{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T11:34:22Z","timestamp":1786361662763,"version":"build-2736575974"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"DAK-Gesundheit, a German health insurance"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Tob Use Insights"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Adolescent nicotine use remains a major public health concern, particularly in the context of increasing e-cigarette uptake and gaps in tobacco-control communication. Effective prevention requires evidence on the information channels through which adolescents prefer to receive risk information about tobacco and nicotine products.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study examined adolescents\u2019 preferred sources for receiving information about the health risks of cigarettes, e-cigarettes, and waterpipes in Germany, and assessed differences by age, gender, school type, and nicotine-use status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional analysis of a large nationwide school-based survey across 14 of 16 German federal states.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were drawn from the 2024\/2025 wave of the Pr\u00e4ventionsradar study and included 21,841 adolescents aged 9\u201317 years from 116 schools and 1,712 classes across 14 German federal states. Weighted descriptive analyses and multilevel logistic regression models were used to examine preferred information sources and information refusal. Models were adjusted for age, gender, school type, and current nicotine-product use, with random intercepts at the class level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Parents (30.2%), social media (21.5%), and physicians (18.6%) were the most frequently selected information sources. Younger adolescents more often selected parents, whereas older adolescents more often selected social media and peers. Adolescents currently using at least one tobacco or nicotine product were more likely to select friends and less likely to select parents, teachers, or physicians. They were also more likely to report not wanting health information. Information refusal was additionally associated with male gender and lower academic track.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Adolescents\u2019 preferred sources of tobacco- and nicotine-related health information differ substantially by sociodemographic characteristics and nicotine-use status. These findings may inform the development of differentiated and multimodal communication strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1179173x261473915","type":"journal-article","created":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T22:53:53Z","timestamp":1786143233000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Preferred Sources of Health-Risk Information About Cigarettes, e-Cigarettes, and Waterpipes Among Adolescents in Germany: A Cross-Sectional Analysis of a Large School-Based Survey"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1175-898X","authenticated-orcid":false,"given":"Stephanie","family":"Klosterhalfen","sequence":"first","affiliation":[{"name":"Heinrich Heine University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2055-7263","authenticated-orcid":false,"given":"Cynthia","family":"Fedler","sequence":"additional","affiliation":[{"name":"Heinrich Heine University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reiner","family":"Hanewinkel","sequence":"additional","affiliation":[{"name":"Institute for Therapy and Health Research"},{"name":"IFT-Nord"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clemens","family":"Neumann","sequence":"additional","affiliation":[{"name":"Institute for Therapy and Health Research"},{"name":"IFT-Nord"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Hansen","sequence":"additional","affiliation":[{"name":"Institute for Therapy and Health Research"},{"name":"IFT-Nord"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,7]]},"reference":[{"key":"e_1_3_5_2_2","volume-title":"WHO global report on trends in prevalence of tobacco use 2000\u20132030","author":"WHO","unstructured":"WHO. WHO global report on trends in prevalence of tobacco use 2000\u20132030. https:\/\/www.who.int\/publications\/i\/item\/9789240088283. Published online January 16, 2024. Accessed October 13, 2025."},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pbb.2020.173010"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1113\/JP270492"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehaf1010"},{"key":"e_1_3_5_6_2","unstructured":"Joossens L Feliu A Fernandez E. The Tobacco Control Scale 2021 in Europe. 2022. https:\/\/www.tobaccocontrolscale.org\/. Accessed November 27 2023."},{"key":"e_1_3_5_7_2","first-page":"779","article-title":"Trends in and Risk Factors for Nicotine Consumption in Childhood and Adolescence","volume":"15","author":"Hanewinkel R","year":"2024","unstructured":"Hanewinkel R, Hansen J. Trends in and Risk Factors for Nicotine Consumption in Childhood and Adolescence. Deutsches \u00c4rzteblatt. November. 2024;15:779-780. https:\/\/www.aerzteblatt.de\/int\/archive\/article?id=241776. Accessed October 13, 2025.","journal-title":"Deutsches \u00c4rzteblatt. November"},{"key":"e_1_3_5_8_2","volume-title":"Die Drogenaffinit\u00e4t Jugendlicher in Der Bundesrepublik Deutschland 2023\u201c \u2013 Ergebnisse Zum Rauchen \u2013","author":"Bundesinstitut f\u00fcr \u00f6ffentliche Gesundheit (BI\u00d6G)","year":"2024","unstructured":"Bundesinstitut f\u00fcr \u00f6ffentliche Gesundheit (BI\u00d6G). Die Drogenaffinit\u00e4t Jugendlicher in Der Bundesrepublik Deutschland 2023\u201c \u2013 Ergebnisse Zum Rauchen \u2013. 2024. https:\/\/www.bioeg.de\/fileadmin\/user_upload\/PDF\/pressemitteilungen\/daten_und_fakten\/Infoblatt_DAS_2023_Rauchen_2024-05-21_Final.pdf"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/02739615.2016.1227937"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pedn.2019.07.010"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2024.111270"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19159123"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.heliyon.2024.e38976"},{"key":"e_1_3_5_14_2","volume-title":"Qualitative Research and Evaluation Methods","author":"Patton MQ","year":"2002","unstructured":"Patton MQ. Qualitative Research and Evaluation Methods. 3rd ed. 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