{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T23:43:41Z","timestamp":1785541421289,"version":"3.56.0"},"reference-count":19,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T00:00:00Z","timestamp":1726790400000},"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>Purpose<\/jats:title><jats:p>Tobacco use remains the leading preventable cause of death in France, with 75,000 deaths each year. France aims to reduce smoking and achieve a smoke-free generation by 2032. However, recent tobacco industry innovations which mainly target young people, could undermine this goal. The main objective of this study is to assess the knowledge and consumption patterns of the \u201cpuff\u201d among French adolescents in 2022.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross-sectional study using a structured online survey on a representative sample of 400 adolescents aged 13 to 16 years was conducted from July 4th to 20th, 2022.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Around 66% of adolescents reported having heard of the puff\u201d, and one in ten having tried it. Slightly fewer of them have tried cigarettes; 89.6% of experimenters reported that it allowed them to explore unique flavors, 81.9% found it fun to play with the puff-cloud, and 94.5% of regular consumers considered it a stylish or cool product. 76% of adolescents believe that the puff is dangerous to their health, 71.6% describe it as a polluting device, and 62.8% think it\u2019s a gadget.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The \u201cpuff\u201d is widely known by French adolescents and more commonly used than cigarettes, due, in part, to marketing specifically designed to target youth. That is why it could represent a threat to the smoke-free generation objectives. Public health policy could be informed by the ecological awareness of adolescents as a new lever of counter-influence to prevent this kind of consumption, as did ACT with the #stopcigarettespollution prevention campaign.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2024.1411099","type":"journal-article","created":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T04:35:29Z","timestamp":1726806929000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Understanding adolescent consumption patterns and attitudes towards the \u201cpuff\u201d on the path to a smoke-free generation: a 2022 French perspective"],"prefix":"10.3389","volume":"12","author":[{"given":"Marin","family":"Cottin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion","family":"Catellin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elen","family":"De Guiran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katiuska","family":"Miliani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lo\u00efc","family":"Josseran","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvain","family":"Gautier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,9,20]]},"reference":[{"key":"ref1","year":""},{"key":"ref2","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1136\/tobaccocontrol-2011-050389","article-title":"Smoke-free air policies: past, present and future","volume":"21","author":"Hyland","year":"2012","journal-title":"Tob Control"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"26","DOI":"10.3917\/jdsam.211.0026","article-title":"Bilan de la loi Evin, 30 ans apr\u00e8s\u2014Le tabac","volume":"28","author":"Josseran","year":"2021","journal-title":"J Droit Sant\u00e9 L\u2019Assurance\u2014Mal JDSAM"},{"key":"ref4","first-page":"152","article-title":"Prevalence of smoking and vaping in France in 2022 among 18\u201375 year olds","author":"Pasquereau","year":"2023","journal-title":"Bull \u00c9pid\u00e9miol Hebd"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"334","DOI":"10.1016\/j.jadohealth.2020.06.026","article-title":"The World Health Organization\u2019s world no tobacco day 2020 campaign exposes tobacco and related industry tactics to manipulate children and young people and hook a new generation of users","volume":"67","author":"St Claire","year":"2020","journal-title":"J Adolesc Health"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"109279","DOI":"10.1016\/j.drugalcdep.2022.109279","article-title":"E-cigarette device type and combustible tobacco use: results from a pooled analysis of 10,482 youth","volume":"232","author":"Kong","year":"2022","journal-title":"Drug Alcohol Depend"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"e068466","DOI":"10.1136\/bmjopen-2022-068466","article-title":"Youth\u2019s engagement and perceptions of disposable e-cigarettes: a UK focus group study","volume":"13","author":"Smith","year":"2023","journal-title":"BMJ Open"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"372","DOI":"10.1093\/ntr\/ntab165","article-title":"Disposable E-cigarette use prevalence, correlates, and associations with previous tobacco product use in young adults","volume":"24","author":"Leventhal","year":"2022","journal-title":"Nicotine Tob Res Off J Soc Res Nicotine Tob"},{"key":"ref9","author":"O\u2019Carroll","year":"2023"},{"key":"ref10","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":"2023","journal-title":"Tob Control"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1","DOI":"10.18332\/tid\/156459","article-title":"Use of tobacco and e-cigarettes among youth in Great Britain in 2022: analysis of a cross-sectional survey","volume":"21","author":"Williams","year":"2023","journal-title":"Tob Induc Dis"},{"key":"ref12","first-page":"470","article-title":"National and regional prevalence of smoking in France in 2021 among 18\u201375 years old, according to the Sant\u00e9 publique France health barometer","volume":"26","author":"Pasquereau","year":"2022","journal-title":"Bull \u00c9pid\u00e9miol Hebd."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"333","DOI":"10.3917\/spub.173.0333","article-title":"Vapoter favorise-t-il le tabagisme chez les adolescents et les jeunes adultes? Revue de la litt\u00e9rature","volume":"29","author":"Gautier","year":"2017","journal-title":"Sante Publique"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"470","DOI":"10.5588\/ijtld.19.0600","article-title":"How big tobacco uses disruptive tactics to deny child rights to be tobacco-free","volume":"24","author":"Jones","year":"2020","journal-title":"Int J Tuberc Lung Dis"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"e71","DOI":"10.1136\/tobaccocontrol-2021-056780","article-title":"Flavour spectrum of the puff family of disposable e-cigarettes","volume":"32","author":"Ramamurthi","year":"2023","journal-title":"Tob Control"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"975065","DOI":"10.3389\/fpubh.2023.975065","article-title":"Policies regulating retail environment to reduce tobacco availability: a scoping review","volume":"11","author":"Alebshehy","year":"2023","journal-title":"Front Public Health"},{"key":"ref17","first-page":"479","article-title":"Denormalizing tobacco and its industry: a winning approach?","volume":"72","author":"de Guiran","year":"2022","journal-title":"Rev Prat"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"396","DOI":"10.1111\/add.16046","article-title":"The environmental impact of tobacco products: time to increase awareness and action","volume":"118","author":"Morphett","year":"2023","journal-title":"Addict Abingdon Engl Mars"},{"key":"ref19","article-title":"B\u00e9n\u00e9fices-risques de la cigarette \u00e9lectronique pour la population g\u00e9n\u00e9rale","author":"Ben Lakhdar","year":"2016","journal-title":"Haut conseil de la sant\u00e9 publique"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2024.1411099\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,20]],"date-time":"2024-09-20T04:35:30Z","timestamp":1726806930000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2024.1411099\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,20]]},"references-count":19,"alternative-id":["10.3389\/fpubh.2024.1411099"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2024.1411099","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,20]]},"article-number":"1411099"}}