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International Journal of Public Health

, Volume 61, Issue 2, pp 167–175 | Cite as

E-cigarette use among Serbian adults: prevalence and user characteristics

  • Biljana KilibardaEmail author
  • Viktor Mravcik
  • Marcus Sebastian Martens
Original Article

Abstract

Objectives

The objective was to report the prevalence and characteristics of electronic cigarette (e-cigarette) users in order to inform an appropriate response to this emerging challenge in tobacco control.

Methods

Data were drawn from a cross-sectional survey conducted in 2014 that used computer-assisted interviewing in a representative sample of 5385 Serbian adults age 18–64 years.

Results

Lifetime e-cigarette use and current use was reported by 9.6 and 2 % of adults, respectively. Younger adults had a higher prevalence of both lifetime and current use. Females were more likely to be current e-cigarette users than males. The majority of ever and current e-cigarette users were current or past cigarette smokers, but lifetime use was reported by non-smokers as well.

Conclusions

Electronic cigarettes are popular in Serbia; one in ten adults had tried them at least once. Because females and young adults were more likely to use e-cigarettes, a targeted response in these specific groups is needed. A standardised methodology for monitoring e-cigarette use should be established and surveys exploring motives for and attitudes towards e-cigarettes use should be conducted.

Keywords

Electronic cigarette E-cigarette Prevalence Socio-demographic correlates 

Notes

Acknowledgments

The authors acknowledge Mr Harald Oechsler, researcher at the Centre for Interdisciplinary Addiction Research, University of Hamburg (ZIS) and Ms Minja Milovanovic, research psychologist at the Perinatal HIV research Unit, Faculty of Health Science in the University of the Witwatersrand, Johannesburg, South Africa, for proof reading the manuscript. Data used for the analysis are from the National Survey on Lifestyles of Citizens of Serbia in 2014. The authors acknowledge the Institute of Public Health of Serbia which carried out the survey with the support of the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA)—within its European Union financed IPA project 2011/280 - 057 “Preparation of IPA Beneficiaries for their participation with the EMCDDA” and the Twinning project SR 10 IB JH 02 “Implementation of Strategy to Fight Against Drugs (supply and demand reduction components)”. This publication was supported by institutional support program of Charles University in Prague No. PRVOUK-P03/LF1/9 and the project “National Institute of Mental Health (NIMH-CZ) “Grant Number CZ.1.05/2.1.00/03.0078, and the European Regional Development Fund.

References

  1. Adkison SE, O’Connor RJ, Bansal-Travers M, Hyland A, Borland R, Yong HH, Cummings KM, McNeill A, Thrasher JF, Hammond D, Fong GT (2013) Electronic nicotine delivery systems: international tobacco control four-country survey. Am J Prev Med 44(3):207–215. doi: 10.1016/j.amepre.2012.10.018 CrossRefPubMedPubMedCentralGoogle Scholar
  2. ASH (2015) Use of electronic cigarettes (vapourisers) among adults in Great Britain. http://www.ash.org.uk/files/documents/ASH_891.pdf. Accessed 26 Nov 2015
  3. Brown J, West R, Bread E, Michie S, Shahab L, McNeill A (2014) Prevalence and characteristics of e cigarette users in Great Britain: findings from a general population survey of smokers. Addict Behav 39(6):1120–1125. doi: 10.1016/j.addbeh.2014.03.009 CrossRefPubMedPubMedCentralGoogle Scholar
  4. Bunnell R, Agaku I, Arrazola RA, Apelberg BJ, Caraballo RS, Corey CG, Coleman BN, Dube SR, Kin BA (2015) Intentions to smoke cigarettes among never smoking US middle and high school electronic cigarette users: national youth tobacco survey, 2011–2013. Nicotine Tob Res 17(2):228–235. doi: 10.1093/ntr/ntu166 CrossRefPubMedPubMedCentralGoogle Scholar
  5. Cho HJ, Shin E, Moon SS (2011) Electronic cigarette smoking experience among adolescents. J Adolesc Health 49(5):542–546. doi: 10.1016/j.jadohealth.2011.08.001 CrossRefPubMedGoogle Scholar
  6. Choi K, Forster J (2013) Characteristics associated with awareness, perceptions, and use of electronic nicotine delivery systems among young US midwestern adults. Am J Prev Med 103(3):556–561. doi: 10.2105/AJPH.2012.300947 Google Scholar
  7. Czoli CD, Hammond D, White CM (2014) Electronic cigarettes in Canada: prevalence of use and perceptions. Can J Public Health 105(2):97–102Google Scholar
  8. Dockrell M, Morison R, Bauld LL, McNeill A (2013) E-cigarettes: prevalence and attitudes in Great Britain. Nicotine Tob Res 15(10):1737–1744. doi: 10.1093/ntr/ntt057 CrossRefPubMedPubMedCentralGoogle Scholar
  9. Etter JF, Bullen C (2014) A longitudinal study of e cigarette users. Addict Behav 39(2):491–494. doi: 10.1016/j.addbeh.2013.10.028 CrossRefPubMedGoogle Scholar
  10. Goniewicz M, Zielinska-Danch W (2012) Electronic cigarette use among teenagers and young adults in Poland. Pediatrics 130(4):4879–4885. doi: 10.1542/peds.2011-3448 CrossRefGoogle Scholar
  11. Goniewicz M, Kuma T, Gawron M, Knysak J, Kosmider L (2013) Nicotine levels in electronic cigarettes. Nicotine Tob Res 15(1):158–166. doi: 10.1093/ntr/nts103 CrossRefPubMedGoogle Scholar
  12. Grana RA (2013) Electronic cigarettes: a new nicotine gateway? J Adolesc Health 52(2):135–136. doi: 10.1016/j.jadohealth.2012.11.007 CrossRefPubMedGoogle Scholar
  13. Gravely S, Fong GT, Cummings MK et al (2014) Awareness, trial, and current use of electronic cigarettes in 10 countries: findings from the ITC project. Int J Environ Heal R 11(11):11691–11704. doi: 10.3390/ijerph111111691 CrossRefGoogle Scholar
  14. Hadwiger ME, Trehy ML, Ye W, Moore T, Aligire J, Westenbergen B (2010) Identification of amino-tadalafil and rimonabant in electronic cigarette products using high pressure liquid chromatography with diode array and tandem mass spectrometric detection. J Chromatogr A 1217(48):7547–7555. doi: 10.1016/j.chroma.2010.10.018 CrossRefPubMedGoogle Scholar
  15. Hajek P, Etter JF, Benowitz N, Eissenberg T, McRobbie H (2014) Electronic cigarettes: review of use, content, safety, effects on smokers and potential for harm and benefit. Addiction 109(11):1801–1810. doi: 10.1111/add.12659 CrossRefPubMedPubMedCentralGoogle Scholar
  16. Hamilton HA, Ferrence R, Boak A, Schwartz R, Mann RE, O’Connor S, Adlaf EM (2015) Ever use of nicotine and nonnicotine electronic cigarettes among high school students in Ontario, Canada. Nicotine Tob Res 17(10):1212–1218. doi: 10.1093/ntr/ntu234 (Epub 2014 Oct 30) CrossRefPubMedGoogle Scholar
  17. Institute of Public Health of Serbia (2014). Results of the national health survey of the Republic of Serbia 2013. http://www.batut.org.rs/download/publikacije/2013SerbiaHealthSurvey.pdf. Accessed 2 Oct 2015
  18. Kilibarda B, Mravcik V, Sieroslawski J, Gudelj Rakic J, Martens MS (2014). National survey on life styles of citizens in Serbia 2014—substance use and gambling. Institute of Public Health of Serbia. http://www.batut.org.rs/download/publikacije/Izvestaj%20engleski%20web.pdf. Accessed 2 Oct 2015
  19. King BA, Patel R, Nguyen KH, Dube SR (2015) Trends in awareness and use of electronic cigarettes among US adults, 2010–2013. Nicotine Tob Res 17(2):219–227. doi: 10.1093/ntr/ntu191 CrossRefPubMedPubMedCentralGoogle Scholar
  20. Kish L (1949) A procedure for objective respondent selection within the household. J Am Stat Assoc 44(247):380–387. doi: 10.1080/01621459.1949.10483314 CrossRefGoogle Scholar
  21. Krstev S (2014). Global Youth Tobacco Survey in Serbia 2013. Institute of Public Health of Serbia. http://www.batut.org.rs/download/publikacije/2014gytsSerbiaReport.pdf. Accessed 2 Oct 2015
  22. McMillen R, Maduka J and Winickoff J (2012). Use of emerging tobacco products in the United States. J Environ Public Healthvol. 2012, Article ID 989474. doi: 10.1155/2012/989474
  23. McRobbie H, Bullen C, Hartmann-Boyce J, Hajek P (2014) Electronic cigarettes for smoking cessation and reduction. Cochrane Database Syst Rev. doi: 10.1002/14651858.CD010216 PubMedGoogle Scholar
  24. Nathan K, Cobb M, Abrams DB (2011) E-cigarette or drug-delivery device? Regulating novel nicotine products. N Engl J Med 365:193–195. doi: 10.1056/NEJMp1105249 CrossRefGoogle Scholar
  25. Noel K, Rees VW, Connoly GN (2011) Electronic cigarettes: a new “tobacco” industry? Tob Control 20(1):81. doi: 10.1136/tc.2010.038562 CrossRefPubMedGoogle Scholar
  26. Official Gazette of the Republic of Serbia No 30/2010 (2015) Law on protection of citizens of exposure to tobacco smoke. http://data.euro.who.int/tobacco/Sites/Legislation.aspx?legislatureID=157. Accessed 10 Oct 2015
  27. Official Gazette of the Republic of Serbia No 92/2011 (2015) Law on the health safety of objects of common use. http://www.paragraf.rs/propisi/zakon_o_zdravstvenoj_ispravnosti_predmeta_opste_upotrebe.html. Accessed 2 Oct 2015
  28. Official Gazette of the Republic of Serbia, No. 101/05, 90/07, 95/10, 36/11, 93/12, 8/13 и 108/13 (2015) Tobacco law. http://duvan.gov.rs/en/documents/regulations/law_on_tobacco. Accessed 10 October 2015
  29. Official Journal of the European Union (2014). Directive 2014/40/EU of the European Parliament and of the Council. http://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=OJ:L:2014:127:FULL&from=EN. Accessed 2 Oct 2015
  30. Pallazolo DL (2013) Electronic cigarettes and vaping: a new challenge in clinical medicine and public health. A Literature Review. Front Public Health 1:56. doi: 10.3389/fpubh.2013.00056 Google Scholar
  31. Pearson JL, Richardson A, Niaura RS, Vallone DM, Abrams DB (2012) E-cigarette awareness, use, and harm perceptions in US adults. Am J Public Health 102(9):1758–1766. doi: 10.2105/AJPH.2011.300526 CrossRefPubMedPubMedCentralGoogle Scholar
  32. Rahman MA, Hann N, Wilson A, Carter LW (2014) Electronic cigarettes: patterns of use, health effects, use in smoking cessation and regulatory issues. Tob Induc Dis 12:21. doi: 10.1186/1617-9625-12-21 CrossRefPubMedPubMedCentralGoogle Scholar
  33. Royal College of Physicians. (2014).What you need to know about electronic cigarettes. https://www.rcplondon.ac.uk/commentary/what-you-need-know-about-electronic-cigarettes. Accessed 2 Oct 2015
  34. Shawna L, Chapman C, Wu LT (2014) E-cigarette prevalence and correlates of use among adolescents versus adults: a review and comparison. J Psychiatr Res 54:43–54. doi: 10.1016/j.jpsychires.2014.03.005 CrossRefGoogle Scholar
  35. Special Eurobarometer 385 (2012). Attitudes of Europeans towards tobacco. European Union. http://ec.europa.eu/health/tobacco/docs/eurobaro_attitudes_towards_tobacco_2012_en.pdf. Accessed 2 Oct 2015
  36. Special Eurobarometer 429 (2015). Attitudes of Europeans towards tobacco and electronic cigarettes. European Union. http://ec.europa.eu/public_opinion/archives/ebs/ebs_429_en.pdf. Accessed 2 Oct 2015
  37. Sutfin LE, McCoy TP, Morrell HER, Hoeppner BB, Wolfson M (2013) Electronic cigarette use by college students. Drug Alcohol Depend 131(3):214–221. doi: 10.1016/j.drugalcdep.2013.05.001 CrossRefPubMedPubMedCentralGoogle Scholar
  38. Trtchounian A, Talbot P (2011) Electronic nicotine delivery systems: is there a need for regulation? Tob Control 20:47–52. doi: 10.1136/tc.2010.037259 CrossRefPubMedGoogle Scholar
  39. Vardavas, CI, Fillipidis F, Agaku IT (2014) Determinants and prevalence of e-cigarette use throughout the European Union: a secondary analysis of 26 566 youth and adults from 27 countries. Tob Control tobaccocontrol-2013-051394, Published Online. doi:  10.1136/tobaccocontrol-2013-051394
  40. West R, Hajek P, Mcneill A. (2014). Electronic cigarettes: what we know so far. A report to UK all party parliamentary groupsGoogle Scholar
  41. WHO Study Group on Tobacco Product Regulation (2014). Report on e-cigarettes to WHO Framework Convention on Tobacco Control. http://apps.who.int/gb/fctc/PDF/cop6/FCTC_COP6_10-en.pdf?ua=1. Accessed 2 Oct 2015
  42. Zhu SH, Gamst A, Lee M, Sharon C, Yin L, Zoref L (2013) The use and perception of electronic cigarettes and snus among the US population. PLoS One 8(10):e79332. doi: 10.1371/journal.pone.0079332 CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Swiss School of Public Health (SSPH+) 2016

Authors and Affiliations

  • Biljana Kilibarda
    • 1
    Email author
  • Viktor Mravcik
    • 1
    • 2
    • 3
  • Marcus Sebastian Martens
    • 1
    • 4
  1. 1.Department of Addictology, First Faculty of MedicineCharles University in Prague, and General University Hospital in PraguePragueCzech Republic
  2. 2.National Institute of Mental HealthPragueCzech Republic
  3. 3.National Monitoring Centre for Drugs and Addiction, Office of Government of the Czech RepublicPragueCzech Republic
  4. 4.Zentrum für Interdisziplinäre Suchtforschung der Universität Hamburg, Klinik für Psychiatrie und PsychotherapieHamburgGermany

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