4.3 Article

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

Journal

Publisher

MDPI
DOI: 10.3390/ijerph111111691

Keywords

e-cigarette; electronic cigarette; nicotine; smoking; international

Funding

  1. US National Cancer Institute [R01 CA100362, P01 CA138389]
  2. Canadian Institutes of Health Research [115016]
  3. National Health and Medical Research Council of Australia [450110]
  4. Cancer Research UK [C312/A11039]
  5. Mexican Consejo Nacional de Ciencia y Tecnologia [Salud-2007-C01-70032]
  6. National Cancer Institute of Brazil
  7. National Anti-Drug Secretariat of Brazil (SENAD)
  8. Chinese Center for Disease Control and Prevention
  9. Netherlands Organisation for Health Research and Development (ZonMw)
  10. Korean Ministry of Health and Welfare
  11. Malaysian Ministry of Health
  12. Ontario Institute for Cancer Research
  13. Canadian Cancer Society Research Institute
  14. Dutch SILNE Project - European Commission [FP7 HEALTH-F3-2011-278273]
  15. Economic and Social Research Council [ES/G007489/1] Funding Source: researchfish
  16. Medical Research Council [MR/K023195/1] Funding Source: researchfish

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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.

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