{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T18:16:35Z","timestamp":1784744195049,"version":"3.55.0"},"reference-count":29,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,3,29]],"date-time":"2023-03-29T00:00:00Z","timestamp":1680048000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Most people who smoke cigarettes begin in their teens and teens may also be attracted to new tobacco, nicotine, and cannabis products. We describe use prevalence among upper-secondary school students in Switzerland, including daily use, of tobacco, nicotine, and cannabis products.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We invited secondary school students (age 15 to 21) in two Swiss cantons to take an online survey between October 2021 and February 2022. The survey collected demographic information and asked how frequently they used tobacco products (cigarettes in commercial packages, self-rolled cigarettes, hookahs, pipes, cigars and cigarillos, tobacco heating systems, snus, snuff), non-tobacco nicotine products (nicotine pouches, e-cigarettes with and without nicotine), and cannabis products (smoking with and without tobacco, cannabis vaping). Answers were scored on a Likert scale (no use in past month, less than weekly, weekly but not daily, daily use, prefer not to say), then tabulated and reported as descriptive statistics.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 32,614 students in the schools we contacted, 9,515 (29.2%) completed the survey; 49.5% identified as female and 48.4% as male; 9.5% were under 16, 47% were 16\u201317, 27.5% were 18\u201319, and 16% were over 19. Reported daily use was most frequent for tobacco cigarettes in commercial packages (14.2%), snus (4.1%) and cannabis smoking with tobacco (3.6%). Most participants (54.8%) reported they had used at least one product at least once within the last month.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Students who used a product were most likely to smoke cigarettes, but many regularly used new tobacco, nicotine and cannabis products, though use frequency varies.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2023.1076217","type":"journal-article","created":{"date-parts":[[2023,3,29]],"date-time":"2023-03-29T06:00:41Z","timestamp":1680069641000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":8,"title":["Use of tobacco, nicotine and cannabis products among students in Switzerland"],"prefix":"10.3389","volume":"11","author":[{"given":"Jana","family":"Affolter","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eveline","family":"Rohland","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Philippe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kali","family":"Tal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reto","family":"Auer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Jakob","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2023,3,29]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"CD010216","DOI":"10.1002\/14651858.CD010216.pub","article-title":"Electronic cigarettes for smoking cessation","volume":"10","author":"Hartmann-Boyce","year":"2020","journal-title":"Cochrane Database Syst Rev."},{"key":"B2","doi-asserted-by":"publisher","first-page":"817","DOI":"10.1093\/ntr\/ntq105","article-title":"The use of snus for quitting smoking compared with medicinal products","volume":"12","author":"Lund","year":"2010","journal-title":"Nicotine Tob Res."},{"key":"B3","doi-asserted-by":"publisher","first-page":"1031","DOI":"10.1001\/jamapsychiatry.2021.1258","article-title":"Association of cannabis use during adolescence with neurodevelopment","volume":"78","author":"Albaugh","year":"2021","journal-title":"JAMA Psychiatry."},{"key":"B4","doi-asserted-by":"publisher","first-page":"148","DOI":"10.1136\/tobaccocontrol-2018-054726","article-title":"Electronic cigarettes in Italy: a tool for harm reduction or a gateway to smoking tobacco?","volume":"29","author":"Liu","year":"2020","journal-title":"Tob Control."},{"key":"B5","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1136\/tobaccocontrol-2021-056528","article-title":"Exploring the gateway hypothesis of e-cigarettes and tobacco: a prospective replication study among adolescents in the Netherlands and Flanders","volume":"32","author":"Martinelli","year":"2021","journal-title":"Tob Control."},{"key":"B6","unstructured":"Pr\u00e4valenz des Cannabiskonsums2021"},{"key":"B7","doi-asserted-by":"crossref","unstructured":"MarconA\n            PesceG\n            CalcianoL\n            BellisarioV\n            DharmageSC\n            Garcia-AymerichJ\n          30133533Trends in Smoking Initiation in Europe Over 40 Years: A Retrospective Cohort Study2018","DOI":"10.1371\/journal.pone.0201881"},{"key":"B8","doi-asserted-by":"publisher","first-page":"447","DOI":"10.1016\/j.jadohealth.2021.02.011","article-title":"Trends and patterns of tobacco and nicotine product use among youth in Canada, England, and the United States From 2017 to 2019","volume":"69","author":"East","year":"2021","journal-title":"J Adolesc Health Off Publ Soc Adolesc Med."},{"key":"B9","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1016\/j.amepre.2020.04.008","article-title":"Marijuana legalization and youth marijuana, alcohol, and cigarette use and norms","volume":"59","author":"Bailey","year":"2020","journal-title":"Am J Prev Med."},{"key":"B10","doi-asserted-by":"publisher","first-page":"948","DOI":"10.1111\/j.1360-0443.2006.01438.x","article-title":"Consequences of youth tobacco use: a review of prospective behavioural studies","volume":"101","author":"Mathers","year":"2006","journal-title":"Addict Abingdon Engl 1 Juli."},{"key":"B11","doi-asserted-by":"publisher","first-page":"e2223277","DOI":"10.1001\/jamanetworkopen.2022.23277","article-title":"Use of Electronic Cigarettes Among Cannabis-Naive Adolescents and Its Association With Future Cannabis Use","volume":"5","author":"Sun","year":"2022","journal-title":"JAMA Netw Open."},{"key":"B12","unstructured":"AssuntaM\n          Global Tobacco Industry Interference Index 20212021"},{"key":"B13","unstructured":"FreyT\n            FriemelT\n          Substanzkonsumunter Jugendlichen und jungen Erwachsenen in der Schweiz im Jahr 20212021"},{"key":"B14","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19095623","article-title":"Use of tobacco and nicotine products among young people in Denmark\u2014Status in Single and Dual Use","author":"Bast","year":"2022","journal-title":"Int J Environ Res Public Health."},{"key":"B15","unstructured":"Tabakkonsum in der Schweiz - Schweizerische Gesundheitsbefragung 2017. Bundesamt F\u00fcr Stat2020"},{"key":"B16","doi-asserted-by":"publisher","first-page":"2806","DOI":"10.1002\/ppul.24985","article-title":"The LUIS study - Cigarette, shisha, and electronic smoking and respiratory symptoms in Swiss children","volume":"55","author":"Mozun","year":"2020","journal-title":"Pediatr Pulmonol."},{"key":"B17","volume-title":"Tabakatlas Deutschland 2020","author":"Schaller","year":"2020"},{"key":"B18","unstructured":"Die Schweizerische Gesundheitsbefragung 2017 in K\u00fcrze Konzept, Methode, Durchf\u00fchrung2020"},{"key":"B19","unstructured":"GmelG\n            KuendigH\n            NotariL\n            GmelC\n          Suchtmonitoring Schweiz - Konsum von Alkohol, Tabak und illegalen Drogen in der Schweiz im Jahr 2016. Lausanne, Schweiz: Sucht Schweiz2017"},{"key":"B20","unstructured":"JoossensL\n            FeliuA\n            FernandezE\n          The Tobacco Control Scale 2019 in Europe2020"},{"key":"B21","unstructured":"European Monitoring Centre for Drugs and Drug Addiction2021"},{"key":"B22","doi-asserted-by":"publisher","first-page":"109063","DOI":"10.1016\/j.drugalcdep.2021.109063","article-title":"Frequent teenage cannabis use: Prevalence across adolescence and associations with young adult psychopathology and functional well-being in an urban cohort","volume":"228","author":"Shanahan","year":"2021","journal-title":"Drug Alcohol Depend."},{"key":"B23","unstructured":"KiGGS Welle 2 \u2013 Erste Ergebnisse aus Querschnitt- und Kohortenanalysen2018"},{"key":"B24","unstructured":"A Report of the Surgeon General. American Psychological Association2018"},{"key":"B25","unstructured":"European Union Agency for Fundamental Rights2017"},{"key":"B26","unstructured":"The Role of Psychological Dispositions in Explaining Gender. Differences in Snus Consumption: A Cross-Sectional Survey Study of Norwegian Men Women2012"},{"key":"B27","doi-asserted-by":"publisher","first-page":"26","DOI":"10.1016\/j.addbeh.2015.05.012","article-title":"Assessing the overlap between tobacco and marijuana: Trends in patterns of co-use of tobacco and marijuana in adults from 2003\u20132012","volume":"49","author":"Schauer","year":"2015","journal-title":"Addict Behav."},{"key":"B28","unstructured":"Sekundarstufe II: Ausbildungswahl2022"},{"key":"B29","unstructured":"Sekundarstufe II: Maturit\u00e4tsquote2022"}],"updated-by":[{"DOI":"10.3389\/fpubh.2023.1212598","type":"erratum","label":"Erratum","source":"publisher","updated":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T00:00:00Z","timestamp":1686182400000}}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1076217\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T15:08:06Z","timestamp":1686236886000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2023.1076217\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,29]]},"references-count":29,"alternative-id":["10.3389\/fpubh.2023.1076217"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2023.1076217","relation":{"erratum":[{"id-type":"doi","id":"10.3389\/fpubh.2023.1212598","asserted-by":"object"}]},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,29]]},"article-number":"1076217"}}