Amongst other factors, the researchers looked at ages of reported first use in each of these tobacco products, and found that the youngest average age was for cigarette smoking at 12.6, followed by smokeless tobacco at 13.4 years, cigars at 13.8 years, and finally hookah and electronic cigarettes/vapes at 14.1 years.
Initiating tobacco before 13 associated with higher dependence
The researchers found that initiating tobacco products at age 13 or below, was associated with greater current use of the respective product and a stronger nicotine dependence, when compared to initiating at any age above 13 years.
“First tobacco use at age ≤13 years is associated with current daily and past 30-day use of non-cigarette tobacco products, and with the development of nicotine dependence among youth ever-users. Proven tobacco prevention interventions that reach early adolescents are important to reduce overall youth tobacco use,” concluded the study.