{
  "abstract": "Introduction: Electronic cigarette (EC) use is growing exponentially among adolescents and young adults, alongside mental health challenges. In Mexico, despite a strict sales ban in effect in 2024, consumption remains a critical issue. This study evaluated EC and other substance use patterns among Mexican students, identifying factors associated with use based on sex.\n\nMethods: This cross-sectional study surveyed 10,074 students from public and private institutions across four regions of Mexico. Data on knowledge, usage patterns, and perceptions regarding EC were collected via a 29-item digital questionnaire, with results stratified by sex.\n\nResults: Awareness of EC was nearly universal (98.1%), and 33.4% of participants reported having experimented with them at some point in their lives, with no significant difference between sexes (p=0.868). However, females significantly increased their consumption during self-reported periods of sadness (7.9% vs. 6.0% for males; p<0.001) or when experiencing academic stress (10.5% vs. 8.3% for males; p<0.001) and showed strong motivation linked to the appeal of flavors (32.0% vs. 23.8%; p<0.001). Conversely, males exhibited higher rates of dual substance use, with greater consumption of combustible tobacco (21.3% vs. 17.9%; p<0.001) and THC derivatives (9.6% vs. 7.8%; p<0.001). Females perceived greater health risks and higher addictive potential (p<0.001).\n\nConclusion: Although lifetime experimentation was similar between males and females, differences were identified in self-reported emotional contexts, flavor preferences, risk perceptions, and associated substance use.",
  "abstract_shown": true,
  "affiliations": [
    "Clínica de Enfermedades Respiratorias. Hospital Regional de Alta Especialidad de la Península de Yucatán IMSS-Bienestar, Yucatán",
    "Laboratorio de Neumogenómica, Instituto Nacional de Enfermedades Respiratorias Ismael Cosío Villegas, Tlalpan",
    "Pulmonary Health Center, Chihuahua"
  ],
  "article_type": null,
  "arxiv": null,
  "author_total": 6,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Esperanza Figueroa-Hurtado"
    },
    {
      "affs": [
        1
      ],
      "name": "Gloria Pérez-Rubio"
    },
    {
      "affs": [
        2
      ],
      "name": "Manuel Eduardo Espinoza-Hernández"
    },
    {
      "affs": [
        0
      ],
      "name": "Camila Nereyda Álvarez-Torres"
    },
    {
      "affs": [
        1
      ],
      "name": "Ramcés Falfán-Valencia"
    },
    {
      "affs": [
        0
      ],
      "name": "Arturo Cortés-Telles"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/3b45e7fd84bvw.bib",
  "cited_by": 0,
  "doi": "10.3389/fpsyt.2026.1966247",
  "fulltext_url": null,
  "id": "3b45e7fd84bvw",
  "issns": [
    "1664-0640"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1966247/full",
  "language": null,
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [],
  "openalex": null,
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-11-09",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/3b45e7fd84bvw.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T12:23:40Z",
      "native_id": "10.3389/fpsyt.2026.1966247",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpsyt.2026.1966247/full"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "issn:1664-0640",
      "subfield": "psychiatry"
    }
  ],
  "title": "Sex-specific motivations, risk perceptions, and E-cigarette experimentation among adolescents and young adults: implications of public health intervention",
  "title_text": "Sex-specific motivations, risk perceptions, and E-cigarette experimentation among adolescents and young adults: implications of public health intervention",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T12:23:40Z",
  "url": "https://research.draconitic.com/paper/3b45e7fd84bvw",
  "venue": "Frontiers in Psychiatry",
  "versions": []
}