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Prevalence and characteristics of e-cigarette users in Great Britain: Findings from a general population survey of smokers
Open accessAbstract
BACKGROUND: E-cigarettes may be effective smoking cessation aids and their use by smokers has been growing rapidly. It is important to observe and assess natural patterns in the use of e-cigarettes whilst experimental data accumulates. This paper reports the prevalence of e-cigarette awareness, beliefs and usage, including brand choice, and characterises the socio-demographic and smoking profile associated with current use, among the general population of smokers and recent ex-smokers. METHODS: Data were obtained from 3538 current and 579 recent ex-smokers in a cross-sectional online survey of a national sample of smokers in Great Britain in November and December 2012. Differences between current and recent ex-smokers in the prevalence of e-cigarette awareness, beliefs and usage were examined and the socio-demographic and smoking profile associated with current use of e-cigarettes was assessed in a series of simple and multiple logistic regressions. RESULTS: Ninety-three percent of current and recent ex-smokers (n=3841) were aware of e-cigarettes. Approximately a fifth (n=884) were currently using e-cigarettes, whilst just over a third (n=1507) had ever used them. Sixty-seven percent of the sample (n=2758) believed e-cigarettes to be less harmful than cigarettes; however, almost a quarter (n=994) remained unsure. Among both current and recent ex-smokers, the most popular reasons for using were health, cutting down and quitting (each >80%) and 38% used the brand 'E-lites'. Among current smokers who were aware of but had never used e-cigarettes, approximately half (n=1040) were interested in using them in the future. Among current smokers, their use was associated with higher socio-economic status (OR=1.48, 95%CI=1.25-1.75), smoking more cigarettes (OR=1.02, 95%CI=1.01-1.03) and having a past-year quit attempt (OR=2.82, 95%CI=2.38-3.34). CONCLUSIONS: There is a near universal awareness of e-cigarettes and their use appears to be common among smokers in Great Britain although a quarter of all smokers are unsure as to whether e-cigarettes are less harmful than cigarettes. E-lites - a brand that delivers a low dose of nicotine - is the most popular. E-cigarette users appear to have higher socio-economic status, to smoke more cigarettes per day and to have attempted to quit in the past year.
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“although it is worth noting that the reported rate of longer-term e-cigarette usage in the ELONS study is low compared with the estimates of one in five smokers or recent ex-smokers using e-cigarettes in the general population.107”
From Evaluating Long-term Outcomes of NHS Stop Smoking Services (ELONS): a prospective cohort study (2015) · cites this paper as [107]
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Metadata
- Authors
- Brown, J., West, R., Beard, E., Michie, S., Shahab, L., & McNeill, A.
- Affiliations
- Cancer Research UK (GB)
- University College London (GB)
- King's College London (GB)
- Corresponding author
- Brown, Jamie
- Venue
- Addictive Behaviors
- Publisher
- Elsevier BV
- Published
- 2014-06
- Volume
- 39
- Issue
- 6
- Pages
- 1120-1125
- ISSN
- 0306-4603 (ISSN-L)
- PMC
- PMC4003532
- OpenAlex
- W2041995198
- Cited by
- 242
- References
- 24
- Citations by year
- 2026: 4 · 2025: 3 · 2024: 8 · 2023: 9 · 2022: 17 · 2021: 25 · 2020: 23 · 2019: 24 · 2018: 22 · 2017: 29 · 2016: 35 · 2015: 30 · 2014: 11
- FWCI
- 23.34
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Addictive Behaviors (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion, cc-by)
- Funders
- UK Society for the Study of Addiction
- UK Centre for Tobacco & Alcohol Studies
- UK Clinical Research
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Smoking Behavior and Cessation
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Business, Management and Accounting › Marketing › Consumer Behavior and Marketing Influence
- Keywords
- electronic cigarettes, e-cigarette use prevalence, smokers, former smokers, e-cigarette awareness, brand choice, smoking cessation, socioeconomic status, smoking intensity, quit attempts, Great Britain, tobacco control, harm reduction, nicotine dose, smoking cessation aids, tobacco harm reduction
- MeSH terms
- Adult, Cross-Sectional Studies, Female, United Kingdom, Humans, Health Knowledge, Attitudes, Practice, Male, Socioeconomic Factors, Tobacco Use Disorder, Prevalence, Odds Ratio, Smoking Cessation, Electronic Nicotine Delivery Systems
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