Sreeramareddy Chandrashekhar T, Shu Syuen Matthew Ooi, Hon Muhammad Imaan, Daher Aqil M
Department of Public Health and Community Medicine, School of Medicine, IMU University, Kuala Lumpur, Malaysia.
Centre for Translational Research, Institute for Research, Development, and Innovation, IMU University, Kuala Lumpur, Malaysia.
Nicotine Tob Res. 2025 Jan 22;27(2):254-261. doi: 10.1093/ntr/ntae187.
Data on e-cigarette (EC) and heated tobacco product (HTP) use and the reasons for their use are useful for policy making. We report comparable nationally representative estimates of EC and HTP use and their associated factors.
Global Adult Tobacco Survey data from Indonesia (2021), Kazakhstan (2019), and the Philippines (2021) were analyzed. The weighted prevalence rates and 95% CI of EC and HTP awareness, current use, and ever use, and their distribution by cigarette smoking status were calculated. Binary logistic regression analyses assessed socioeconomic, and tobacco control factors associated with EC and HTP use.
The prevalence (%) of EC awareness, ever use and current use were 48.7-69.4, 3.6-8.8, and 1.9-3.0, respectively. The prevalence(%) of HTP awareness, ever use and current use were 2.7-21.7, 0.2-2.1, and 0.1-1.2, respectively. The main reasons for EC and HTP use were attractive flavors(45.8%-73.9%), less harmful than smoking(23.0%-70.1%), and enjoyment(40.8%-76.7%). Avoiding going back to smoking(0.9%-54.4%) and quitting smoking(19.4%-49.8%) were less frequently cited reasons (except in the Philippines). EC/HTP use was associated with younger age, higher education and wealth, current/past smoking, exposure to information about the dangers of tobacco use, and advertisements about tobacco products and smoke-free rules at home.
The prevalence of EC and HTP use was higher among younger men with higher education and wealth, and current/past smoking. EC and HTP use should be closely monitored. Regulations to restrict the widespread marketing and sales of EC and HTP are needed to prevent the escalation of their use.
The population-level data provide the benchmark for future monitoring use of e-cigarettes and HTPs and identify population subgroups for future surveillance in low- and middle-income countries. The association of EC/HTP use with tobacco control-related factors provides leads for policies that should be formulated and implemented to regulate the product contents, marketing, and sales of EC and HTP.
电子烟（EC）和加热烟草制品（HTP）的使用数据及其使用原因对政策制定很有用。我们报告了具有全国代表性的电子烟和加热烟草制品使用情况及其相关因素的可比估计数据。
分析了来自印度尼西亚（2021年）、哈萨克斯坦（2019年）和菲律宾（2021年）的全球成人烟草调查数据。计算了电子烟和加热烟草制品知晓率、当前使用率和曾经使用率的加权患病率及其95%置信区间，以及按吸烟状况划分的分布情况。二元逻辑回归分析评估了与电子烟和加热烟草制品使用相关的社会经济因素和烟草控制因素。
电子烟知晓率、曾经使用率和当前使用率的患病率（%）分别为48.7 - 69.4、3.6 - 8.8和1.9 - 3.0。加热烟草制品知晓率、曾经使用率和当前使用率的患病率（%）分别为2.7 - 21.7、0.2 - 2.1和0.1 - 1.2。使用电子烟和加热烟草制品的主要原因是口味吸引人（45.8% - 73.9%）、比吸烟危害小（23.0% - 70.1%）以及享受（40.8% - 76.7%）。避免复吸（0.9% - 54.4%）和戒烟（19.4% - 49.8%）被提及的频率较低（菲律宾除外）。电子烟/加热烟草制品的使用与年龄较小、教育程度较高、财富水平较高、当前/过去吸烟、接触烟草使用危害信息以及烟草制品广告和家庭无烟规则有关。
在教育程度较高、财富水平较高且当前/过去吸烟的年轻男性中，电子烟和加热烟草制品的使用率较高。应密切监测电子烟和加热烟草制品的使用情况。需要制定法规来限制电子烟和加热烟草制品的广泛营销和销售，以防止其使用情况升级。
这些人群层面的数据为未来监测电子烟和加热烟草制品的使用提供了基准，并确定了低收入和中等收入国家未来监测的人群亚组。电子烟/加热烟草制品的使用与烟草控制相关因素之间的关联为应制定和实施的政策提供了线索，以规范电子烟和加热烟草制品的产品内容、营销和销售。
