TY - JOUR
T1 - Use and Awareness of Heated Tobacco Products in Europe
AU - Gallus, Silvano
AU - Lugo, Alessandra
AU - Liu, Xiaoqiu
AU - Borroni, Elisa
AU - Clancy, Luke
AU - Gorini, Giuseppe
AU - Lopez, Maria José
AU - Odone, Anna
AU - Przewozniak, Krzysztof
AU - Tigova, Olena
AU - VAN DEN Brandt, Piet
AU - Vardavas, Constantine
AU - Fernandez, Esteve
AU - TackSHS Project Investigators
N1 - Funding Information:
Conflicts of interest: KP obtained grants and personal fees from the Polish League Against Cancer (Polska Liga Walki Z Rakiem) and from Start-up Helping Hand Powered by addictions.ai, outside the submitted work.
Publisher Copyright:
© 2021 Silvano Gallus et al.
PY - 2022/3
Y1 - 2022/3
N2 - Background Heated tobacco products (HTP) are new forms of tobacco consumption with limited information available on their use among the general population. Our objective is to analyse the prevalence and associations of use of HTP across 11 countries in Europe.Methods Within the TackSHS Project, in 2017-2018 we conducted a cross-sectional study with information on HTP use in the following countries: Bulgaria, England, France, Germany, Greece, Italy, Latvia, Poland, Portugal, Romania and Spain. In each country, face-to-face interviews were performed on a representative sample of around 1,000 subjects aged ≥15 years, for a total of 10,839 subjects.Results Overall, 27.8% of study participants were aware of HTPs, 1.8% were ever HTP users (ranging from 0.6% in Spain to 8.3% in Greece), and 0.1% were current users. Men were more frequently HTP ever users than women (adjusted odds ratio, aOR=1.47; 95% confidence interval, CI: 1.11-1.95). Ever HTP use was inversely related to age (p for trend<0.001) and more frequent in ex-smokers (compared with never smokers, aOR=4.32, 95% CI: 2.69-6.95) and current smokers (aOR=8.35, 95% CI: 5.67-12.28), and in electronic cigarette past users (compared with never users, aOR=5.48, 95% CI: 3.46-8.68) and current users (aOR=5.92, 95% CI: 3.73-9.40).Conclusions In 2017-2018, HTP use was still limited in Europe among the general population, however the dual use of these products, their high use among younger generations and the interest of non-smokers in these products are worrying and indicate the need for close monitoring in terms of prevalence and the characteristics of users.
AB - Background Heated tobacco products (HTP) are new forms of tobacco consumption with limited information available on their use among the general population. Our objective is to analyse the prevalence and associations of use of HTP across 11 countries in Europe.Methods Within the TackSHS Project, in 2017-2018 we conducted a cross-sectional study with information on HTP use in the following countries: Bulgaria, England, France, Germany, Greece, Italy, Latvia, Poland, Portugal, Romania and Spain. In each country, face-to-face interviews were performed on a representative sample of around 1,000 subjects aged ≥15 years, for a total of 10,839 subjects.Results Overall, 27.8% of study participants were aware of HTPs, 1.8% were ever HTP users (ranging from 0.6% in Spain to 8.3% in Greece), and 0.1% were current users. Men were more frequently HTP ever users than women (adjusted odds ratio, aOR=1.47; 95% confidence interval, CI: 1.11-1.95). Ever HTP use was inversely related to age (p for trend<0.001) and more frequent in ex-smokers (compared with never smokers, aOR=4.32, 95% CI: 2.69-6.95) and current smokers (aOR=8.35, 95% CI: 5.67-12.28), and in electronic cigarette past users (compared with never users, aOR=5.48, 95% CI: 3.46-8.68) and current users (aOR=5.92, 95% CI: 3.73-9.40).Conclusions In 2017-2018, HTP use was still limited in Europe among the general population, however the dual use of these products, their high use among younger generations and the interest of non-smokers in these products are worrying and indicate the need for close monitoring in terms of prevalence and the characteristics of users.
KW - AWARENESS
KW - BURN TOBACCO PRODUCTS
KW - ELECTRONIC CIGARETTES
KW - Europe
KW - IQOS
KW - SMOKE
KW - heat-not-burn tobacco products
KW - heated tobacco products
KW - survey
U2 - 10.2188/jea.JE20200248
DO - 10.2188/jea.JE20200248
M3 - Article
C2 - 33456019
SN - 0917-5040
VL - 32
SP - 139
EP - 144
JO - Journal of Epidemiology
JF - Journal of Epidemiology
IS - 3
ER -