Electronic Cigarette Use in 12 European Countries: Results From the TackSHS Survey
Background: Limited data on electronic cigarette prevalence, patterns, and settings of use are available from several European countries. Methods: Within the TackSHS project, a face-to-face survey was conducted in 2017–2018 in 12 European countries (Bulgaria, England, France, Germany, Greece, Irelan...
| Main Authors: | , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Japan Epidemiological Association
2023-06-01
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| Series: | Journal of Epidemiology |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jea/33/6/33_JE20210329/_pdf |
| _version_ | 1797809190364774400 |
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| author | Silvano Gallus Alessandra Lugo Chiara Stival Sonia Cerrai Luke Clancy Filippos T. Filippidis Giuseppe Gorini Maria José Lopez Ángel López-Nicolás Sabrina Molinaro Anna Odone Joan B. Soriano Olena Tigova Piet A. van den Brandt Constantine I. Vardavas Esteve Fernandez the TackSHS Project Investigators |
| author_facet | Silvano Gallus Alessandra Lugo Chiara Stival Sonia Cerrai Luke Clancy Filippos T. Filippidis Giuseppe Gorini Maria José Lopez Ángel López-Nicolás Sabrina Molinaro Anna Odone Joan B. Soriano Olena Tigova Piet A. van den Brandt Constantine I. Vardavas Esteve Fernandez the TackSHS Project Investigators |
| author_sort | Silvano Gallus |
| collection | DOAJ |
| description | Background: Limited data on electronic cigarette prevalence, patterns, and settings of use are available from several European countries. Methods: Within the TackSHS project, a face-to-face survey was conducted in 2017–2018 in 12 European countries (Bulgaria, England, France, Germany, Greece, Ireland, Italy, Latvia, Poland, Portugal, Romania and Spain). Overall, 11,876 participants, representative of the population aged ≽15 years in each country, provided information on electronic cigarette. Results: 2.4% (95% confidence interval [CI], 2.2–2.7%) of the subjects (2.5% among men and 2.4% among women; 0.4% among never, 4.4% among current- and 6.5% among ex-smokers) reported current use of electronic cigarette, ranging from 0.6% in Spain to 7.2% in England. Of the 272 electronic cigarette users, 52.6% were dual users (ie, users of both electronic and conventional cigarettes) and 58.8% used liquids with nicotine. In all, 65.1% reported using electronic cigarette in at least one indoor setting where smoking is forbidden; in particular, at workplaces (34.9%) and bars and restaurants (41.5%). Multivariable logistic regression analysis showed that electronic cigarette use was lower among older individuals (P for trend <0.001) and higher among individuals with high level of education (P for trend = 0.040). Participants from countries with higher tobacco cigarette prices more frequently reported electronic cigarette use (odds ratio 3.62; 95% CI, 1.80–7.30). Conclusion: Considering the whole adult population of these 12 European countries, more than 8.3 million people use electronic cigarettes. The majority of users also smoked conventional cigarettes, used electronic cigarettes with nicotine, and consumed electronic cigarettes in smoke-free indoor areas. |
| first_indexed | 2024-03-13T06:48:49Z |
| format | Article |
| id | doaj.art-c9ade05306674c6e9ce4cf35b8fb11b4 |
| institution | Directory Open Access Journal |
| issn | 0917-5040 1349-9092 |
| language | English |
| last_indexed | 2024-03-13T06:48:49Z |
| publishDate | 2023-06-01 |
| publisher | Japan Epidemiological Association |
| record_format | Article |
| series | Journal of Epidemiology |
| spelling | doaj.art-c9ade05306674c6e9ce4cf35b8fb11b42023-06-08T02:04:58ZengJapan Epidemiological AssociationJournal of Epidemiology0917-50401349-90922023-06-0133627628410.2188/jea.JE20210329Electronic Cigarette Use in 12 European Countries: Results From the TackSHS SurveySilvano Gallus0Alessandra Lugo1Chiara Stival2Sonia Cerrai3Luke Clancy4Filippos T. Filippidis5Giuseppe Gorini6Maria José Lopez7Ángel López-Nicolás8Sabrina Molinaro9Anna Odone10Joan B. Soriano11Olena Tigova12Piet A. van den Brandt13Constantine I. Vardavas14Esteve Fernandez15the TackSHS Project InvestigatorsDepartment of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, ItalyDepartment of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, ItalyDepartment of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Milan, ItalyEpidemiology and Health Research Lab, Institute of Clinical Physiology, National Research Council of Italy (IFC-CNR), Pisa, ItalyTobaccoFree Research Institute Ireland, Dublin, IrelandDepartment of Primary Care and Public Health, Imperial College London, London, United KingdomOncologic Network, Prevention and Research Institute (ISPRO), Florence, ItalyAgència de Salut Pública de Barcelona, Barcelona, SpainPolytechnic University of Cartagena (UPCT), Cartagena, SpainEpidemiology and Health Research Lab, Institute of Clinical Physiology, National Research Council of Italy (IFC-CNR), Pisa, ItalySchool of Medicine, University Vita-Salute San Raffaele, Milan, ItalyHospital Universitario La Princesa (IISP), Madrid, SpainConsortium for Biomedical Research in Respiratory Diseases (CIBERES), Madrid, SpainMaastricht University Medical Centre, GROW- School for Oncology and Developmental Biology, Department of Epidemiology, Maastricht, the NetherlandsHellenic Cancer Society, Athens, GreeceConsortium for Biomedical Research in Respiratory Diseases (CIBERES), Madrid, SpainBackground: Limited data on electronic cigarette prevalence, patterns, and settings of use are available from several European countries. Methods: Within the TackSHS project, a face-to-face survey was conducted in 2017–2018 in 12 European countries (Bulgaria, England, France, Germany, Greece, Ireland, Italy, Latvia, Poland, Portugal, Romania and Spain). Overall, 11,876 participants, representative of the population aged ≽15 years in each country, provided information on electronic cigarette. Results: 2.4% (95% confidence interval [CI], 2.2–2.7%) of the subjects (2.5% among men and 2.4% among women; 0.4% among never, 4.4% among current- and 6.5% among ex-smokers) reported current use of electronic cigarette, ranging from 0.6% in Spain to 7.2% in England. Of the 272 electronic cigarette users, 52.6% were dual users (ie, users of both electronic and conventional cigarettes) and 58.8% used liquids with nicotine. In all, 65.1% reported using electronic cigarette in at least one indoor setting where smoking is forbidden; in particular, at workplaces (34.9%) and bars and restaurants (41.5%). Multivariable logistic regression analysis showed that electronic cigarette use was lower among older individuals (P for trend <0.001) and higher among individuals with high level of education (P for trend = 0.040). Participants from countries with higher tobacco cigarette prices more frequently reported electronic cigarette use (odds ratio 3.62; 95% CI, 1.80–7.30). Conclusion: Considering the whole adult population of these 12 European countries, more than 8.3 million people use electronic cigarettes. The majority of users also smoked conventional cigarettes, used electronic cigarettes with nicotine, and consumed electronic cigarettes in smoke-free indoor areas.https://www.jstage.jst.go.jp/article/jea/33/6/33_JE20210329/_pdfelectronic cigarettesendsnicotinecross-sectional studyeurope |
| spellingShingle | Silvano Gallus Alessandra Lugo Chiara Stival Sonia Cerrai Luke Clancy Filippos T. Filippidis Giuseppe Gorini Maria José Lopez Ángel López-Nicolás Sabrina Molinaro Anna Odone Joan B. Soriano Olena Tigova Piet A. van den Brandt Constantine I. Vardavas Esteve Fernandez the TackSHS Project Investigators Electronic Cigarette Use in 12 European Countries: Results From the TackSHS Survey Journal of Epidemiology electronic cigarettes ends nicotine cross-sectional study europe |
| title | Electronic Cigarette Use in 12 European Countries: Results From the TackSHS Survey |
| title_full | Electronic Cigarette Use in 12 European Countries: Results From the TackSHS Survey |
| title_fullStr | Electronic Cigarette Use in 12 European Countries: Results From the TackSHS Survey |
| title_full_unstemmed | Electronic Cigarette Use in 12 European Countries: Results From the TackSHS Survey |
| title_short | Electronic Cigarette Use in 12 European Countries: Results From the TackSHS Survey |
| title_sort | electronic cigarette use in 12 european countries results from the tackshs survey |
| topic | electronic cigarettes ends nicotine cross-sectional study europe |
| url | https://www.jstage.jst.go.jp/article/jea/33/6/33_JE20210329/_pdf |
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