European adult smokers' perceptions of the harmfulness of e-cigarettes relative to combustible cigarettes: cohort findings from the 2016 and 2018 EUREST-PLUS ITC Europe Surveys

Background: This study presents perceptions of the harmfulness of electronic cigarettes (e-cigarettes) relative to combustible cigarettes among smokers from six European Union (EU) countries, prior to the implementation of the EU Tobacco Products Directive (TPD), and 2 years post-TPD. Methods: Data...

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Authors: Gravely, Shannon; Driezen, Pete; Kyriakos, Christina N.; Thompson, Mary E.; Balmford, James; Demjén, Tibor; Fernández Muñoz, Esteve; Mons, Ute; Tountas, Yannis; Janik-Koncewicz, Kinga; Zatoński, Witold; Trofor, Antigona C.; Vardavas, Constantine I.; Fong, Geoffrey T.; EUREST-PLUS consortium
Format: Article
Status:Published version
Publication date:2020
Country:España
Institution:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repository:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/173477
Online Access:https://hdl.handle.net/2445/173477
Access Level:Open access
Keyword:Fumadors
Cigarretes electròniques
Cigarette smokers
Electronic cigarettes
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author Gravely, Shannon
author2 Driezen, Pete
Kyriakos, Christina N.
Thompson, Mary E.
Balmford, James
Demjén, Tibor
Fernández Muñoz, Esteve
Mons, Ute
Tountas, Yannis
Janik-Koncewicz, Kinga
Zatoński, Witold
Trofor, Antigona C.
Vardavas, Constantine I.
Fong, Geoffrey T.
EUREST-PLUS consortium
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_browse Balmford, James
Demjén, Tibor
Driezen, Pete
EUREST-PLUS consortium
Fernández Muñoz, Esteve
Fong, Geoffrey T.
Gravely, Shannon
Janik-Koncewicz, Kinga
Kyriakos, Christina N.
Mons, Ute
Thompson, Mary E.
Tountas, Yannis
Trofor, Antigona C.
Vardavas, Constantine I.
Zatoński, Witold
author_facet Gravely, Shannon
Driezen, Pete
Kyriakos, Christina N.
Thompson, Mary E.
Balmford, James
Demjén, Tibor
Fernández Muñoz, Esteve
Mons, Ute
Tountas, Yannis
Janik-Koncewicz, Kinga
Zatoński, Witold
Trofor, Antigona C.
Vardavas, Constantine I.
Fong, Geoffrey T.
EUREST-PLUS consortium
author_role author
collection Recercat. Dipósit de la Recerca de Catalunya
description Background: This study presents perceptions of the harmfulness of electronic cigarettes (e-cigarettes) relative to combustible cigarettes among smokers from six European Union (EU) countries, prior to the implementation of the EU Tobacco Products Directive (TPD), and 2 years post-TPD. Methods: Data were drawn from the EUREST-PLUS ITC Europe Surveys, a cohort study of adult smokers (>= 18 years) from Germany, Greece, Hungary, Poland, Romania and Spain. Data were collected in 2016 (pre-TPD: N = 6011) and 2018 (post-TPD: N = 6027). Weighted generalized estimating equations were used to estimate perceptions of the harmfulness of e-cigarettes compared to combustible cigarettes (less harmful, equally harmful, more harmful or 'don't know'). Results: In 2016, among respondents who were aware of e-cigarettes (72.2%), 28.6% reported that they perceived e-cigarettes to be less harmful than cigarettes (range 22.0% in Spain to 34.1% in Hungary). In 2018, 72.2% of respondents were aware of e-cigarettes, of whom 28.4% reported perceiving that e-cigarettes are less harmful. The majority of respondents perceived e-cigarettes to be equally or more harmful than cigarettes in both 2016 (58.5%) and 2018 (61.8%, P>0.05). Overall, there were no significant changes in the perceptions that e-cigarettes are less, equally or more harmful than cigarettes, but 'don't know' responses significantly decreased from 12.9% to 9.8% (P = 0.036). The only significant change within countries was a decrease in 'don't know' responses in Spain (19.3-9.4%, P = .001). Conclusions: The majority of respondents in these six EU countries perceived e-cigarettes to be equally or more harmful than combustible cigarettes.
eu_rights_str_mv openAccess
format article
id ES_91cfd864fe7d5a115f4e8d2c8e41cdf5
institution Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
network_acronym_str ES
network_name_str España
oai_identifier_str oai:recercat.cat:2445/173477
publishDate 2020
publishDateSort 2020
publisher Oxford University Press
publisherStr Oxford University Press
reponame_str Recercat. Dipósit de la Recerca de Catalunya
spelling European adult smokers' perceptions of the harmfulness of e-cigarettes relative to combustible cigarettes: cohort findings from the 2016 and 2018 EUREST-PLUS ITC Europe Surveys Gravely, Shannon Driezen, Pete Kyriakos, Christina N. Thompson, Mary E. Balmford, James Demjén, Tibor Fernández Muñoz, Esteve Mons, Ute Tountas, Yannis Janik-Koncewicz, Kinga Zatoński, Witold Trofor, Antigona C. Vardavas, Constantine I. Fong, Geoffrey T. EUREST-PLUS consortium Fumadors Cigarretes electròniques Cigarette smokers Electronic cigarettes Background: This study presents perceptions of the harmfulness of electronic cigarettes (e-cigarettes) relative to combustible cigarettes among smokers from six European Union (EU) countries, prior to the implementation of the EU Tobacco Products Directive (TPD), and 2 years post-TPD. Methods: Data were drawn from the EUREST-PLUS ITC Europe Surveys, a cohort study of adult smokers (>= 18 years) from Germany, Greece, Hungary, Poland, Romania and Spain. Data were collected in 2016 (pre-TPD: N = 6011) and 2018 (post-TPD: N = 6027). Weighted generalized estimating equations were used to estimate perceptions of the harmfulness of e-cigarettes compared to combustible cigarettes (less harmful, equally harmful, more harmful or 'don't know'). Results: In 2016, among respondents who were aware of e-cigarettes (72.2%), 28.6% reported that they perceived e-cigarettes to be less harmful than cigarettes (range 22.0% in Spain to 34.1% in Hungary). In 2018, 72.2% of respondents were aware of e-cigarettes, of whom 28.4% reported perceiving that e-cigarettes are less harmful. The majority of respondents perceived e-cigarettes to be equally or more harmful than cigarettes in both 2016 (58.5%) and 2018 (61.8%, P>0.05). Overall, there were no significant changes in the perceptions that e-cigarettes are less, equally or more harmful than cigarettes, but 'don't know' responses significantly decreased from 12.9% to 9.8% (P = 0.036). The only significant change within countries was a decrease in 'don't know' responses in Spain (19.3-9.4%, P = .001). Conclusions: The majority of respondents in these six EU countries perceived e-cigarettes to be equally or more harmful than combustible cigarettes. Oxford University Press https://hdl.handle.net/2445/173477
spellingShingle European adult smokers' perceptions of the harmfulness of e-cigarettes relative to combustible cigarettes: cohort findings from the 2016 and 2018 EUREST-PLUS ITC Europe Surveys
Gravely, Shannon
Fumadors
Cigarretes electròniques
Cigarette smokers
Electronic cigarettes
status_str publishedVersion
title European adult smokers' perceptions of the harmfulness of e-cigarettes relative to combustible cigarettes: cohort findings from the 2016 and 2018 EUREST-PLUS ITC Europe Surveys
title_full European adult smokers' perceptions of the harmfulness of e-cigarettes relative to combustible cigarettes: cohort findings from the 2016 and 2018 EUREST-PLUS ITC Europe Surveys
title_fullStr European adult smokers' perceptions of the harmfulness of e-cigarettes relative to combustible cigarettes: cohort findings from the 2016 and 2018 EUREST-PLUS ITC Europe Surveys
title_full_unstemmed European adult smokers' perceptions of the harmfulness of e-cigarettes relative to combustible cigarettes: cohort findings from the 2016 and 2018 EUREST-PLUS ITC Europe Surveys
title_short European adult smokers' perceptions of the harmfulness of e-cigarettes relative to combustible cigarettes: cohort findings from the 2016 and 2018 EUREST-PLUS ITC Europe Surveys
title_sort European adult smokers' perceptions of the harmfulness of e-cigarettes relative to combustible cigarettes: cohort findings from the 2016 and 2018 EUREST-PLUS ITC Europe Surveys
topic Fumadors
Cigarretes electròniques
Cigarette smokers
Electronic cigarettes
topic_facet Fumadors
Cigarretes electròniques
Cigarette smokers
Electronic cigarettes
url https://hdl.handle.net/2445/173477