Prevalence and correlates of current daily use of electronic cigarettes in the European Union: analysis of the 2014 Eurobarometer survey
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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.
KeywordsElectronic cigarettes Smoking Eurobarometer European Union Smoking cessation Nicotine
Compliance with ethical standards
No funding was provided for this study.
Conflict of interest
For KF and VV, their institution was remunerated by two e-cigarette companies for two unpublished studies in 2013 (>36 months ago), while two studies were funded by the non-profit association AEMSA in 2013 and one by the non-profit association Tennessee Smoke-Free Association in 2015. JLH has received speaker honorarium and consultancy fees from Johnson & Johnson, Novartis, Pfizer, and Pierre Fabre.
Statement of human and animal rights
This article does not contain any studies with human participants or animals performed by any of the authors.
For this type of study formal consent is not required.
- 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
- 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
- 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.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.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
- 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
- 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.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
- 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
- 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