Sex and Polytobacco Use among Spanish and Turkish University Students

Sílvia Font-Mayolas, Mark J.M. Sullman, Maria Eugenia Gras

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Polytobacco use has become increasingly popular among young adults, particularly males, and can be defined as the concurrent use of regular cigarettes and other tobacco products (e.g., e-cigarettes). The present study investigated the use of legal smoking products (cigarettes, waterpipe and electronic cigarettes) among young adults (n = 355) in Spain and Turkey. The survey measured demographics, lifetime and past month tobacco use, waterpipe and e-cigarette use, whether waterpipes and e-cigarettes contained nicotine and reasons for using these substances. The majority of the Turkish (men = 80% and women = 63.9%) and Spanish sample (men = 61.4% and women = 69.3%) were polytobacco users. The most common reason for using e-cigarettes was "to experiment, to see what is like" (Turkish sample: men 66.7% and women 57.1; Spanish sample: men 72.7% and women 93.8%). The most common reason to use regular cigarettes was "to relax and relieve tension" (Turkish sample: men 88.9% and women 77.6%; Spanish sample: men 78.1% and women 76%), while for waterpipe users, the most common reason was "to experiment, to see what it is like" (Turkish sample: men 93.3% and women 80%; Spanish sample: men 78.9% and women 93.8%). The implications for prevention and future research are discussed.

Original languageEnglish
JournalInternational Journal of Environmental Research and Public Health
Issue number24
Publication statusPublished - 11 Dec 2019


  • attitudes
  • cigarettes
  • cognitions
  • electronic cigarettes
  • hookah
  • polytobacco use
  • sex
  • waterpipe
  • young adults


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