Journal
INTERNATIONAL JOURNAL OF PUBLIC HEALTH
Volume 61, Issue 2, Pages 177-188Publisher
FRONTIERS MEDIA SA
DOI: 10.1007/s00038-015-0761-0
Keywords
Electronic nicotine delivery systems; Electronic cigarette; Tobacco; Prevalence; Awareness; Regulatory science
Categories
Funding
- National Institutes of Health, National Institute of Drug Abuse (NIH/NIDA) [P50DA036128]
- Food and Drug Administration, Center for Tobacco Products (FDA CTP)
- Pfizer, Inc.
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This study assessed the awareness and use of traditional and novel tobacco products and dual use of cigarettes with electronic nicotine delivery systems (ENDS) among USA adults. Data were obtained from the 2014 Tobacco Products and Risk Perceptions Survey of a probability sample of 5717 USA adults conducted June-November, 2014. Use of ENDS varied by demography and by cigarette and other tobacco use. Adults aged 25-34, non-heterosexual adults, and those reporting poorer health reported higher rates of current ENDS use. Current cigarette smokers had much greater odds of ENDS ever use than never smokers, with one-half of all cigarette smokers having used ENDS and 20.7 % currently using them. However, 22.0 % of current ENDS users were former cigarette smokers, and 10.0 % were never cigarette smokers. Patterns of ENDS use are evolving rapidly and merit continued surveillance. Nearly 10 % of adult ENDS usage is among never smokers. The public health challenge is how to enhance the potential that ENDS can replace combusted tobacco products without expanding nicotine use among youth, long-term ex-smokers, and other vulnerable populations.
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