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E-Cigarette Use by Smoking Status in Estonia, 2012–2018

Author

Listed:
  • Rainer Reile

    (Department of Epidemiology and Biostatistics, National Institute for Health Development, 11619 Tallinn, Estonia
    Institute of Family Medicine and Public Health, University of Tartu, 50411 Tartu, Estonia)

  • Kersti Pärna

    (Institute of Family Medicine and Public Health, University of Tartu, 50411 Tartu, Estonia)

Abstract

Background: In the context of declining smoking rates in Estonia, this study aims to analyze the recent trends in e-cigarette use and its associations with smoking status and sociodemographic factors. Methods: Nationally representative data from biennial cross-sectional health surveys in 2012–2018 (n = 9988) were used to describe the prevalence of smoking and e-cigarette use by smoking status in Estonia. Multivariate logistic regression analysis was used to describe the sociodemographic patterns of e-cigarette use in three subgroups: the general population, smokers, and ex-smokers. Results: The prevalence of current smoking decreased from 45.4% in 2012 to 31.5% in 2018 among men and from 26.6% to 20.0% among women. At the same time, e-cigarette use in the general population had increased to 3.7% among men and to 1.2% among women. The increase in the prevalence of e-cigarette use was statistically significant among men in the general population, smokers, and ex-smokers, but non-significant among women. In addition to period effects, e-cigarette use was patterned by age, gender, and education. Conclusion: In 2002–2018, the e-cigarette use had increased but smoking had decreased in Estonia. A timely and targeted tobacco policy may alleviate the harm of e-cigarette use from the public health perspective.

Suggested Citation

  • Rainer Reile & Kersti Pärna, 2020. "E-Cigarette Use by Smoking Status in Estonia, 2012–2018," IJERPH, MDPI, vol. 17(2), pages 1-6, January.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:2:p:519-:d:308563
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    References listed on IDEAS

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    1. David T. Levy & Zhe Yuan & Yameng Li, 2017. "The Prevalence and Characteristics of E-Cigarette Users in the U.S," IJERPH, MDPI, vol. 14(10), pages 1-17, October.
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