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Awareness, Trial, and Current Use of Electronic Cigarettes in 10 Countries: Findings from the ITC Project

Author

Listed:
  • Shannon Gravely

    (Department of Psychology, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, N2L 3G1, Canada)

  • Geoffrey T. Fong

    (Department of Psychology, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, N2L 3G1, Canada
    Ontario Institute for Cancer Research, MaRS Center, West Tower, 661 University Avenue, Suite 510, Toronto, Ontario, M5G 0A3, Canada)

  • K. Michael Cummings

    (Medical University of South Carolina, 171 Ashley Ave, Charleston, SC 29425, USA)

  • Mi Yan

    (Department of Psychology, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, N2L 3G1, Canada)

  • Anne C. K. Quah

    (Department of Psychology, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, N2L 3G1, Canada)

  • Ron Borland

    (The Cancer Council Victoria, 615 St. Kilda Road, Melbourne, Victoria 3004, Australia)

  • Hua-Hie Yong

    (The Cancer Council Victoria, 615 St. Kilda Road, Melbourne, Victoria 3004, Australia)

  • Sara C. Hitchman

    (King's College London, Strand, London, WC2R 2LS, UK)

  • Ann McNeill

    (King's College London, Strand, London, WC2R 2LS, UK)

  • David Hammond

    (School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, N2L 3G1, Canada)

  • James F. Thrasher

    (Arnold School of Public Health, University of South Carolina, Colombia, SC 29208, USA
    Mexican Institute of Public Health, Universidad N. 655 Colonia Stana Maria Ahuacatitlan, Cerrada Los Pinos y Caminera C.P. 62100, Cuernavaca, Mor, Mexico)

  • Marc C. Willemsen

    (Maastricht University (CAPHRI), P. Debyeplein 1, 6229 HA Maastricht, the Netherlands)

  • Hong Gwan Seo

    (National Cancer Center of Korea, 323 Ilsan-ro, Ilsandong-gu, Goyang-si Gyeonggi-do, 410-769, Korea)

  • Yuan Jiang

    (China Center for Disease Control and Prevention, 155 Changbai Road Changping District, Beijing 102206, China)

  • Tania Cavalcante

    (National Cancer Institute of Brazil, Praca Cruz Vermelha, 23, Centro, 20230-130, Rio de Janeiro, Brazil)

  • Cristina Perez

    (National Cancer Institute of Brazil, Praca Cruz Vermelha, 23, Centro, 20230-130, Rio de Janeiro, Brazil)

  • Maizurah Omar

    (University Sains Malaysia, Jalan Sungai Dua, 11800 Georgetown, Pulau Pinang, Malaysia)

  • Karin Hummel

    (Maastricht University (CAPHRI), P. Debyeplein 1, 6229 HA Maastricht, the Netherlands)

Abstract

Background : In recent years, electronic cigarettes (e-cigarettes) have generated considerable interest and debate on the implications for tobacco control and public health. Although the rapid growth of e-cigarettes is global, at present, little is known about awareness and use. This paper presents self-reported awareness, trial and current use of e-cigarettes in 10 countries surveyed between 2009 and 2013; for six of these countries, we present the first data on e-cigarettes from probability samples of adult smokers. Methods : A cross-sectional analysis of probability samples of adult (≥ 18 years) current and former smokers participating in the International Tobacco Control (ITC) surveys from 10 countries. Surveys were administered either via phone, face-to-face interviews, or the web. Survey questions included sociodemographic and smoking-related variables, and questions about e-cigarette awareness, trial and current use. Results : There was considerable cross-country variation by year of data collection and for awareness of e-cigarettes (Netherlands (2013: 88%), Republic of Korea (2010: 79%), United States (2010: 73%), Australia (2013: 66%), Malaysia (2011: 62%), United Kingdom (2010: 54%), Canada (2010: 40%), Brazil (2013: 35%), Mexico (2012: 34%), and China (2009: 31%)), in self-reports of ever having tried e-cigarettes (Australia, (20%), Malaysia (19%), Netherlands (18%), United States (15%), Republic of Korea (11%), United Kingdom (10%), Mexico (4%), Canada (4%), Brazil (3%), and China (2%)), and in current use (Malaysia (14%), Republic of Korea (7%), Australia (7%), United States (6%), United Kingdom (4%), Netherlands (3%), Canada (1%), and China (0.05%)). Conclusions : The cross-country variability in awareness, trial, and current use of e-cigarettes is likely due to a confluence of country-specific market factors, tobacco control policies and regulations (e.g., the legal status of e-cigarettes and nicotine), and the survey timing along the trajectory of e-cigarette awareness and trial/use in each country. These ITC results constitute an important snapshot of an early stage of what appears to be a rapid progression of global e-cigarette use.

Suggested Citation

  • Shannon Gravely & Geoffrey T. Fong & K. Michael Cummings & Mi Yan & Anne C. K. Quah & Ron Borland & Hua-Hie Yong & Sara C. Hitchman & Ann McNeill & David Hammond & James F. Thrasher & Marc C. Willemse, 2014. "Awareness, Trial, and Current Use of Electronic Cigarettes in 10 Countries: Findings from the ITC Project," IJERPH, MDPI, vol. 11(11), pages 1-14, November.
    • Handle: RePEc:gam:jijerp:v:11:y:2014:i:11:p:11691-11704:d:42248
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    References listed on IDEAS

    as
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    6. Meng Wang & Jian-Wei Wang & Shuang-Shuang Cao & Hui-Qin Wang & Ru-Ying Hu, 2016. "Cigarette Smoking and Electronic Cigarettes Use: A Meta-Analysis," IJERPH, MDPI, vol. 13(1), pages 1-16, January.
    7. David T. Levy & Luz María Sánchez-Romero & Nargiz Travis & Zhe Yuan & Yameng Li & Sarah Skolnick & Jihyoun Jeon & Jamie Tam & Rafael Meza, 2021. "US Nicotine Vaping Product SimSmoke Simulation Model: The Effect of Vaping and Tobacco Control Policies on Smoking Prevalence and Smoking-Attributable Deaths," IJERPH, MDPI, vol. 18(9), pages 1-22, May.
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    9. Jieming Zhong & Shuangshuang Cao & Weiwei Gong & Fangrong Fei & Meng Wang, 2016. "Electronic Cigarettes Use and Intention to Cigarette Smoking among Never-Smoking Adolescents and Young Adults: A Meta-Analysis," IJERPH, MDPI, vol. 13(5), pages 1-9, May.

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