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Trends in Social Norms Toward Cigarette Smoking and E-cigarette Use Among U.S. Youth Between 2015 and 2021.


ABSTRACT:

Introduction

This study examines trends in social norms toward cigarette smoking and e-cigarette use among US youth during 2015-2021, focusing on descriptive interpersonal norms (friends' behavior) and injunctive norms at interpersonal (perceived important others' negative view) and societal level (perceived public disapproval).

Methods

Respondents were youth aged 12 to 17 from the Population Assessment of Tobacco and Health Study of the United States, Wave 3 (2015-2016) to Wave 6 (2021). Logistic regression models that adjusted for demographics and participation effects assessed norm changes over time and their association with use status in Wave 6.

Results

Between 2015 and 2021, the probability of having friends who smoked cigarettes decreased (26.1% vs. 7.9%, adjus

SUBMITTER: Vu GT 

PROVIDER: S-EPMC12641183 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature