Department of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS.
The George Institute for Global Health.
J Epidemiol. 2022 Mar 5;32(3):139-144. doi: 10.2188/jea.JE20200248. Epub 2021 Jun 22.
Heated tobacco products (HTP) are new forms of tobacco consumption with limited information available on their use among the general population. Our objective was to analyze the prevalence and associations of use of HTP across 11 countries in Europe.
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.
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).
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.
加热烟草制品（HTP）是一种新型的烟草消费形式，关于其在普通人群中的使用情况，我们掌握的信息有限。我们的目的是分析欧洲 11 个国家 HTP 使用的流行情况及其关联因素。
在 TackSHS 项目中，我们于 2017-2018 年在以下国家开展了一项横断面研究，获取 HTP 使用信息：保加利亚、英国、法国、德国、希腊、意大利、拉脱维亚、波兰、葡萄牙、罗马尼亚和西班牙。在每个国家，我们都对大约 1000 名年龄≥15 岁的代表性样本进行了面对面访谈，共纳入 10839 名参与者。
总体而言，27.8%的研究参与者知晓 HTP，1.8%曾使用过 HTP（范围从西班牙的 0.6%到希腊的 8.3%），0.1%正在使用。男性曾使用 HTP 的比例高于女性（调整后的比值比[OR]为 1.47；95%置信区间[CI]为 1.11-1.95）。曾使用 HTP 与年龄呈负相关（趋势 P<0.001），并且更常见于前吸烟者（与从不吸烟者相比，OR 为 4.32；95%CI 为 2.69-6.95）和当前吸烟者（OR 为 8.35；95%CI 为 5.67-12.28），以及电子香烟既往使用者（与从不使用者相比，OR 为 5.48；95%CI 为 3.46-8.68）和当前使用者（OR 为 5.92；95%CI 为 3.73-9.40）。
2017-2018 年，欧洲普通人群中 HTP 的使用仍然有限；然而，这些产品的双重使用、在年轻一代中的高使用率，以及非吸烟者对这些产品的兴趣令人担忧，表明需要密切监测流行情况和使用者特征。
