{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:55:04Z","timestamp":1790812504178,"version":"4.1.0"},"reference-count":46,"publisher":"Georg Thieme Verlag KG","funder":[{"name":"DAK-Gesundheit","id":[{"id":"https:\/\/ror.org\/05qp89973","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>Ziel dieser Studie im Rahmen des Pr\u00e4ventionsradars 2025\/2026 war es, die 30-Tage-Pr\u00e4valenz von Einweg-E-Zigaretten im Vergleich zu anderen Nikotinprodukten bei Jugendlichen in Deutschland zu beschreiben und Konsummuster zu analysieren.<\/jats:p>\n                  <jats:p>Analysiert wurden Querschnittsdaten von N=28.554 Sch\u00fcler:innen aus 15 Bundesl\u00e4ndern (Erhebungsperiode 2025\/2026; mittleres Alter: 13,3 Jahre, SD=1,75; 51,5% weiblich, 1,2% divers; 62,4% Gymnasialbesuch). Die Stichprobe gliederte sich in die fr\u00fche (11\u201314 Jahre; 71,7%) und sp\u00e4te Adoleszenz (15\u201317 Jahre; 28,3%). Erfasst wurden die 30-Tage-Pr\u00e4valenzen f\u00fcr Einweg-E-Zigaretten, wiederverwendbare E-Zigaretten, Tabakzigaretten und Wasserpfeifen. F\u00fcr Jugendliche mit aktuellem Konsum von Einweg-E-Zigaretten (N=2.255) wurden Produktkombinationen bestimmt.<\/jats:p>\n                  <jats:p>Einweg-E-Zigaretten wiesen numerisch mit 8,9% die h\u00f6chste 30-Tage-Pr\u00e4valenz auf, gefolgt von Tabakzigaretten (7,5%), wiederverwendbaren E-Zigaretten (7,4%) und Wasserpfeifen (2,6%). Aufgrund \u00fcberschneidender Konfidenzintervalle befinden sich die Pr\u00e4valenzen von Einweg-E-Zigaretten, Tabakzigaretten und wiederverwendbaren E-Zigaretten auf einem vergleichbaren Niveau. In der sp\u00e4ten Adoleszenz fielen die Pr\u00e4valenzen deutlich h\u00f6her aus als in der fr\u00fchen (Einweg-E-Zigaretten: 19,4% vs. 4,9%). Geschlechtsspezifische Differenzen zeigten sich kaum (M\u00e4dchen: 9,0%; Jungen: 8,5%), w\u00e4hrend der Konsum aller untersuchten Produkte an anderen Schultypen etwa doppelt so hoch war wie am Gymnasium (Einweg-E-Zigaretten: 11,8% vs. 5,3%). Innerhalb der Subgruppe der Einweg-E-Zigaretten-Konsumierenden (N = 2.255) gaben lediglich 15,9% einen ausschlie\u00dflichen Konsum an. Die Mehrheit nutzte zus\u00e4tzlich wiederverwendbare E-Zigaretten (70,6%) und\/oder Tabakzigaretten (61,3%). Insgesamt berichteten 34,5% \u00fcber den Konsum von zwei weiteren Produkten und 18,4% \u00fcber die parallele Nutzung aller drei Nikotinprodukte.<\/jats:p>\n                  <jats:p>Einweg-E-Zigaretten bilden numerisch die Spitze der genutzten Nikotinprodukte, liegen jedoch epidemiologisch gleichauf mit konventionellen Tabakzigaretten und wiederverwendbaren E-Zigaretten. Ein isolierter Monokonsum bildet die Ausnahme; die weit \u00fcberwiegende Mehrheit weist einen parallelen Gebrauch mehrerer Nikotinprodukte auf. Pr\u00e4ventionsans\u00e4tze sollten diesen ausgepr\u00e4gten gleichzeitigen Konsum mehrerer Nikotinprodukte adressieren und sich nicht auf einzelne Produktkategorien verengen.<\/jats:p>","DOI":"10.1055\/a-2958-1312","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T23:06:37Z","timestamp":1790809597000},"source":"Crossref","is-referenced-by-count":0,"title":["Gebrauch von Einweg-E-Zigaretten und gleichzeitiger Konsum anderer Nikotinprodukte im Jugendalter: Eine Querschnittsanalyse von 28.554 Sch\u00fclerinnen und Sch\u00fclern (Pr\u00e4ventionsradar 2025\/2026)"],"prefix":"10.1055","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3614-634X","authenticated-orcid":false,"given":"Julia","family":"Hansen","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Therapie- und Gesundheitsforschung, Deutschland","place":["Kiel"],"department":["IFT-Nord gGmbH"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clemens","family":"Neumann","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Therapie- und Gesundheitsforschung, Deutschland","place":["Kiel"],"department":["IFT-Nord gGmbH"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7163-5738","authenticated-orcid":false,"given":"Reiner","family":"Hanewinkel","sequence":"additional","affiliation":[{"name":"Institut f\u00fcr Therapie- und Gesundheitsforschung, Deutschland","place":["Kiel"],"department":["IFT-Nord gGmbH"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"831","DOI":"10.1038\/s41562-026-02470-z","article-title":"E-cigarettes increase harm and should be discouraged","volume":"10","author":"PM Ling","year":"2026","journal-title":"Nat Hum Behav"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1056\/EVIDoa2300229","article-title":"Population-Based Disease Odds for E-Cigarettes and Dual Use versus Cigarettes","volume":"3","author":"SA Glantz","year":"2024","journal-title":"NEJM Evid"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"509","DOI":"10.1177\/00333549251403349","article-title":"Comparison of e-Cigarette and Cigarette Use and Dual Use Associations With Disease: Updated Systematic Review and Meta-Analysis","volume":"141","author":"SA Glantz","year":"2026","journal-title":"Public Health Rep"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1007\/s10405-026-00668-6","article-title":"Pulmonale Toxizit\u00e4t und Kanzerogenit\u00e4t der E-Zigarette","volume":"23","author":"J Hamoud","year":"2026","journal-title":"Z Pneumologie"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"2410","DOI":"10.1038\/s41591-026-04469-5","article-title":"Electronic cigarette use after smoking cessation and lung cancer risk","volume":"32","author":"YW Kim","year":"2026","journal-title":"Nat Med"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"230","DOI":"10.2105\/AJPH.2020.305999","article-title":"E-Cigarette Use and Adult Cigarette Smoking Cessation: A Meta-Analysis","volume":"111","author":"RJ Wang","year":"2021","journal-title":"Am J Public Health"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2024.102452","article-title":"Clinical trial shows that giving smokers free e-cigarettes creates more dual users than switchers or quitters","volume":"68","author":"R Hanewinkel","year":"2024","journal-title":"EClinicalMedicine"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"210215","DOI":"10.1183\/16000617.0215-2021","article-title":"E-cigarettes and nicotine abstinence: a meta-analysis of randomised controlled trials","volume":"31","author":"R Hanewinkel","year":"2022","journal-title":"Eur Respir Rev"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1055\/a-2243-9399","article-title":"Beabsichtigte und unbeabsichtigte Wirkungen von E-Zigaretten in klinischen Studien \u2013 ein Pl\u00e4doyer f\u00fcr (mehr) Transparenz","volume":"78","author":"R Hanewinkel","year":"2024","journal-title":"Pneumologie"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"421","DOI":"10.1093\/ntr\/ntab164","article-title":"Electronic Cigarette Terminology: Where Does One Generation End and the Next Begin?","volume":"24","author":"JE Ozga","year":"2022","journal-title":"Nicotine Tob Res"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.17623\/BIOEG:Q3-DAS25-TAB-DE-1.0","volume-title":"Die Drogenaffinit\u00e4t Jugendlicher und junger Erwachsener in Deutschland 2025. 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Falarowski","year":"2025","journal-title":"Sci Rep"},{"key":"ref35","doi-asserted-by":"publisher","first-page":"643","DOI":"10.1186\/s12889-025-21897-z","article-title":"The role of sweet\/fruit-flavored disposable electronic cigarettes on early\n          nicotine initiation \u2013 a systematic review","volume":"25","author":"PN Kopa-Stojak","year":"2025","journal-title":"BMC Public Health"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.18332\/tid\/196679","article-title":"A systematic review on risk factors and reasons for e-cigarette use in adolescents","volume":"23","author":"VJ Villanueva-Blasco","year":"2025","journal-title":"Tob Induc Dis"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"646","DOI":"10.1055\/a-2260-5003","article-title":"Gesundheitssch\u00e4dliche Wirkungen von Aromen in E-Zigaretten","volume":"149","author":"N Sommer","year":"2024","journal-title":"Dtsch Med 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