{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T09:15:54Z","timestamp":1768468554022,"version":"3.49.0"},"reference-count":0,"publisher":"Instituto Nacional de Salud Publica","issue":"1, ene-feb","license":[{"start":{"date-parts":[[2023,1,2]],"date-time":"2023-01-02T00:00:00Z","timestamp":1672617600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Salud Publica Mex"],"abstract":"<jats:p>Objective. To assess how first experimenting with ciga\u00adrettes or e-cigarettes is associated with current use in Gua\u00adtemala, a middle-income country with weak tobacco control and no e-cigarette regulations. Materials and methods. We surveyed students from private schools in Guatemala City, limiting analyses to ever users (n=1 026). Multinomial logistic models regressed current product use on first product used, adjusting for sociodemographics and friends and family use. Results. The most common first product used was e-cigarettes (56%), followed by flavored cigarettes (24%) and regular cigarettes (20%). At the time of the survey, 4% were exclusive smokers, 37% were exclusive e-cigarette users, 18% dual users, and 40% had ever tried either but were not current users. Compared to those who first tried cigarettes, students who first tried e-cigarettes were less likely to be current smokers (RR=0.19 [CI: 0.11,0.31]) or dual users (RR=0.26 [CI: 0.14,0.49]) and students who first tried flavored cigarettes were more likely to be current smokers (RR=1.66 [CI=1.13,2.42]). Conclusions. In our sample, Guatemalan adolescents from private schools more frequently experiment and continue to use e-cigarettes than cigarettes. There is urgent need to implement e-cigarette restrictions in addition to tobacco control policy implementation.<\/jats:p>","DOI":"10.21149\/13972","type":"journal-article","created":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T22:14:13Z","timestamp":1674166453000},"page":"46-53","source":"Crossref","is-referenced-by-count":6,"title":["First tobacco product tried and current use of cigarettes and electronic cigarettes among adolescents from Guatemala City"],"prefix":"10.21149","volume":"65","author":[{"given":"Sophia","family":"Mus","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jose","family":"Monzon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farahnaz","family":"Islam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James F","family":"Thrasher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joaquin","family":"Barnoya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8786","published-online":{"date-parts":[[2023,1,2]]},"container-title":["Salud P\u00fablica de M\u00e9xico"],"original-title":[],"link":[{"URL":"https:\/\/www.saludpublica.mx\/index.php\/spm\/article\/download\/13972\/12329","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.saludpublica.mx\/index.php\/spm\/article\/download\/13972\/12329","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,1,19]],"date-time":"2023-01-19T22:14:34Z","timestamp":1674166474000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.saludpublica.mx\/index.php\/spm\/article\/view\/13972"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,2]]},"references-count":0,"journal-issue":{"issue":"1, ene-feb","published-online":{"date-parts":[[2023,1,2]]}},"URL":"https:\/\/doi.org\/10.21149\/13972","relation":{},"ISSN":["1606-7916","0036-3634"],"issn-type":[{"value":"1606-7916","type":"electronic"},{"value":"0036-3634","type":"print"}],"subject":[],"published":{"date-parts":[[2023,1,2]]}}}