Electronic Cigarette Use in 12 European countries: results from the TackSHS survey
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- dc.contributor.author Gallus, Silvano
- dc.contributor.author Lugo, Alessandra
- dc.contributor.author Stival, Chiara
- dc.contributor.author Cerrai, Sonia
- dc.contributor.author Clancy, Luke
- dc.contributor.author Filippidis, Filippos T.
- dc.contributor.author Gorini, Giuseppe
- dc.contributor.author López, Maria José
- dc.contributor.author López Nicolás, Ángel
- dc.contributor.author Molinaro, Sabrina
- dc.contributor.author Odone, Anna
- dc.contributor.author Soriano, Joan B.
- dc.contributor.author Tigova, Olena
- dc.contributor.author van den Brandt, Piet A.
- dc.contributor.author Vardavas, Constantine
- dc.contributor.author Fernández, Esteve
- dc.contributor.author TackSHS Project Investigators
- dc.date.accessioned 2023-09-20T06:51:50Z
- dc.date.available 2023-09-20T06:51:50Z
- dc.date.issued 2023
- dc.description.abstract 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.
- dc.description.sponsorship This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 681040. The work of SG, CS, and AL was partially funded by the Italian League Against Cancer (LILT, Milan).
- dc.format.mimetype application/pdf
- dc.identifier.citation Gallus S, Lugo A, Stival C, Cerrai S, Clancy L, Filippidis FT, Gorini G, Lopez MJ, López-Nicolás Á, Molinaro S, Odone A, Soriano JB, Tigova O, van den Brandt PA, Vardavas CI, Fernandez E, TackSHS Project Investigators. Electronic Cigarette Use in 12 European countries: results from the TackSHS survey. J Epidemiol. 2023;33(6):276-84. DOI: 10.2188/jea.JE20210329
- dc.identifier.doi http://dx.doi.org/10.2188/jea.JE20210329
- dc.identifier.issn 0917-5040
- dc.identifier.uri http://hdl.handle.net/10230/57921
- dc.language.iso eng
- dc.publisher Japan Epidemiological Association
- dc.relation.ispartof J Epidemiol. 2023;33(6):276-84
- dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/681040
- dc.rights © 2021 Silvano Gallus et al. This is an open access article distributed under the terms of Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword ENDS
- dc.subject.keyword Europe
- dc.subject.keyword Cross-sectional study
- dc.subject.keyword Electronic cigarettes
- dc.subject.keyword Nicotine
- dc.title Electronic Cigarette Use in 12 European countries: results from the TackSHS survey
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion