TY - JOUR
T1 - Exposure to secondhand aerosol of electronic cigarettes in indoor settings in 12 European countries: data from the TackSHS survey
AU - Amalia, B.
AU - Liu, X.Q.
AU - Lugo, A.
AU - Fu, M.
AU - Odone, A.
AU - van den Brandt, P.A.
AU - Semple, S.
AU - Clancy, L.
AU - Soriano, J.B.
AU - Fernandez, E.
AU - Gallus, S.
AU - TackSHS Project Investigators
N1 - Funding Information:
Funding This project has received funding from the European Union’s Horizon 2020 research and innovation programme under grant agreement No 681040. BA received the support of a fellowship from ’La Caixa’ Foundation (ID 100010434; Fellowship code: LCF/BQ/IN17/11620013). AL was supported by a fellowship from the Italian Association for Cancer Research (AIRC). The Tobacco Control Research Group at ICO-IDIBELL (BA, EF and MF) is partly supported by the Ministry of Universities and Research, Government of Catalonia (2017SGR319) and thanks CERCA Programme Generalitat de Catalunya for the institutional support to IDIBELL. EF is partly supported by the Instituto de Salud Carlos III, Government of Spain, cofunded by the European Regional Development Fund (FEDER; INT16/00211 and INT17/00103). The work of SG was partially funded by the Italian League Against Cancer (LILT, Milan).
Publisher Copyright:
© Author(s) (or their employer(s)) 2021.
PY - 2021/1/1
Y1 - 2021/1/1
N2 - Introduction Exposure to secondhand aerosol from e-cigarette (SHA) may pose harmful effects to bystanders. This study aims to investigate the prevalence, duration and determinants of SHA exposure in various indoor settings in 12 European countries.Methods In 2017-2018, we conducted a cross-sectional study, the TackSHS survey, on a representative sample of the population aged >= 15 years in 12 European countries (Bulgaria, England, France, Germany, Greece, Ireland, Italy, Latvia, Poland, Portugal, Romania and Spain). We described the prevalence and duration of exposure to SHA in several indoor settings among 11 604 e-cigarette non-users. Individual-level and country-level characteristics associated with SHA exposure were also explored using multilevel logistic regression analyses.Results Overall, 16.0% of e-cigarette non-users were exposed to SHA in any indoor setting at least weekly, ranging from 4.3% in Spain to 29.6% in England. The median duration of SHA exposure among those who were exposed was 43 min/day. 'Other indoor settings' (eg, bar and restaurant) was reported as the place where most of e-cigarette non-users were exposed (8.3%), followed by workplace/educational venues (6.4%), home (5.8%), public transportation (3.5%) and private transportation (2.7%). SHA exposure was more likely to occur in certain groups of non-users: men, younger age groups, those with higher level of education, e-cigarette past users, current smokers, those perceiving SHA harmless and living in countries with a higher e-cigarette use prevalence.Conclusions We found inequalities of SHA exposure across and within European countries. Governments should consider extending their tobacco smoke-free legislation to e-cigarettes to protect bystanders, particularly vulnerable populations such as young people.
AB - Introduction Exposure to secondhand aerosol from e-cigarette (SHA) may pose harmful effects to bystanders. This study aims to investigate the prevalence, duration and determinants of SHA exposure in various indoor settings in 12 European countries.Methods In 2017-2018, we conducted a cross-sectional study, the TackSHS survey, on a representative sample of the population aged >= 15 years in 12 European countries (Bulgaria, England, France, Germany, Greece, Ireland, Italy, Latvia, Poland, Portugal, Romania and Spain). We described the prevalence and duration of exposure to SHA in several indoor settings among 11 604 e-cigarette non-users. Individual-level and country-level characteristics associated with SHA exposure were also explored using multilevel logistic regression analyses.Results Overall, 16.0% of e-cigarette non-users were exposed to SHA in any indoor setting at least weekly, ranging from 4.3% in Spain to 29.6% in England. The median duration of SHA exposure among those who were exposed was 43 min/day. 'Other indoor settings' (eg, bar and restaurant) was reported as the place where most of e-cigarette non-users were exposed (8.3%), followed by workplace/educational venues (6.4%), home (5.8%), public transportation (3.5%) and private transportation (2.7%). SHA exposure was more likely to occur in certain groups of non-users: men, younger age groups, those with higher level of education, e-cigarette past users, current smokers, those perceiving SHA harmless and living in countries with a higher e-cigarette use prevalence.Conclusions We found inequalities of SHA exposure across and within European countries. Governments should consider extending their tobacco smoke-free legislation to e-cigarettes to protect bystanders, particularly vulnerable populations such as young people.
KW - adults
KW - awareness
KW - combustible cigarettes
KW - electronic nicotine delivery devices
KW - environment
KW - nicotine delivery
KW - secondhand smoke
KW - smoking
KW - surveillance and monitoring
KW - tobacco
KW - us
KW - NICOTINE DELIVERY
KW - ADULTS
KW - SMOKING
KW - COMBUSTIBLE CIGARETTES
KW - AWARENESS
KW - TOBACCO
KW - US
U2 - 10.1136/tobaccocontrol-2019-055376
DO - 10.1136/tobaccocontrol-2019-055376
M3 - Article
C2 - 32123139
SN - 0964-4563
VL - 30
SP - 49
EP - 56
JO - Tobacco Control
JF - Tobacco Control
IS - 1
ER -