Electronic Cigarette Use and Attempts to Quit Smoking Cigarettes Among Adolescents in Taiwan

Chen, Pei Ching; Chang, Li; Hsu, Chieh; Lee, Yue Chune

doi:10.1016/j.jadohealth.2018.07.008

Cited by 10 publications

(14 citation statements)

References 24 publications

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“…Among the younger students in Guang Xi junior high school, the use of e-cigarettes was relatively low, at 8.5% for ‘ever tried’, and 1.2% for ‘use in the past 30 days’ 22 . Surprisingly, the e-cigarette use ‘in the past 30 days’ among adolescents in Taiwan increased rapidly to 27.46% 25 . In general, cigarette smokers had a higher use prevalence of e-cigarettes.…”

Section: Resultsmentioning

confidence: 99%

“…More than 70.0% of cigarette smokers believed that e-cigarettes were healthier and less risky than traditional cigarettes 19 . Chen et al 25 suggest that 71% of e-cigarette users had tried to quit smoking in the past year compared to 69% of non-e-cigarette users, with a statistically significant difference (p<0.05) 25 . Of the people who used e-cigarettes, 39.47% had attempted to quit smoking in the past 12 months, significantly higher than those who had never used e-cigarettes (13.98%) (p<0.01) 17 .…”

Section: Resultsmentioning

confidence: 99%

“…The relationships between the use of e-cigarettes and smoking cessation, attempt at smoking cessation, and smoking reduction, are inconclusive. Some studies report a positive relationship 17-19,25 , i.e. the use of e-cigarettes increases the proportion of people who quit smoking, attempt to quit smoking, and smoke less frequently.…”

Section: Resultsmentioning

confidence: 99%

“…In our survey, one study suggested that the use of e-cigarettes might help adults quit smoking 19 . Some studies show that using e-cigarettes were correlated to willingness to quit smoking 17,18,25 . Other studies reveal that e-cigarette users are more likely to smoke 20,22,24,30 .…”

Section: Discussionmentioning

confidence: 99%

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Electronic cigarette use in China: Awareness, prevalence and regulation

Wang¹,

He²,

Feng³

et al. 2019

Tob. Induc. Dis.

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INTRODUCTION E-cigarettes were invented in China, and most of the world’s e-cigarettes have been produced in China. However, awareness and use of e-cigarettes in China are lower than in Europe and America. Against the backdrop of the increasing use of e-cigarettes, the supervision of e-cigarettes in China has been almost non-existent. METHODS A literature search was carried out in five popular Chinese and English databases. These databases were PubMed, EMBASE, the Cochrane Library, China national knowledge infrastructure (CNKI), and Wan-fang database. RESULTS Twenty-one studies were identified, and a comprehensive analysis of e-cigarette awareness ratio was conducted for different regions of China and according to gender, age group, and smoking status. We also examined e-cigarette use and associated risk factors, and the relationship between e-cigarette use and smoking cessation. In 2015, the prevalence of ‘ever use’ and ‘current use’ of e-cigarettes in China were 3.1% and 0.5%, respectively. The review indicates that the awareness ratio of e-cigarettes was about 66% in Hong Kong, whereas the ratio for Tianjin was lower (43.6%). Online sales were the main channel for selling e-cigarettes to 80% of the users. Awareness of e-cigarettes has been increasing in China. Awareness was higher in men compared to women in all age groups. Nevertheless, e-cigarette use in China was lower than in developed countries. E-cigarette users were more likely to try to quit smoking, but the relationship between e-cigarette use and smoking cessation is still unclear. Governance is necessary for e-cigarette use and marketing effort. CONCLUSIONS This study investigated the awareness and use of e-cigarettes in China and the existing regulations for e-cigarette use and marketing. The lack of regulations for e-cigarette use and the unrestricted practice encourage the increase in adoption of e-cigarettes and misconceptions of the benefits of using e-cigarettes. Hence, it is crucial that the government of China prioritize the establishment and implementation of regulations for e-cigarette use and marketing.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Electronic cigarette use in China: Awareness, prevalence and regulation

Wang¹,

He²,

Feng³

et al. 2019

Tob. Induc. Dis.

View full text Add to dashboard Cite

show abstract

“…Currently there are no e-cigarettes approved for manufacturing, sale and importation subject to the PAA in Taiwan. Despite their illegality and prohibition to use, ecigarette use, both containing and without nicotine, has been repeatedly documented in Taiwan, 11 in surveys of adolescents 12 , 13 and adults 14 , 15 and some published papers providing theoretical analysis of 16 and commentaries 17 on regulatory policies. It was estimated that more than 38,000 minors use e-cigarette in Taiwan.…”

Section: Introductionmentioning

confidence: 99%

Public Attitudes towards E-Cigarette Regulations and Policies in Taiwan

Shih

Etter

2020

Journal of Public Health Research

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Background: There are various approaches to e-cigarette regulation globally. In Taiwan, the term “e-cigarette” is not found in existing regulations, but health authorities apply explanatory notes derived from standing laws to e-cigarette. Taiwan health authority is in the process of regulative reform to include “e-cigarette” in standing tobacco law. Our objective was to investigate the public’s attitudes towards potential policy options for e-cigarette regulations in Taiwan.Design and Methods: We conduct an anonymous online survey in the general public. A questionnaire in Mandarin was posted on the website Stop-tabac.ch between July and November 2017.Results: Participants (n=236) were mostly male, young, highly educated, employed, and smoked or had smoked cigarettes in the past. Half were e-cigarette users. Four measures banning e-cigarettes, labelling content and nicotine level and establishing a maximum-allowable nicotine level were supported by more than 70% of participants. Vaping status was strongly associated with support for most measures after controlling for other factors in multivariate models.Conclusion: We documented attitudes of a self-selected sample of the general public in Taiwan regarding e-cigarette regulations and policies. These results may be useful to design studies in more representative samples and to inform e-cigarette regulations, policies and education campaigns.

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Are e-cigarettes reviving the popularity of conventional smoking among Taiwanese male adolescents? A time-trend population-based analysis for 2004-2017

et al. 2020

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IntroductionIn Taiwan, national tobacco use surveys show that e-cigarette use has increased since 2014 among youth, while, at the same time, conventional cigarette smoking has continuously decreased. The purpose of this study is to examine whether the increased popularity of e-cigarettes has undermined this favourable declining trend for cigarette smoking.MethodsWe examined conventional cigarette and e-cigarette prevalence among male high school students (aged 16–18 years) and adults from 2004 to 2017, using data from cross-sectional nationally representative surveys. Applying interrupted time series analysis, we assessed whether there was a change in trend in 2014, when e-cigarette use started to gain popularity from long-term trends in prior years (2004–2013).ResultsE-cigarette use prevalence increased from 2.5% in 2014 to 6.4% in 2017 among male high school students but was negligible among male adults, declining from 1.4% in 2015 to 0.8% in 2017. The annual relative decline in the cigarette smoking rate after e-cigarettes started to gain popularity was greater (−10%) than the long-term trend (−2%) among high school students. Among adults, the change in trend over time after e-cigarettes started to gain popularity was not significant (ie, not significantly different from 0).ConclusionsThe increased popularity of e-cigarettes since 2014 is associated with a greater decline in youth smoking, compared with previous years. On the contrary, e-cigarette use has remained very low among Taiwanese male adults and no additional impact on the conventional smoking trend is found.

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Electronic Cigarette Use and Attempts to Quit Smoking Cigarettes Among Adolescents in Taiwan

Cited by 10 publications

References 24 publications

Electronic cigarette use in China: Awareness, prevalence and regulation

Electronic cigarette use in China: Awareness, prevalence and regulation

Public Attitudes towards E-Cigarette Regulations and Policies in Taiwan

Are e-cigarettes reviving the popularity of conventional smoking among Taiwanese male adolescents? A time-trend population-based analysis for 2004-2017

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