{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T19:10:02Z","timestamp":1793819402433,"version":"4.6.1"},"reference-count":52,"publisher":"SAGE Publications","issue":"6-7","license":[{"start":{"date-parts":[[2021,4,24]],"date-time":"2021-04-24T00:00:00Z","timestamp":1619222400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>The use of electronic vapor products (EVPs) has increased dramatically in the past decade. The objectives of our study were to examine the frequency of EVP use; to identify demographic characteristics, risk-taking behaviors, and beliefs about vaping; and to determine symptoms associated with EVPs among adolescents. A questionnaire addressing these objectives was administered to a convenience sample of subjects aged 12 to 23 years. Among 494 completed questionnaires, 80% of responders were considered experimenters\/nonusers (never tried or tried one time) and 20% were considered frequent users (at least once a month). We identified demographic features and risk-taking behaviors associated with EVP use. In the previous 6 months, frequent users were more likely to report headache, cough, sleep disturbances, dehydration, weakness, racing heart, chest pain, and tremors. Our findings provide evidence to support efforts to decrease EVP use through screening, education, and preventative strategies.<\/jats:p>","DOI":"10.1177\/00099228211009681","type":"journal-article","created":{"date-parts":[[2021,4,24]],"date-time":"2021-04-24T07:26:10Z","timestamp":1619249170000},"page":"279-289","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Risk Factors and Medical Symptoms Associated With Electronic Vapor Product Use Among Adolescents and Young Adults"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8032-5291","authenticated-orcid":false,"given":"Sarah E.","family":"Benyo","sequence":"first","affiliation":[{"name":"The Pennsylvania State University, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tyler J.","family":"Bruinsma","sequence":"additional","affiliation":[{"name":"The Pennsylvania State University, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Drda","sequence":"additional","affiliation":[{"name":"The Pennsylvania State University, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jodi","family":"Brady-Olympia","sequence":"additional","affiliation":[{"name":"Penn State Hershey Children\u2019s Hospital, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9579-6798","authenticated-orcid":false,"given":"Steven D.","family":"Hicks","sequence":"additional","affiliation":[{"name":"Penn State Hershey Children\u2019s Hospital, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue","family":"Boehmer","sequence":"additional","affiliation":[{"name":"Penn State Hershey Medical Center, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert P.","family":"Olympia","sequence":"additional","affiliation":[{"name":"Penn State Hershey Medical Center, Hershey, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,4,24]]},"reference":[{"key":"bibr1-00099228211009681","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6937e1"},{"key":"bibr2-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018-2741"},{"key":"bibr3-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.18387"},{"key":"bibr4-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2016.10.019"},{"key":"bibr5-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-4306"},{"key":"bibr6-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2018.5937"},{"key":"bibr7-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol-2018-054565"},{"key":"bibr8-00099228211009681","volume-title":"Preventing Tobacco Use Among Youth and Young Adults: A Report of the Surgeon General","author":"National Center for Chronic Disease Prevention and Health Promotion (US) Office on Smoking and Health","year":"2012"},{"key":"bibr9-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2016.04.012"},{"key":"bibr10-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.pharmtox.48.113006.094742"},{"key":"bibr11-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1080\/14622200500494856"},{"key":"bibr12-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1986.01800030107013"},{"key":"bibr13-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-2443"},{"key":"bibr14-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-015-0106-z"},{"key":"bibr15-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1016\/j.taap.2014.04.004"},{"key":"bibr16-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1515\/9781400876136"},{"key":"bibr17-00099228211009681","unstructured":"Centers for Disease Control and Prevention. Youth Risk Behavior Surveillance System (YRBSS). Accessed March 1, 2021. https:\/\/www.cdc.gov\/healthyyouth\/data\/yrbs\/index.htm"},{"key":"bibr18-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.117.006579"},{"key":"bibr19-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1037\/\/0022-006x.60.5.689"},{"key":"bibr20-00099228211009681","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss6812a1"},{"key":"bibr21-00099228211009681","volume-title":"Monitoring the Future: National Survey on Drug Use 1975-2019","author":"Johnston LD","year":"2020"},{"key":"bibr22-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2020.5667"},{"key":"bibr23-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201604-0804OC"},{"key":"bibr24-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2017.09.023"},{"key":"bibr25-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2016.03.010"},{"key":"bibr26-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-2921"},{"key":"bibr27-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2017.02.004"},{"key":"bibr28-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1177\/0890117118790366"},{"key":"bibr29-00099228211009681","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.su6901a7"},{"key":"bibr30-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2017.08.005"},{"key":"bibr31-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1016\/j.adolescence.2016.05.008"},{"key":"bibr32-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(17)30118-4"},{"key":"bibr33-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1016\/j.abrep.2020.100266"},{"key":"bibr34-00099228211009681","volume-title":"America\u2019s Health Rankings Spotlight: Impact of Unhealthy Behaviors","author":"United Health Foundation","year":"2016"},{"key":"bibr35-00099228211009681","volume-title":"Public Health Consequences of E-Cigarettes","author":"National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Population Health and Public Health Practice; Committee on the Review of the Health Effects of Electronic Nicotine Delivery Systems","year":"2018"},{"key":"bibr36-00099228211009681","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6950a1"},{"key":"bibr37-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2015.07.014"},{"key":"bibr38-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2018.06.018"},{"key":"bibr39-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.1488"},{"key":"bibr40-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.4200"},{"key":"bibr41-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2016.08.005"},{"key":"bibr42-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-3021"},{"key":"bibr43-00099228211009681","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6710a3"},{"key":"bibr44-00099228211009681","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6903e2"},{"key":"bibr45-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1177\/1757913915612109"},{"key":"bibr46-00099228211009681","unstructured":"Caccomo S. FDA in brief: FDA expands youth e-cigarette prevention campaign to include stories from teenagers addicted to nicotine. Published January 21, 2020. Accessed March 1, 2021. https:\/\/www.fda.gov\/news-events\/fda-brief\/fda-brief-fda-expands-youth-e-cigarette-prevention-campaign-include-stories-teenagers-addicted"},{"key":"bibr47-00099228211009681","doi-asserted-by":"publisher","DOI":"10.4187\/respcare.06300"},{"key":"bibr48-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-4104"},{"key":"bibr49-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1126\/science.278.5335.52"},{"key":"bibr50-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.16800"},{"key":"bibr51-00099228211009681","doi-asserted-by":"publisher","DOI":"10.1111\/ane.12671"},{"key":"bibr52-00099228211009681","doi-asserted-by":"publisher","DOI":"10.2174\/1874473710666170712113042"}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228211009681","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00099228211009681","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228211009681","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:31:26Z","timestamp":1777393886000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00099228211009681"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,24]]},"references-count":52,"journal-issue":{"issue":"6-7","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1177\/00099228211009681"],"URL":"https:\/\/doi.org\/10.1177\/00099228211009681","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,24]]}}}