Objectives The aim of this study was to assess the relationship between the prevalence of e-cigarette use and country-level factors across 28 European countries. Methods The study objectives were addressed in an ecological design in which both exposures and outcomes were measured at the country level. Data from the Eurobarometer Report, the Eurostat database and the WHO observatory were analyzed. Bivariate and multivariate analyses were performed considering the rates of current and ever smokers of e-cigarettes as dependent variables, and socio-economic factors, health status and policies against tobacco as independent variables. Results Both the rate of current smokers and ever smokers of e-cigarette were positively associated to the offer of help to quit tobacco use (P\0.01; P = 0.04) and to the raise of taxes on tobacco (P = 0.01; P = 0.01). The warn on dangers of tobacco negatively correlated with the rate of e-cigarette current smokers. The rate of current e-cigarette smokers correlated with the rate of current smokers and with national Gross Domestic Product, while the rate of ever e-cigarette smokers did not correlate with any socio-economic factor. Conclusions Our analysis suggests that both policy and non-policy factors are associated with the geographical variability seen in the prevalence of e-cigarette use. Policies against the consumption of conventional tobacco products may lead to an increase of e-cigarette smokers.

Country-level correlates of e-cigarette use in the European Union / LA TORRE, Giuseppe; Mipatrini, Daniele. - In: INTERNATIONAL JOURNAL OF PUBLIC HEALTH. - ISSN 1661-8556. - 61:2(2016), pp. 269-275. [10.1007/s00038-016-0792-1]

Country-level correlates of e-cigarette use in the European Union

LA TORRE, Giuseppe;MIPATRINI, DANIELE
2016

Abstract

Objectives The aim of this study was to assess the relationship between the prevalence of e-cigarette use and country-level factors across 28 European countries. Methods The study objectives were addressed in an ecological design in which both exposures and outcomes were measured at the country level. Data from the Eurobarometer Report, the Eurostat database and the WHO observatory were analyzed. Bivariate and multivariate analyses were performed considering the rates of current and ever smokers of e-cigarettes as dependent variables, and socio-economic factors, health status and policies against tobacco as independent variables. Results Both the rate of current smokers and ever smokers of e-cigarette were positively associated to the offer of help to quit tobacco use (P\0.01; P = 0.04) and to the raise of taxes on tobacco (P = 0.01; P = 0.01). The warn on dangers of tobacco negatively correlated with the rate of e-cigarette current smokers. The rate of current e-cigarette smokers correlated with the rate of current smokers and with national Gross Domestic Product, while the rate of ever e-cigarette smokers did not correlate with any socio-economic factor. Conclusions Our analysis suggests that both policy and non-policy factors are associated with the geographical variability seen in the prevalence of e-cigarette use. Policies against the consumption of conventional tobacco products may lead to an increase of e-cigarette smokers.
2016
e-cigarette; europe; smoking cessation; tobacco policy; public health; environmental and occupational health; health (social science)
01 Pubblicazione su rivista::01a Articolo in rivista
Country-level correlates of e-cigarette use in the European Union / LA TORRE, Giuseppe; Mipatrini, Daniele. - In: INTERNATIONAL JOURNAL OF PUBLIC HEALTH. - ISSN 1661-8556. - 61:2(2016), pp. 269-275. [10.1007/s00038-016-0792-1]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/871906
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