{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T18:30:06Z","timestamp":1786473006762,"version":"build-2736575974"},"reference-count":33,"publisher":"Public Library of Science (PLoS)","issue":"8","license":[{"start":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T00:00:00Z","timestamp":1786406400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>E-cigarette use among adolescents has increased globally; however, there is little evidence about usage patterns and their associated factors in Latin America and the Caribbean. This study aimed to estimate the prevalence and evaluate the factors associated with e-cigarette use among adolescents in 16 Latin American and Caribbean countries. A secondary data analysis was performed using the Global Youth Tobacco Survey collected between 2014 and 2022. Age-standardized prevalences and their respective 95% confidence intervals (95% CI) were calculated, and Poisson regression models were used to identify associated factors, reporting prevalence ratios (PR) and their 95% CIs. Data from 55,330 adolescents were analyzed. The prevalence of e-cigarette use in the past 30 days was 8.0% (95% CI: 6.9%\u20139.3%), whereas daily use was 0.7% (95% CI: 0.5%\u20131.1%), with significant differences by sex (p\u2009=\u20090.002). Factors associated with e-cigarette use were older age (PR\u2009=\u20091.29; 95%CI: 1.17-1.41), exposure to tobacco smoke at home (PR\u2009=\u20092.25; 95%CI: 1.46-3.46) and at school (PR\u2009=\u20092.16; 95%CI: 1.77-2.62). On the other hand, daily use was associated with sex (PR\u2009=\u20090.35; 95%CI: 0.17-0.73), spending capacity (PR\u2009=\u20094.01; 95%CI: 1.94-8.27) and exposure to smoking at home (PR\u2009=\u20093.47; 95%CI: 1.54-7.80). Among adolescents in Latin America and the Caribbean, e-cigarette use was significant and depended on the indicator used. Any e-cigarette use was associated with older age, smoking exposure at home and at school, whereas daily e-cigarette use was greater among men, and associated with spending capacity and smoking exposure at home. These findings underscore the need to strengthen public policies that restrict access to these products and promote tobacco- and vaping-free school and home environments.<\/jats:p>","DOI":"10.1371\/journal.pgph.0007058","type":"journal-article","created":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T17:33:56Z","timestamp":1786469636000},"page":"e0007058","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and factors associated with e-cigarettes consumption among adolescents: A cross-sectional analysis in Latin America and the Caribbean"],"prefix":"10.1371","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-0583-2397","authenticated-orcid":true,"given":"Paolo J.","family":"Taipe-Rivero","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liseth J.","family":"Humpire-Mamani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6834-1376","authenticated-orcid":true,"given":"Antonio","family":"Bernab\u00e9-Ortiz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,8,11]]},"reference":[{"issue":"3","key":"pgph.0007058.ref001","article-title":"Reasons for trying e-cigarettes and risk of continued use","volume":"138","author":"KW Bold","year":"2016","journal-title":"Pediatrics"},{"issue":"6","key":"pgph.0007058.ref002","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1016\/j.jadohealth.2010.09.011","article-title":"The changing role of self-efficacy in adolescent smoking initiation","volume":"48","author":"M Hiemstra","year":"2011","journal-title":"J Adolesc Health"},{"issue":"6","key":"pgph.0007058.ref003","article-title":"Characteristics of e-cigarette use behaviors among US youth, 2020","volume":"4","author":"TW Wang","year":"2021","journal-title":"JAMA Netw Open"},{"issue":"21","key":"pgph.0007058.ref004","doi-asserted-by":"crossref","first-page":"2095","DOI":"10.1001\/jama.2019.18387","article-title":"e-Cigarette Use Among Youth in the United States, 2019","volume":"322","author":"KA Cullen","year":"2019","journal-title":"JAMA"},{"key":"pgph.0007058.ref005","doi-asserted-by":"crossref","first-page":"102952","DOI":"10.1016\/j.pmedr.2024.102952","article-title":"E-cigarette use among adolescents in Latin America: A systematic review of prevalence and associated factors","volume":"49","author":"JS Izquierdo-Condoy","year":"2024","journal-title":"Prev Med Rep"},{"issue":"6","key":"pgph.0007058.ref006","doi-asserted-by":"crossref","first-page":"684","DOI":"10.1016\/j.jadohealth.2013.11.003","article-title":"Electronic cigarette use among Korean adolescents: a cross-sectional study of market penetration, dual use, and relationship to quit attempts and former smoking","volume":"54","author":"S Lee","year":"2014","journal-title":"J Adolesc Health"},{"key":"pgph.0007058.ref007","doi-asserted-by":"crossref","first-page":"107585","DOI":"10.1016\/j.drugalcdep.2019.107585","article-title":"E-cigarette use frequency and motivations among current users in middle school","volume":"204","author":"L Zavala-Arciniega","year":"2019","journal-title":"Drug Alcohol Depend"},{"key":"pgph.0007058.ref008","doi-asserted-by":"crossref","DOI":"10.1136\/tobaccocontrol-2021-057053","article-title":"E-cigarette brands and social media influencers on Instagram: a social network analysis","volume":"32","author":"J Vassey","year":"2023","journal-title":"Tob Control"},{"key":"pgph.0007058.ref009","unstructured":"World Health Organization. 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Global Youth Tobacco Survey. Geneva, Switzerland: WHO. 2025. https:\/\/www.who.int\/teams\/noncommunicable-diseases\/surveillance\/systems-tools\/global-youth-tobacco-survey"},{"key":"pgph.0007058.ref015","unstructured":"World Health Organization. Global Youth Tobacco Survey: Methodology. Geneva, Switzerland: WHO. 2024. https:\/\/www.who.int\/teams\/noncommunicable-diseases\/surveillance\/systems-tools\/global-youth-tobacco-survey\/methodology"},{"key":"pgph.0007058.ref016","unstructured":"World Health Organization. NCD Microdata Repository. https:\/\/extranet.who.int\/ncdsmicrodata\/index.php\/home. 2025. Accessed 2025 April 15."},{"issue":"4","key":"pgph.0007058.ref017","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1177\/1536867X0800800404","article-title":"A Closer Examination of Subpopulation Analysis of Complex-Sample Survey Data","volume":"8","author":"BT West","year":"2008","journal-title":"The Stata Journal: Promoting communications on statistics and Stata"},{"key":"pgph.0007058.ref018","article-title":"Age standardization of rates: A new WHO standard (GPE Discussion Paper Series: No 31)","author":"OB Ahmad","year":"2001","journal-title":"Geneva, Switzerland: WHO"},{"issue":"1","key":"pgph.0007058.ref019","article-title":"On simple adjustments to chi-square tests with sample survey data","volume":"15","author":"JNK Rao","year":"1987","journal-title":"Ann Statist"},{"key":"pgph.0007058.ref020","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/1471-2288-3-21","article-title":"Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio","volume":"3","author":"AJD Barros","year":"2003","journal-title":"BMC Med Res Methodol"},{"issue":"3","key":"pgph.0007058.ref021","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1016\/j.jadohealth.2015.11.008","article-title":"Prevalence and Correlates of E-Cigarette Perceptions and Trial Among Early Adolescents in Mexico","volume":"58","author":"JF Thrasher","year":"2016","journal-title":"J Adolesc Health"},{"issue":"4","key":"pgph.0007058.ref022","doi-asserted-by":"crossref","first-page":"650","DOI":"10.2105\/AJPH.2021.306686","article-title":"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\u20122019","volume":"112","author":"J Sun","year":"2022","journal-title":"Am J Public Health"},{"issue":"1","key":"pgph.0007058.ref023","doi-asserted-by":"crossref","first-page":"20967","DOI":"10.1038\/s41598-022-25594-4","article-title":"Electronic cigarettes use and \u201cdual use\u201d among the youth in 75 countries: estimates from Global Youth Tobacco Surveys (2014-2019)","volume":"12","author":"CT Sreeramareddy","year":"2022","journal-title":"Sci Rep"},{"issue":"12","key":"pgph.0007058.ref024","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2020.27572","article-title":"Underage youth and young adult e-cigarette use and access before and during the coronavirus disease 2019 pandemic","volume":"3","author":"SM Gaiha","year":"2020","journal-title":"JAMA Netw Open"},{"issue":"11","key":"pgph.0007058.ref025","doi-asserted-by":"crossref","first-page":"5534","DOI":"10.1038\/s41380-025-03110-0","article-title":"Adolescent nicotine exposure and persistent neurocircuitry changes: unveiling lifelong psychiatric risks","volume":"30","author":"LM Reynolds","year":"2025","journal-title":"Mol Psychiatry"},{"issue":"7","key":"pgph.0007058.ref026","doi-asserted-by":"crossref","first-page":"926","DOI":"10.1093\/ntr\/nty107","article-title":"Tobacco Marketing and Subsequent Use of Cigarettes, E-Cigarettes, and Hookah in Adolescents","volume":"21","author":"TB Cruz","year":"2019","journal-title":"Nicotine Tob Res"},{"key":"pgph.0007058.ref027","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.ypmed.2016.10.019","article-title":"Adolescents\u2019 attitudes towards e-cigarette ingredients, safety, addictive properties, social norms, and regulation","volume":"94","author":"A Gorukanti","year":"2017","journal-title":"Prev Med"},{"issue":"3","key":"pgph.0007058.ref028","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1136\/tc.2008.027375","article-title":"Open source marketing: Camel cigarette brand marketing in the \u201cWeb 2.0\u201d world","volume":"18","author":"B Freeman","year":"2009","journal-title":"Tob Control"},{"key":"pgph.0007058.ref029","unstructured":"Pan American Health Organization. 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Washington DC, US: PAHO. 2022."},{"issue":"6","key":"pgph.0007058.ref030","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1016\/S1054-139X(03)00052-1","article-title":"Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: evidence from the scientific literature","volume":"33","author":"ND Brener","year":"2003","journal-title":"J Adolesc Health"},{"issue":"2","key":"pgph.0007058.ref031","doi-asserted-by":"crossref","first-page":"236","DOI":"10.1093\/aje\/kwn301","article-title":"Optimal serum cotinine levels for distinguishing cigarette smokers and nonsmokers within different racial\/ethnic groups in the United States between 1999 and 2004","volume":"169","author":"NL Benowitz","year":"2009","journal-title":"Am J Epidemiol"},{"issue":"5","key":"pgph.0007058.ref032","doi-asserted-by":"crossref","first-page":"925","DOI":"10.1016\/j.jadohealth.2023.11.399","article-title":"Factors Associated With the Changes in Smoking and Electronic cigarette use in Adolescents During the COVID-19 Pandemic: A Longitudinal Analysis","volume":"74","author":"D Vida\u00f1a-P\u00e9rez","year":"2024","journal-title":"J Adolesc Health"},{"issue":"3","key":"pgph.0007058.ref033","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/ntr\/ntab152","article-title":"Vaping Disparities at the Intersection of Gender Identity and Race\/Ethnicity in a Population-Based Sample of Adolescents","volume":"24","author":"JK Felner","year":"2022","journal-title":"Nicotine Tob Res"}],"container-title":["PLOS Global Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0007058","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T17:34:03Z","timestamp":1786469643000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pgph.0007058"}},"subtitle":[],"editor":[{"given":"Revathy","family":"Sudhakar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,8,11]]},"references-count":33,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026,8,11]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pgph.0007058","relation":{},"ISSN":["2767-3375"],"issn-type":[{"value":"2767-3375","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,11]]}}}