Patterns of electronic cigarette and tobacco heating products use in Spain
e202109124
Keywords:
Electronic cigarette, Tobacco heating products, Patterns of useAbstract
Background: The new tobacco related products (TRP) have modified the smoking patterns, which have been scarcely evaluated by independent studies. Our objective was to describe the patterns of electronic cigarette (e-cig) and tobacco heating products (THP) use among Spanish population.
Methods: An electronic survey aimed to population who had used at least once in their lifetime e-cigs or THPs was used to gather personal data, patterns of e-cig and THP use, as well as risk perceptions and intention to quit these products. Chi-square and Kruskal-Wallis test were used to analyze qualitative and non-parametric quantitative variables, respectively, establishing statistical significance if p values <0.05.
Results: The responses of 175 subjects were included. From them, 107 had consumed e-cig, 33 THP and 35 both devices. The daily use was more common among THP users, who were older than e-cig and both devices’ consumers (median age 43 vs 38 vs 35 years old, p=0.013). Of the overall group, 94% referred to have smoked conventional cigarettes at least once in their lifetime, and from them 36% referred a daily cigarette consumption at the time of the survey. Regarding the risk perception of the TRP, 70%, 55% y 63% of the subjects that had used e-cig, THP, and both devices, respectively, considered that these products were less harmful for their own health than conventional cigarettes. Concerning their intention to quit any tobacco product, 51% and 64% of e-cig and THP users respectively, showed interest in quitting these devices.
Conclusions: The previous and current conventional cigarettes use is frequent among TRPs consumers. The risk perception of these products is low; however, a considerable intention to quit these products is reported.
Downloads
References
Directiva 2014/40/UE del parlamento europeo y del
consejo. (2014).
Encuesta sobre Uso de Drogas en Enseñanzas Secundarias en España (ESTUDES) 1994-2018. https://pnsd.sanidad.gob.es/profesionales/sistemasInformacion/sistemaInformacion/pdf/ESTUDES_2018-19_Informe.pdf
Ministerio de sanidad. Informe sobre los cigarrillos electrónicos. Situación actual, evidencia disponible y regulación. Unidad de prevención y control del tabaquismo. Dirección general de salud pública.2020. https://www.mscbs.gob.es/ciudadanos/proteccionSalud/tabaco/docs/InformeCigarrilloselectronicos.pdf
Laverty AA, Filippidis FT, Vardavas CI. Patterns, trends and determinants of e-cigarette use in 28 European Union Member States 2014-2017. Prev Med. 11 2018;116:13-18. doi:10.1016/j.ypmed.2018.08.028
EDADES 2019/2020. Encuesta sobre alcohol, drogas y otras adicciones en España. (2020.).
Orús A. Evolución anual de los ingresos procedentes de la venta de cigarrillos electrónicos en España entre 2014 y 2018. https://es.statista.com/estadisticas/1021178/facturacion-anual-de-la-industria-del-cigarrillo-electronico-espana/
Berjadigital. El cigarrillo electrónico en España. Berjadigital. https://berjadigital.es/2019/09/27/el-cigarrillo-electronico-en-espana/
WHO. Heated Tobacco Products: information sheet-2nd edition. https://www.who.int/publications/i/item/WHO-HEP-HPR-2020.2
Productos de tabaco por calentamiento: Consideraciones de tipo sanitario y legal. (2019).
Osorio V. El fabricante de Malboro vende 100.000 unidades de IQOS en España. Expansión. https://www.expansion.com/empresas/distribucion/2018/04/25/5adf8ce8ca4741c1088b4616.html#:~:text=Philip%20Morris%20comenz%C3%B3%20a%20vender,que%20comercializa%20por%2070%20euros
Pisinger C, Godtfredsen N, Bender AM. A conflict of interest is strongly associated with tobacco industry-favourable results, indicating no harm of e-cigarettes. Prev Med. 02 2019;119:124-131. doi: 10.1016/j.ypmed.2018.12.011
Jiang N, Cleland CM, Wang MP, Kwong A, Lai V, Lam TH. Perceptions and use of e-cigarettes among young adults in Hong Kong. BMC Public Health. Aug 2019;19(1):1123. doi: 10.1186/s12889-019-7464-z
Dautzenberg B, Dautzenberg MD. [Systematic analysis of the scientific literature on heated tobacco]. Rev Mal Respir. Jan 2019;36(1):82-103. doi: 10.1016/j.rmr.2018.10.010
Levy DT, Yuan Z, Li Y. The Prevalence and Characteristics of E-Cigarette Users in the U.S. Int J Environ Res Public Health. 10 2017;14(10). doi: 10.3390/ijerph14101200
Sutanto E, Miller C, Smith DM et al. Concurrent Daily and Non-Daily Use of Heated Tobacco Products with Combustible Cigarettes: Findings from the 2018 ITC Japan Survey. Int J Environ Res Public Health. 03 2020;17(6). doi: 10.3390/ijerph17062098
Tabuchi T, Gallus S, Shinozaki T, Nakaya T, Kunugita N, Colwell B. Heat-not-burn tobacco product use in Japan: its prevalence, predictors and perceived symptoms from exposure to secondhand heat-not-burn tobacco aerosol. Tob Control. 07 2018;27(e1):e25-e33. doi: 10.1136/tobaccocontrol-2017-053947
Llorens-Aleixandre N. Tabaco, otras formas de consumo y confinamiento. https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov/documentos/Informe_de_los_resultados_de_la_encuesta.pdf
Roulet S, Chrea C, Kanitscheider C, Kallischnigg G, Magnani P, Weitkunat R. Potential predictors of adoption of the Tobacco Heating System by U.S. adult smokers: An actual use study. F1000Res. 2019;8:214. doi: 10.12688/f1000research.17606.1
Bunch K, Fu M, Ballbè M et al. Motivation and main flavour of use, use with nicotine and dual use of electronic cigarettes in Barcelona, Spain: a cross-sectional study. BMJ Open. 03 2018;8(3):e018329. doi: 10.1136/bmjopen-2017-018329
Buettner-Schmidt K, Miller DR, Balasubramanian N. Electronic Cigarette Refill Liquids: Child-Resistant Packaging, Nicotine Content, and Sales to Minors. J Pediatr Nurs. Jul-Aug 2016;31(4):373-9. doi: 10.1016/j.pedn.2016.03.019
Willett JG, Bennett M, Hair EC et al. Recognition, use and perceptions of JUUL among youth and young adults. Tob Control. 01 2019;28(1):115-116. doi: 10.1136/tobaccocontrol-2018-054273
Health NCfCDPaHPUOoSa. E-Cigarette Use Among Youth and Young Adults: A Report of the Surgeon General. 2016.
Leventhal AM, Strong DR, Kirkpatrick MG et al. Association of Electronic Cigarette Use With Initiation of Combustible Tobacco Product Smoking in Early Adolescence. JAMA. Aug 2015;314(7):700-7. doi: 10.1001/jama.2015.8950
Soneji S, Barrington-Trimis JL, Wills TA et al. Association Between Initial Use of e-Cigarettes and Subsequent Cigarette Smoking Among Adolescents and Young Adults: A Systematic Review and Meta-analysis. JAMA Pediatr. 08 2017;171(8):788-797. doi: 10.1001/jamapediatrics.2017.1488
Primack BA, Soneji S, Stoolmiller M, Fine MJ, Sargent JD. Progression to Traditional Cigarette Smoking After Electronic Cigarette Use Among US Adolescents and Young Adults. JAMA Pediatr. Nov 2015;169(11):1018-23. doi: 10.1001/jamapediatrics.2015.1742
Dunbar MS, Seelam R, Tucker JS, Rodriguez A, Shih RA, D’Amico EJ. Correlates of Awareness and Use of Heated Tobacco Products in a Sample of US Young Adults in 2018-2019. Nicotine Tob Res. Feb 2020; doi: 10.1093/ntr/ntaa007
Leigh NJ, Tran PL, O’Connor RJ, Goniewicz ML. Cytotoxic effects of heated tobacco products (HTP) on human bronchial epithelial cells. Tob Control. 11 2018;27(Suppl 1):s26-s29. doi: 10.1136/tobaccocontrol-2018-054317
St Helen G, Jacob Iii P, Nardone N, Benowitz NL. IQOS: examination of Philip Morris International’s claim of reduced exposure. Tob Control. 11 2018;27(Suppl 1):s30-s36. doi: 10.1136/tobaccocontrol-2018-054321
Choi K, Bernat D. E-Cigarette Use Among Florida Youth With and Without Asthma. Am J Prev Med. 10 2016;51(4):446-53. doi: 10.1016/j.amepre.2016.03.010
Glantz SA. Heated tobacco products: the example of IQOS. Tob Control. 11 2018;27(Suppl 1):s1-s6. doi: 10.1136/tobaccocontrol-2018-054601
Romijnders KAGJ, van Osch L, de Vries H, Talhout R. Perceptions and Reasons Regarding E-Cigarette Use among Users and Non-Users: A Narrative Literature Review. Int J Environ Res Public Health. 06 2018;15(6)doi: 10.3390/ijerph15061190
Downloads
Published
How to Cite
License
Copyright (c) 2021 Karen Lizzette Ramírez-Cervantes, Estíbaliz García-Rodríguez
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Usted es libre de:
Compartir — copiar y redistribuir el material en cualquier medio o formato.
La licenciante no puede revocar estas libertades en tanto usted siga los términos de la licencia.
Bajo los siguientes términos:
Atribución — Usted debe dar crédito de manera adecuada , brindar un enlace a la licencia, e indicar si se han realizado cambios. Puede hacerlo en cualquier forma razonable, pero no de forma tal que sugiera que usted o su uso tienen el apoyo de la licenciante.
NoComercial — Usted no puede hacer uso del material con propósitos comerciales.
SinDerivadas — Si remezcla, transforma o crea a partir del material, no podrá distribuir el material modificado.
No hay restricciones adicionales — No puede aplicar términos legales ni medidas tecnológicas que restrinjan legalmente a otras a hacer cualquier uso permitido por la licencia.
Avisos:
No tiene que cumplir con la licencia para elementos del material en el dominio público o cuando su uso esté permitido por una excepción o limitación aplicable.
No se dan garantías. La licencia podría no darle todos los permisos que necesita para el uso que tenga previsto. Por ejemplo, otros derechos como publicidad, privacidad, o derechos morales pueden limitar la forma en que utilice el material.