Internal and Emergency Medicine

, Volume 12, Issue 6, pp 757–763

Prevalence and correlates of current daily use of electronic cigarettes in the European Union: analysis of the 2014 Eurobarometer survey

  • Konstantinos E. Farsalinos
  • Konstantinos Poulas
  • Vassilis Voudris
  • Jacques Le Houezec
IM - ORIGINAL

Abstract

The study purpose was to analyze current daily and current daily nicotine-containing electronic cigarette (EC) use in the European Union (EU). Special Eurobarometer 429, a cross-sectional survey performed in a representative sample of 28 member states of the EU in November and December of 2014, was analyzed. The prevalence of current daily and current daily nicotine-containing EC use was 1.08% (95% CI 0.95–1.20%) and 1.00% (95% CI 0.88–1.12%), respectively, and was mainly observed in current and former smokers. Minimal current daily (0.08%, 95% CI 0.03–0.12%) and current daily nicotine-containing EC use (0.04%, 95% CI 0.01–0.08%) was observed among never smokers. Smoking cessation with the help of ECs was reported by 47.12% (95% CI 41.28–52.96%) of current daily and 49.14% (95% CI 43.12–55.17%) of current daily nicotine-containing EC users. Additionally, 33.18% (95% CI 27.67–38.69%) and 31.40% (95% CI 25.80–36.99%) reported reduction in smoking consumption, respectively. The strongest correlates of daily EC use were being current and former smokers. In the EU in late 2014, current daily EC use was predominantly observed in current and former smokers and was associated with high self-reported rates of smoking cessation and reduction. Current daily EC use by never smokers was extremely infrequent.

Keywords

Electronic cigarettes Smoking Eurobarometer European Union Smoking cessation Nicotine 

Supplementary material

11739_2017_1643_MOESM1_ESM.pdf (10 kb)
Supplementary material 1 (PDF 10 kb)

References

  1. 1.
    Regan AK, Promoff G, Dube SR, Arrazola R (2013) Electronic nicotine delivery systems: adult use and awareness of the ‘e-cigarette’ in the USA. Tob Control 22:19–23. doi:10.1136/tobaccocontrol-2011-050044 CrossRefPubMedGoogle Scholar
  2. 2.
    King BA, Alam S, Promoff G, Arrazola R, Dube SR (2013) Awareness and ever-use of electronic cigarettes among U.S. adults, 2010–2011. Nicotine Tob Res 15:1623–1627. doi:10.1093/ntr/ntt013 CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Pepper JK, Brewer NT (2014) Electronic nicotine delivery system (electronic cigarette) awareness, use, reactions and beliefs: a systematic review. Tob Control 23:375–384. doi:10.1136/tobaccocontrol-2013-051122 CrossRefPubMedGoogle Scholar
  4. 4.
    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 17:219–227. doi:10.1093/ntr/ntu191 CrossRefPubMedGoogle Scholar
  5. 5.
    Dawkins L, Turner J, Roberts A, Soar K (2013) ‘Vaping’ profiles and preferences: an online survey of electronic cigarette users. Addiction 108:1115–1125. doi:10.1111/add.12150 CrossRefPubMedGoogle Scholar
  6. 6.
    Etter JF, Bullen C (2014) A longitudinal study of electronic cigarette users. Addictive Behav 39:491–494. doi:10.1016/j.addbeh.2013.10.028 CrossRefGoogle Scholar
  7. 7.
    Etter JF, Bullen C (2011) Electronic cigarette: users profile, utilization, satisfaction and perceived efficacy. Addiction 106:2017–2028. doi:10.1111/j.1360-0443.2011.03505.x CrossRefPubMedGoogle Scholar
  8. 8.
    Farsalinos KE, Romagna G, Tsiapras D, Kyrzopoulos S, Voudris V (2014) Characteristics, perceived side effects and benefits of electronic cigarette use: a worldwide survey of more than 19,000 consumers. Int J Environ Res Public Health 11:4356–4373. doi:10.3390/ijerph110404356 CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Farsalinos KE, Romagna G, Tsiapras D, Kyrzopoulos S, Spyrou A, Voudris V (2013) Impact of flavour variability on electronic cigarette use experience: an internet survey. Int J Environ Res Public Health 10:7272–7282. doi:10.3390/ijerph10127272 CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Siegel MB, Tanwar KL, Wood KS (2011) Electronic cigarettes as a smoking-cessation: tool results from an online survey. Am J Prev Med 40:472–475. doi:10.1016/j.amepre.2010.12.006 CrossRefPubMedGoogle Scholar
  11. 11.
    Caponnetto P, Campagna D, Cibella F, Morjaria JB, Caruso M, Russo C, Polosa R (2013) EffiCiency and Safety of an eLectronic cigAreTte (ECLAT) as tobacco cigarettes substitute: a prospective 12-month randomized control design study. PLoS One 8:e66317. doi:10.1371/journal.pone.0066317 CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Bullen C, Howe C, Laugesen M, McRobbie H, Parag V, Williman J, Walker N (2013) Electronic cigarettes for smoking cessation: a randomised controlled trial. Lancet 382:1629–1637. doi:10.1016/S0140-6736(13)61842-5 CrossRefPubMedGoogle Scholar
  13. 13.
    McRobbie H, Bullen C, Hartmann-Boyce J, Hajek P (2014) Electronic cigarettes for smoking cessation and reduction. Cochrane Database Syst Rev 12:CD010216. doi:10.1002/14651858
  14. 14.
    Hartmann-Boyce J, McRobbie H, Bullen C, Begh R, Stead LF, Hajek P (2016) Electronic cigarettes for smoking cessation. Cochrane Database Syst Rev 9:CD010216Google Scholar
  15. 15.
    Khoudigian S, Devji T, Lytvyn L, Campbell K, Hopkins R, O’Reilly D (2016) The efficacy and short-term effects of electronic cigarettes as a method for smoking cessation: a systematic review and a meta-analysis. Int J Public Health 61:257–267. doi:10.1007/s00038-016-0786-z CrossRefPubMedGoogle Scholar
  16. 16.
    Rahman MA, Hann N, Wilson A, Mnatzaganian G, Worrall-Carter L (2015) E-cigarettes and smoking cessation: evidence from a systematic review and meta-analysis. PLoS One 10:e0122544. doi:10.1371/journal.pone.0122544 CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Farsalinos KE, Romagna G, Tsiapras D, Kyrzopoulos S, Voudris V (2013) Evaluating nicotine levels selection and patterns of electronic cigarette use in a group of “vapers” who had achieved complete substitution of smoking. Subst Abuse 7:139–146. doi:10.4137/SART.S12756 PubMedPubMedCentralGoogle Scholar
  18. 18.
    Amato MS, Boyle RG, Levy D (2016) How to define e-cigarette prevalence? Finding clues in the use frequency distribution. Tob Control 25(e1):e24–e29. doi:10.1136/tobaccocontrol-2015-052236 CrossRefPubMedGoogle Scholar
  19. 19.
    Hitchman SC, Brose LS, Brown J, Robson D, McNeill A (2015) Associations between e-cigarette type, frequency of use, and quitting smoking: findings from a longitudinal online panel survey in Great Britain. Nicotine Tob Res 17:1187–1194. doi:10.1093/ntr/ntv078 CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    European Commission. Eurobarometer 429 (2014) Attitudes of Europeans towards tobacco and electronic cigarettes. http://ec.europa.eu/public_opinion/archives/ebs/ebs_429_en.pdf. Accessed 13 Sep 2016
  21. 21.
    Farsalinos KE, Poulas K, Voudris V, Le Houezec J (2016) Electronic cigarette use in the European Union: analysis of a representative sample of 27 460 Europeans from 28 countries. Addiction 111:2032–2040. doi:10.1111/add.13506 CrossRefPubMedGoogle Scholar
  22. 22.
    Vardavas CI, Filippidis FT, Agaku IT (2015) 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 24:442–448. doi:10.1136/tobaccocontrol-2013-051394 CrossRefPubMedGoogle Scholar
  23. 23.
    European Commission. Eurobarometer 385 (2012) Attitudes of Europeans towards tobacco. http://ec.europa.eu/public_opinion/archives/ebs/ebs_385_en.pdf. Accessed 13 Sep 2016
  24. 24.
    Pechacek TF, Nayak P, Gregory KR, Weaver SR, Eriksen MP (2016) The potential that electronic nicotine delivery systems can be a disruptive technology: results from a national survey. Nicotine Tob Res 18:1989–1997. doi:10.1093/ntr/ntw102 CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Action on Smoking and Health (ASH) UK (2016) Use of electronic cigarettes (vapourisers) among adults in Great Britain. http://ash.org.uk/download/use-of-electronic-cigarettes-among-adults-in-great-britain/. Accessed 09 Oct 2016
  26. 26.
    Brown J, West R, Beard 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 39:1120–1125. doi:10.1016/j.addbeh.2014.03.009 CrossRefPubMedPubMedCentralGoogle Scholar
  27. 27.
    Tan AS, Bigman CA (2014) E-cigarette awareness and perceived harmfulness: prevalence and associations with smoking-cessation outcomes. Am J Prev Med 47:141–149. doi:10.1016/j.amepre.2014.02.011 CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Filippidis FT, Laverty AA, Gerovasili V, Vardavas CI (2017) Two-year trends and predictors of e-cigarette use in 27 European Union member states. Tob Control 26:98–104. doi:10.1136/tobaccocontrol-2015-052771 CrossRefPubMedGoogle Scholar
  29. 29.
    Farsalinos KE, Romagna G, Voudris V (2015) Factors associated with dual use of tobacco and electronic cigarettes: a case control study. Int J Drug Policy 26:595–600. doi:10.1016/j.drugpo.2015.01.006 CrossRefPubMedGoogle Scholar
  30. 30.
    Etter JF (2016) A longitudinal study of cotinine in long-term daily users of e-cigarettes. Drug Alcohol Depend 2016(160):218–221. doi:10.1016/j.drugalcdep.2016.01.003 CrossRefGoogle Scholar
  31. 31.
    Ooms GI, Bosdriesz JR, Portrait FR, Kunst AE (2016) Sociodemographic differences in the use of electronic nicotine delivery systems in the European Union. Nicotine Tob Res 18:724–729. doi:10.1093/ntr/ntv215 CrossRefPubMedGoogle Scholar
  32. 32.
    Zhuang YL, Cummins SE, Sun J Y, Zhu SH (2016) Long-term e-cigarette use and smoking cessation: a longitudinal study with US population. Tob Control 25(Suppl 1):i90–i95. doi:10.1136/tobaccocontrol-2016-053096 CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© SIMI 2017

Authors and Affiliations

  1. 1.Onassis Cardiac Surgery CenterKallitheaGreece
  2. 2.Department of PharmacyUniversity of PatrasRioGreece
  3. 3.Division of Epidemiology and Public Health, UK Centre for Tobacco and Alcohol StudiesUniversity of NottinghamNottinghamEngland, UK
  4. 4.Addiction Research UnitINSERM 1178 (Mental and Public Health)ParisFrance

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