Use and Awareness of Heated Tobacco Products in Europe
Gallus, Silvano (Department of Environmental Health Sciences. Istituto di Ricerche Farmacologiche Mario Negri IRCCS)
Lugo, Alessandra (Department of Environmental Health Sciences. Istituto di Ricerche Farmacologiche Mario Negri IRCCS)
Liu, Xiaoqiu (The George Institute for Global Health)
Borroni, Elisa (Department of Environmental Health Sciences. Istituto di Ricerche Farmacologiche Mario Negri IRCCS)
Clancy, Luke (TobaccoFree Research Institute Ireland. TU Dublin)
Gorini, Giuseppe (Istituto per lo Studio. la Prevenzione e la Rete Oncologica)
López Medina, María José (Institut d'Investigació Biomèdica Sant Pau)
Odone, Anna (IRCCS San Raffaele Scientific Institute (Milà, Itàlia))
Przewozniak, Krzysztof (Foundation "Smart Health-Health in 3D")
Tigova, Olena (Universitat de Barcelona. Facultat de Medicina i Ciències de la Salut)
van den Brandt, Piet A. (Department of Epidemiology. GROW-School for Oncology and Developmental Biology. Maastricht University Medical Centre)
Vardavas, Constantine (Hellenic Cancer Society)
Fernandez, Esteve (Universitat de Barcelona. Facultat de Medicina i Ciències de la Salut)

Date:	2022
Abstract:	Background: 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. Methods: 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. Results: 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). Conclusions: 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.
Grants:	European Commission. Horizon 2020 681040 Agència de Gestió d'Ajuts Universitaris i de Recerca 2017SGR139 Instituto de Salud Carlos III INT16/00211 Instituto de Salud Carlos III INT17/00103
Note:	Altres ajuts: European Regional Development Fund (FEDER). The Italian League Against Cancer (LILT, Milan).
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Heated tobacco products ; Heat-not-burn tobacco products ; IQOS ; Survey ; Europe
Published in:	Journal of Epidemiology, Vol. 32 Núm. 3 (2022) , p. 139-144, ISSN 1349-9092

DOI: 10.2188/jea.JE20200248
PMID: 33456019

6 p, 222.4 KB

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