Predictors of Adolescent Intentions to Quit Vaping Nicotine.

Bibliographic Details
Title: Predictors of Adolescent Intentions to Quit Vaping Nicotine.
Authors: Staff J; Department of Sociology and Criminology, Pennsylvania State University, University Park, Pennsylvania. Electronic address: jus25@psu.edu., Vuolo M; Department of Sociology, The Ohio State University, Columbus, Ohio., Kelly BC; Department of Sociology, Indiana University, Bloomington, Indiana.
Source: The Journal of adolescent health : official publication of the Society for Adolescent Medicine [J Adolesc Health] 2026 Oct; Vol. 79 (4), pp. 548-555. Date of Electronic Publication: 2026 Jul 10.
Publication Type: Journal Article
Language: English
Journal Info: Publisher: Elsevier Country of Publication: United States NLM ID: 9102136 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-1972 (Electronic) Linking ISSN: 1054139X NLM ISO Abbreviation: J Adolesc Health Subsets: MEDLINE
Imprint Name(s): Original Publication: New York, NY : Elsevier, c1991-
MeSH Terms: Vaping*/psychology , Adolescent Behavior*/psychology , Tobacco Use Cessation*/psychology , Intention*, Electronic Nicotine Delivery Systems/statistics & numerical data ; Humans ; Adolescent ; Female ; Male ; Child ; United States
Abstract: Purpose: Some adolescents who use electronic nicotine delivery systems (ENDS) intend to quit vaping. Among adolescents who recently used ENDS, we examined behavioral, psychological, familial, and social factors associated with ENDS cessation intentions.
Methods: Logistic regressions were based on 2,515 adolescents (age 12-17) in the US Population Assessment of Tobacco and Health study who had used ENDS in the past month. Based on eight waves of youth/parent data collected from 2016 to 2023, we examined whether youths' prior ENDS use (daily, lifetime 100 or more times), ENDS flavoring, unsuccessful quit attempts, ENDS dependence, ENDS beliefs (harms, addictiveness), dual- or poly-nicotine use, alcohol drinking, cannabis use, parents' or friends' ENDS use, and a strict household vaping ban were associated with youths' ENDS cessation intentions (i.e., desire to quit next month).
Results: Approximately 30% of youth intended to quit next month. The intention to quit ENDS was negatively associated with daily vaping (adjusted odds ratio [aOR] = .65 [95% confidence interval (CI) = .48-.89]), established lifetime ENDS use (aOR = .62 [95% CI = .52-.74]), greater dependence on ENDS (aOR = .62 [CI = .56-.68]), the use of candy-flavored vapes (aOR = .66 [95% CI = .55-.77]) or fruit-flavored vapes (aOR = .78 [CI = .69-.88]), past-month alcohol (aOR = .81 [CI = .69-.95]) or cannabis use (aOR = .75 [CI = .64-.87]), and having friends who vape (aOR = .87 [CI = .81-.93]). Intentions to quit were higher among youth who believed vaping was harmful (aOR = 1.26 [CI = 1.14-1.38]) or addictive (aOR = 1.16 [CI = 1.07-1.26]), and especially for youth who had attempted to quit in the past year (aOR = 7.18 [CI = 6.24-8.26]).
Discussion: Intentions to quit vaping remain an important objective for adolescent health intervention efforts. Our study identifies targets for parents, teachers, clinicians, and policymakers to encourage quit intentions among youth who vape.
(Copyright © 2026 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.)
Contributed Indexing: Keywords: Adolescent smoking; Adolescent vaping; Cessation intentions; Electronic nicotine delivery systems; Population Assessment of Tobacco and Health Study
Entry Date(s): Date Created: 20260710 Date Completed: 20260901 Latest Revision: 20260901
Update Code: 20260902
DOI: 10.1016/j.jadohealth.2026.05.016
PMID: 42429710
Database: MEDLINE
Description
ISSN:1879-1972
DOI:10.1016/j.jadohealth.2026.05.016