian, N., & Nawi, A. M. (2023). Prevalence and Associated Factors of E-Cigarette Use among Adolescents in Southeast Asia: A Systematic Review.International Journal of Environmental Research and Public Health, 20(5). https://doi.org/10.3390/ijerph20053883

Jeon, C., Jung, K. J., Kimm, H., Lee, S., Barrington-Trimis, J. L., McConnell, R., Samet, J. M., & Jee, S. H. (2016). E-cigarettes, conventional cigarettes, and dual use in Korean adolescents and university students: Prevalence and risk factors. Drug and Alcohol Dependence, 168, 99-103. https://doi.org/10.1016/j.drugalcdep.2016.08.636

Jiang, N., Wang, M. P., Ho, S. Y., Leung, L. T., & Lam, T. H. (2016). Electronic cigarette use among adolescents: a cross-sectional study in Hong Kong. BMC Public Health, 16. https://doi.org/10.1186/s12889-016-2719-4

Ko, K., Chu, J. T. W., & Bullen, C. (2024). A Scoping Review of Vaping Among the Asian Adolescent Population. Asia Pacific Journal of Public Health, 36(8), 664-675. https://doi.org/10.1177/10105395241275226

KoboToolbox. (2023). KoboToolbox [Computer software]. KoboToolbox. https://www.kobotoolbox.org/

Maldonado, D. C. (2021). Consumo de Sistemas Electrónicos de Administración de Nicotina (SEAN) en estudiantes de educación superior ¿Fenómeno en ascenso durante la pandemia por COVID-19? Estudio Observacional. Universidad de los Andes. http://hdl.handle.net/1992/55174

Morales-Múnera, O. L., Cuellar-Santaella, M., Galvis-Blanco, S. J., Mira-Morales, M., & Sánchez-Villa, S. (2024). Cigarrillos Electrónicos y vaping en adolescentes: estado del arte. Iatreia, 37(2), 175-187. https://doi.org/10.17533/udea.iatreia.240

National Academies of Sciences, Engineering, and Medicine. (2018). Public Health Consequences of E-Cigarettes. The National Academies Press. https://doi.org/10.17226/24952

O’Brien, D., Long, J., Quigley, J., Lee, C., McCarthy, A., & Kavanagh, P. (2021). Association between electronic cigarette use and tobacco cigarette smoking initiation in adolescents: a systematic review and meta-analysis. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-10935-1

Observatorio Chileno de Drogas. (2019). Décimo Tercer Estudio Nacional de Drogas en Población General de Chile, 2018. Servicio Nacional para la Prevención y Rehabilitación del Consumo de Drogas y Alcohol (SENDA). https://www.senda.gob.cl/wp-content/uploads/2020/02/ENPEG-2018.pdf

Páez, S. C., Orellana, D. I., & Nazzal, C. (2021). Percepción y prevalencia del consumo de cigarrillos electrónicos en estudiantes de Medicina. Revista chilena de enfermedades respiratorias, 37(4), 275-284. http://doi.org/10.4067/s0717-73482021000300275

Rahman, M. A., Hann, N., Wilson, A., Mnatzaganian, G., & Worrall-Carter, L.. (2015). E-Cigarettes and Smoking Cessation: Evidence from a Systematic Review and Meta-Analysis. PLoS ONE, 10(3). https://doi.org/10.1371/journal.pone.0122544

Sun, J., Xi, B., Ma, C., Zhao, M., & Bovet, P. (2022). Prevalence of E-Cigarette Use and Its Associated Factors Among Youths Aged 12 to 16 Years in 68 Countries and Territories: Global Youth Tobacco Survey, 2012-2019. American Journal of Public Health, 112(4), 650-661. https://doi.org/10.2105/AJPH.2021.306686

Tackett, A. P., Urman, R., Barrington-Trimis, J., Liu, F., Hong, H., Pentz, M. A., Islam, T. S., Eckel, S. P., Rebuli, M., Leventhal, A., Samet, J. M., Berhane, K., & McConnell, R. (2024). Prospective study of e-cigarette use and respiratory symptoms in adolescents and young adults. Thorax, 79(2), 163-168. https://doi.org/10.1136/thorax-2022-218670

Werner, A. K., Koumans, E. H., Chatham-Stephens, K., Salvatore, P. P., Armatas, C., Byers, P., Clark, C. R., Ghinai, I., Holzbauer, S. M., Navarette, K. A., Danielson, M. L., Ellington, S., Moritz, E. D., Petersen, E. E., Kiernan, E. A., Baldwin, G. T., Briss, P., Jones, C. M., King, B. A., Krishnasamy, V., Rose, D. A., & Reagan-Steiner, S. (2020). Hospitalizations and Deaths Associated with EVALI. The New England Journal of Medicine, 382(17), 1589-1598. https://doi.org/10.1056/NEJMoa1915314

Wilson, O. W. A., Bullen, C., Duffey, M., & Bopp, M. (2022). The association between vaping and health behaviors among undergraduate college students in the United States. Journal of American College Health, 72(5), 1360-1364. https://doi.org/10.1080/07448481.2022.2076097