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Two year trends and predictors of e-cigarette use in 27 European Union member states

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Title: Two year trends and predictors of e-cigarette use in 27 European Union member states
Authors: Filippidis, FT
Laverty, AA
Gerovasili, V
Vardavas, CI
Item Type: Journal Article
Abstract: Objective: This study assessed changes in levels of ever use, perceptions of harm from e-cigarettes and socio-demographic correlates of use among EU adults during 2012-2014, as well as determinants of current use in 2014. Methods: We analysed data from the 2012 (n=26,751) and 2014 (n=26,792) waves of the adult Special Eurobarometer for Tobacco survey. Point prevalence of current and ever use were calculated and logistic regression assessed correlates of current use and changes in ever use and perception of harm. Correlates examined included age, gender, tobacco smoking, education, area of residence, difficulties in paying bills and reasons for trying an e-cigarette. Results: The prevalence of ever use of e-cigarettes increased from 7.2% in 2012 to 11.6% in 2014 (Adjusted Odds Ratio [aOR]=1.91). EU-wide coefficient of variation in ever e-cigarette use was 42.1% in 2012 and 33.4% in 2014. The perception that e-cigarettes are harmful increased from 27.1% in 2012 to 51.6% in 2014 (aOR=2.99), but there were major differences in prevalence and trends between member states. Among those who reported that they had ever tried an e-cigarette in the 2014 survey, 15.3% defined themselves as current users. Those who tried an e-cigarette to quit smoking were more likely to be current users (aOR=2.82). Conclusion: Ever use of e-cigarettes increased during 2012-2014. People who started using e-cigarettes to quit smoking tobacco were more likely to be current users, but the trends vary by country. These findings underscore the need for more research into factors influencing e-cigarette use and its potential benefits and harms.
Issue Date: 24-May-2016
Date of Acceptance: 5-Feb-2016
URI: http://hdl.handle.net/10044/1/32158
DOI: https://dx.doi.org/10.1136/tobaccocontrol-2015-052771
ISSN: 0964-4563
Publisher: BMJ Publishing Group
Start Page: 98
End Page: 104
Journal / Book Title: Tobacco Control
Volume: 26
Copyright Statement: © 2016 The Authors. Published by the BMJ Publishing Group Limited. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/ licenses/by-nc/4.0
Keywords: Science & Technology
Life Sciences & Biomedicine
Public, Environmental & Occupational Health
ELECTRONIC CIGARETTES
SMOKING-CESSATION
HEALTH
Cessation
Electronic nicotine delivery devices
Non-cigarette tobacco products
Public opinion
MD Multidisciplinary
Public Health
Publication Status: Published
Appears in Collections:Faculty of Medicine
Epidemiology, Public Health and Primary Care



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