| Resum: |
Limited data on electronic cigarette prevalence, patterns, and settings of use are available from several European countries. Within the TackSHS project, a face-to-face survey was conducted in 2017-2018 in 12 European countries (Bulgaria, England, France, Germany, Greece, Ireland, Italy, Latvia, Poland, Portugal, Romania and Spain). Overall, 11,876 participants, representative of the population aged ⩾15 years in each country, provided information on electronic cigarette. 2. 4% (95% confidence interval [CI], 2. 2-2. 7%) of the subjects (2. 5% among men and 2. 4% among women; 0. 4% among never, 4. 4% among current-and 6. 5% among ex-smokers) reported current use of electronic cigarette, ranging from 0. 6% in Spain to 7. 2% in England. Of the 272 electronic cigarette users, 52. 6% were dual users (ie, users of both electronic and conventional cigarettes) and 58. 8% used liquids with nicotine. In all, 65. 1% reported using electronic cigarette in at least one indoor setting where smoking is forbidden; in particular, at workplaces (34. 9%) and bars and restaurants (41. 5%). Multivariable logistic regression analysis showed that electronic cigarette use was lower among older individuals (P for trend <0. 001) and higher among individuals with high level of education (P for trend = 0. 040). Participants from countries with higher tobacco cigarette prices more frequently reported electronic cigarette use (odds ratio 3. 62; 95% CI, 1. 80-7. 30). Considering the whole adult population of these 12 European countries, more than 8. 3 million people use electronic cigarettes. The majority of users also smoked conventional cigarettes, used electronic cigarettes with nicotine, and consumed electronic cigarettes in smoke-free indoor areas. |