Ooms Gaby Isabelle, Bosdriesz Jizzo R, Portrait France R M, Kunst Anton E
Department of Public Health, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands;
Department of Health Sciences, VU University, Amsterdam, the Netherlands.
Nicotine Tob Res. 2016 May;18(5):724-9. doi: 10.1093/ntr/ntv215. Epub 2015 Oct 4.
Electronic nicotine delivery systems (ENDS) are rapidly increasing in popularity. However, little is known about sociodemographic differences in use of ENDS. This study aims to assess the sociodemographic characteristics associated with ENDS ever-use and use as a cessation tool in the European Union.
We analyzed data from the 2012 Eurobarometer wave 77.1, with 25 922 respondents aged 15 years or above from all 27 member states. We estimated the prevalence of ever-use and use as a cessation tool, and performed binary logistic regression to analyze associations with sociodemographic characteristics.
Overall, 7.2% reported having ever used ENDS. Of all smokers who ever tried to quit, 7.0% used ENDS. Ever-use was inversely associated with being older than 34 years (odds ratio [OR] = 0.63, 95% confidence interval [CI] = 0.51-0.76 for 35-44 years, and OR = 0.34, 95% CI = 0.25-0.46 for at least 65 years), and positively associated with being higher educated (OR = 1.50, 95% CI = 1.22-1.84) or a student (OR = 2.34, 95% CI = 1.77-3.08). ENDS were more often used to quit smoking by students (OR = 2.05, 95% CI = 1.10-3.82), and were less likely to be used by those aged 65 or older (OR = 0.30, 95% CI = 0.15-0.61). No significant differences were found according to sex, social class, marital status or type of community.
In 2012, ever-use of ENDS was low in the European population in general. However, younger people or those with a high education used ENDS more frequently. These results indicate a need for more appropriate product information targeted at these groups.
This study shows that in the European Union in 2012, regular use of ENDS was rare, especially among nonsmokers. Only age and education were strongly associated with ENDS use. The increased prevalence of ever-use among the younger age groups is relevant, as in this age group smoking habits are established. The higher ever-use of ENDS among younger and higher educated people found in this study indicates a need to target appropriate product information, stressing that ENDS use does not imply zero harm.
电子尼古丁传送系统（ENDS）的受欢迎程度正在迅速上升。然而，关于使用ENDS的社会人口统计学差异却知之甚少。本研究旨在评估与在欧盟曾经使用ENDS以及将其作为戒烟工具使用相关的社会人口统计学特征。
我们分析了2012年欧洲晴雨表第77.1波的数据，来自所有27个成员国的25922名15岁及以上的受访者。我们估计了曾经使用和作为戒烟工具使用的患病率，并进行二元逻辑回归分析与社会人口统计学特征的关联。
总体而言，7.2%的人报告曾经使用过ENDS。在所有曾经试图戒烟的吸烟者中，7.0%使用过ENDS。曾经使用与年龄大于34岁呈负相关（35 - 44岁的优势比[OR] = 0.63，95%置信区间[CI] = 0.51 - 0.76；至少65岁的OR = 0.34，95% CI = 0.25 - 0.46），与受教育程度较高呈正相关（OR = 1.50，95% CI = 1.22 - 1.84）或与是学生呈正相关（OR = 2.34，95% CI = 1.77 - 3.08）。学生更常使用ENDS来戒烟（OR = 2.05，95% CI = 1.10 - 3.82），65岁及以上的人使用ENDS的可能性较小（OR = 0.30，95% CI = 0.15 - 0.61）。在性别、社会阶层、婚姻状况或社区类型方面未发现显著差异。
2012年，总体而言欧盟人口中曾经使用ENDS的比例较低。然而，年轻人或受教育程度高的人更频繁地使用ENDS。这些结果表明需要针对这些群体提供更合适的产品信息。
本研究表明，2012年在欧盟经常使用ENDS很少见，尤其是在非吸烟者中。只有年龄和教育程度与使用ENDS密切相关。在较年轻年龄组中曾经使用的患病率增加是相关的，因为在这个年龄组吸烟习惯正在形成。本研究中发现年轻人和受教育程度高的人曾经使用ENDS的比例较高，这表明需要针对合适的产品信息，强调使用ENDS并不意味着零危害。
