{
  "abstract": "To examine gender differences in the use of cigarettes, e-cigarettes, and oral nicotine products among adolescents in Germany. This cross-sectional study analyzed survey data from 958 students aged 11-21 years at six secondary schools in northern Germany, collected February - May 2026 within the SchoolVapeScience project. Lifetime and regular use, and, among lifetime users, initiation, use patterns, consumption contexts, and motives were compared between male (n = 446) and female (n = 505) participants using chi-square tests, t-tests, and ordinal logistic regression. Female participants reported higher lifetime (28.1% vs. 21.5%) and regular (17.0% vs. 10.3%) e-cigarette use, whereas regular use of oral nicotine products was more common among males (5.2% vs. 1.6%). Cigarette use did not differ by gender. Male users initiated e-cigarette use earlier (13.2 vs. 14.2 years) and more often reported poly-use (38.2% vs. 22.2%). Among cigarette users, weight control was a more common motive among females (21.1% vs. 1.5%), whereas male users of oral nicotine products more often reported school-related consumption contexts. Gender differences in adolescent nicotine use lie less in overall use than in product choice, use patterns, and motives. Prevention strategies should be gender-sensitive and address modern nicotine products.",
  "abstract_shown": true,
  "affiliations": [
    "University of Lübeck, Medical Clinic III (Pulmonology), University Hospital Schleswig-Holstein, Campus Lübeck, Germany.",
    "Airway Research Center North, Member of the German Center for Lung Research (DZL), 22927 Großhansdorf, Germany.",
    "University of Lübeck, Department of Pediatrics, University Hospital Schleswig-Holstein, Campus Lübeck, Germany."
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Mareike Lüthgen"
    },
    {
      "affs": [
        0
      ],
      "name": "Florian Graf"
    },
    {
      "affs": [
        0
      ],
      "name": "Niel Heitmann"
    },
    {
      "affs": [
        0
      ],
      "name": "Adrian Heinz"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Daniel Drömann"
    },
    {
      "affs": [
        2,
        1
      ],
      "name": "Folke Brinkmann"
    },
    {
      "affs": [
        0,
        1
      ],
      "name": "Klaas F Franzen"
    },
    {
      "affs": [
        2,
        1
      ],
      "name": "Loana Penner"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/a2mar3sdbhq30.bib",
  "cited_by": 0,
  "doi": "10.1016/j.pmedr.2026.103676",
  "fulltext_url": "https://europepmc.org/articles/PMC13744218",
  "id": "a2mar3sdbhq30",
  "issns": [
    "2211-3355"
  ],
  "landing_url": "https://europepmc.org/article/MED/42999647",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "openalex",
      "2739|Smoking Behavior and Cessation"
    ]
  ],
  "openalex": "W7224384431",
  "pdf_url": "https://europepmc.org/articles/PMC13744218?pdf=render",
  "pmcid": "PMC13744218",
  "pmid": "42999647",
  "published": "2026-10-29",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/a2mar3sdbhq30.ris",
  "sources": [
    {
      "first_seen": "2026-11-09T15:20:34Z",
      "native_id": "MED:42999647",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42999647"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2739|Smoking Behavior and Cessation",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Gender differences in the use of modern nicotine products among adolescents in northern Germany: a cross-sectional school-based study.",
  "title_text": "Gender differences in the use of modern nicotine products among adolescents in northern Germany: a cross-sectional school-based study.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-09T15:20:34Z",
  "url": "https://research.draconitic.com/paper/a2mar3sdbhq30",
  "venue": "Preventive medicine reports",
  "versions": []
}