{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:15:27Z","timestamp":1777936527328,"version":"3.51.4"},"reference-count":57,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Tob Use Insights"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>There is a growing attraction by youth to alternative tobacco products (ATPs) such as e-cigarettes and hookahs. This study investigated risk perceptions and demographic characteristics associated with ATP use in grade 8\u201310 students.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were drawn from the 2014\/15 cycle of the CSTADS. The analytic sample included 1819 students from a total pool of 42\u00a0094 students who completed the survey. Logistic regression models were used to examine factors (demographic characteristics and risk perception) associated with ATP use in the past 30 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>12% of students in grade 8\u201310 self-identified as having used ATPs in the past 30-days, with a majority of students in grade 10 (56%). Male students had higher odds of reporting ATP use when compared to females. Although a lesser proportion of Indigenous students reported ATP use in comparison to White students (31% vs 61%), Indigenous students were 2.42 (1.49, 3.93) times as likely to use ATPs as White students. Students who perceived smoking hookah once in a while as \u201cno to slight risk\u201d were 1.58 (1.09, 2.28) times more likely to report ATP use than students who perceived \u201cmoderate to great risk.\u201d Also, students who perceived using e-cigarettes on a regular basis as \u201cno to slight risk\u201d were 2.21 (1.53, 3.21) times more likely to report ATP use as students who perceived \u201cmoderate-great risk.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A significant number of grade 8\u201310 students use ATPs, especially e-cigarettes, with the misconception of minimal health risks. There remains the need to do more to counteract the rise in social and epidemiological alternative tobacco use trends among the youth.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1179173x211058150","type":"journal-article","created":{"date-parts":[[2021,11,23]],"date-time":"2021-11-23T01:05:18Z","timestamp":1637629518000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Youth Demographic Characteristics and Risk Perception of Using Alternative Tobacco Products: An Analysis of the 2014\u20132015 Canadian Student Tobacco, Alcohol, and Drugs Survey (CSTADS)"],"prefix":"10.1177","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0973-1163","authenticated-orcid":false,"given":"Udoka","family":"Okpalauwaekwe","sequence":"first","affiliation":[{"name":"Department of Academic Family Medicine, College of Medicine, University of Saskatchewan, Saskatoon, SK, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1241-2531","authenticated-orcid":false,"given":"Chinenye Nmanma","family":"Nwoke","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences, University of Lethbridge, Lethbridge, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacinthe","family":"Messier","sequence":"additional","affiliation":[{"name":"Independent Researcher in Indigenous Studies, Project Coordinator, Siksika First Nation Project, Calgary, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2021,11,22]]},"reference":[{"key":"bibr1-1179173X211058150","doi-asserted-by":"publisher","DOI":"10.3109\/10826084.2014.958857"},{"issue":"2","key":"bibr2-1179173X211058150","first-page":"10","volume":"28","author":"Statistics Canada","year":"2017","journal-title":"Health Reports,"},{"key":"bibr3-1179173X211058150","volume-title":"WHO Report on the Global Tobbaco Epidemic 2019","author":"World Health Organization","year":"2019"},{"key":"bibr4-1179173X211058150","volume-title":"The Health Consequences of Involuntary Exposure to Tobacco Smoke: A Report of the Surgeon General","author":"The U.S. Department of Health and Human Services","year":"2020"},{"key":"bibr5-1179173X211058150","first-page":"1664","author":"Jamil HJ","year":"2020","journal-title":"J Phys Conf"},{"key":"bibr6-1179173X211058150","unstructured":"Centers for Disease Control and Prevention. Second-hand Smoke (SHS) Facts. Available from: https:\/\/www.cdc.gov\/tobacco\/data_statistics\/fact_sheets\/secondhand_smoke\/general_facts\/index.htm.Updated January 2018. AccessedAugust 28, 2021."},{"key":"bibr7-1179173X211058150","volume-title":"WHO Framework Convention on Tobacco Control","author":"World Health Organization","year":"2005"},{"key":"bibr8-1179173X211058150","doi-asserted-by":"publisher","DOI":"10.1186\/s12971-017-0124-0"},{"key":"bibr9-1179173X211058150","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2015.03.006"},{"key":"bibr10-1179173X211058150","doi-asserted-by":"publisher","DOI":"10.5888\/pcd11.140094"},{"key":"bibr11-1179173X211058150","doi-asserted-by":"publisher","DOI":"10.1007\/s10552-015-0556-x"},{"key":"bibr12-1179173X211058150","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009549"},{"key":"bibr13-1179173X211058150","volume-title":"Smoking. Health Facts Sheets","author":"Statistics Canada","year":"2018"},{"key":"bibr14-1179173X211058150","unstructured":"Government of Canada. Canadian Tobacco Use Monitoring Survey (CTUMS) 2012. 2012. Retreived from: https:\/\/www.canada.ca\/en\/health-canada\/services\/publications\/healthy-living\/canadian-tobacco-use-monitoring-survey-ctums-2012.html. Accessed August 28, 2021."},{"key":"bibr15-1179173X211058150","unstructured":"Saskatchewan Alliance for Youth & Community Well-being (SAYCW). SAYCW Youth Health Survey: Saskatchewan Provincial Report Grades 7 to 12. 2016. Retrieved from: https:\/\/selu.usask.ca\/documents\/research-and-publications\/SAYCW-Youth-Health-Survey_2016.pdf. 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