IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i12p2071-d239052.html
   My bibliography  Save this article

Knowledge about E-Cigarettes and Tobacco Harm Reduction among Public Health Residents in Europe

Author

Listed:
  • Pietro Ferrara

    (Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy)

  • Saran Shantikumar

    (Warwick Medical School, University of Warwick, Coventry CV4 7AL, UK)

  • Vítor Cabral Veríssimo

    (Public Health Unit—ACeS Lisboa Central, 1900-138 Lisbon, Portugal)

  • Rafael Ruiz-Montero

    (Preventive Medicine Unit, Hospital Universitario Reina Sofía/IMIBIC, 14004 Córdoba, Spain)

  • Cristina Masuet-Aumatell

    (Preventive Medicine Department, Bellvitge Biomedical Research Institute (IDIBELL), University Hospital of Bellvitge, Feixa Llarga s/n, L’Hospitalet de Llobregat, 08907 Catalonia, Spain
    Clinical Science Department, School of Medicine, University of Barcelona, L’Hospitalet de Llobregat, 08907 Catalonia, Spain)

  • Josep Maria Ramon-Torrell

    (Preventive Medicine Department, Bellvitge Biomedical Research Institute (IDIBELL), University Hospital of Bellvitge, Feixa Llarga s/n, L’Hospitalet de Llobregat, 08907 Catalonia, Spain
    Clinical Science Department, School of Medicine, University of Barcelona, L’Hospitalet de Llobregat, 08907 Catalonia, Spain)

  • the EuroNet MRPH Working Group on Electronic Cigarettes and Tobacco Harm Reduction

    (Membership of the the EuroNet MRPH Working Group on Electronic Cigarettes and Tobacco Harm Reduction is provided in the Acknowledgments.)

Abstract

Introduction: Although electronic cigarettes (e-cigarettes) and other tobacco-related products are becoming widely popular as alternatives to tobacco, little has been published on the knowledge of healthcare workers about their use. Thus, the aim of this study was to elicit the current knowledge and perceptions about e-cigarettes and tobacco harm reduction (THR) among medical residents in public health (MRPH). Material and Methods: A Europe-wide cross-sectional study was carried out amongst MRPH from the countries associated with the European Network of MRPH from April to October 2018 using an online questionnaire. Results: 256 MRPHs agreed to participate in the survey. Approximately half the participants were women (57.4%), with a median age of 30 years, and were mainly Italian (26.7%), Spanish (16.9%) and Portuguese (16.5%). Smoking prevalence was 12.9%. Overall, risk scores significantly differed for each investigated smoking product when compared with e-cigarettes; with tobacco cigarettes and snus perceived as more risky, and nicotine replacement therapy (NRT) and non-NRT oral medications seen as less risky ( p < 0.01 for all). Regarding the effects of nicotine on health, the vast majority of MRPHs associated nicotine with all smoking-related diseases. Knowledge of THR was low throughout the whole sample. Conclusions: European MRPH showed a suboptimal level of knowledge about e-cigarettes and THR. Training programs for public health and preventive medicine trainees should address this gap.

Suggested Citation

  • Pietro Ferrara & Saran Shantikumar & Vítor Cabral Veríssimo & Rafael Ruiz-Montero & Cristina Masuet-Aumatell & Josep Maria Ramon-Torrell & the EuroNet MRPH Working Group on Electronic Cigarettes and T, 2019. "Knowledge about E-Cigarettes and Tobacco Harm Reduction among Public Health Residents in Europe," IJERPH, MDPI, vol. 16(12), pages 1-13, June.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:12:p:2071-:d:239052
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/12/2071/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/16/12/2071/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. World Health Organization, 2017. "WHO report on the global tobacco epidemic 2017: Monitoring tobacco use and prevention policies," University of California at San Francisco, Center for Tobacco Control Research and Education qt8nw5p0zt, Center for Tobacco Control Research and Education, UC San Francisco.
    2. Karolien Adriaens & Dinska Van Gucht & Paul Declerck & Frank Baeyens, 2014. "Effectiveness of the Electronic Cigarette: An Eight-Week Flemish Study with Six-Month Follow-up on Smoking Reduction, Craving and Experienced Benefits and Complaints," IJERPH, MDPI, vol. 11(11), pages 1-29, October.
    3. Anastasia Moysidou & Konstantinos E. Farsalinos & Vassilis Voudris & Kyriakoula Merakou & Kallirrhoe Kourea & Anastasia Barbouni, 2016. "Knowledge and Perceptions about Nicotine, Nicotine Replacement Therapies and Electronic Cigarettes among Healthcare Professionals in Greece," IJERPH, MDPI, vol. 13(5), pages 1-25, May.
    4. Konstantinos E. Farsalinos & I. Gene Gillman & Matt S. Melvin & Amelia R. Paolantonio & Wendy J. Gardow & Kathy E. Humphries & Sherri E. Brown & Konstantinos Poulas & Vassilis Voudris, 2015. "Nicotine Levels and Presence of Selected Tobacco-Derived Toxins in Tobacco Flavoured Electronic Cigarette Refill Liquids," IJERPH, MDPI, vol. 12(4), pages 1-14, March.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Rosibel Rodríguez-Bolaños & Ricardo Baruch-Dominguez & Edna Arillo-Santillán & Elsa Yunes-Díaz & Leonor Rivera-Rivera & Lizeth Cruz-Jiménez & James F. Thrasher & Alan G. Nyitray & Eduardo Lazcano-Ponc, 2022. "Latent Class Analysis of Polysubstance Use and Sexual Risk Behaviors among Men Who Have Sex with Men Attending Sexual Health Clinics in Mexico City," IJERPH, MDPI, vol. 19(14), pages 1-12, July.
    2. Sijbren Cnossen, 2020. "Excise Taxation for Domestic Resource Mobilization," CESifo Working Paper Series 8442, CESifo.
    3. Ciosek Żaneta & Kosik-Bogacka Danuta & Łanocha-Arendarczyk Natalia & Kot Karolina & Karaczun Maciej & Ziętek Paweł & Kupnicka Patrycja & Szylińska Aleksandra & Bosiacki Mateusz & Rotter Iwona, 2019. "Phosphorus Concentration in Knee Joint Structures of Patients Following Replacement Surgery," IJERPH, MDPI, vol. 16(4), pages 1-11, February.
    4. Dominic Palazzolo & John M. Nelson & Zuri Hudson, 2019. "The Use of HPLC-PDA in Determining Nicotine and Nicotine-Related Alkaloids from E-Liquids: A Comparison of Five E-Liquid Brands Purchased Locally," IJERPH, MDPI, vol. 16(17), pages 1-13, August.
    5. Apichai Wattanapisit & Wichuda Jiraporncharoen & Kanokporn Pinyopornpanish & Surin Jiraniramai & Kanittha Thaikla & Chaisiri Angkurawaranon, 2020. "Health-Risk Behaviours and Injuries among Youth and Young Adults in Chiang Mai, Thailand: A Population-Based Survey," IJERPH, MDPI, vol. 17(10), pages 1-13, May.
    6. Yi-Chun Liu & Li-Chen Yen & Fang-Yih Liaw & Ming-Han Lin & Shih-Hung Chiang & Fu-Gong Lin & Ching-Huang Lai & Senyeong Kao & Yu-Tien Chang & Chia-Chao Wu & Yu-Lung Chiu, 2021. "Gender Differences in the Extended Theory of Planned Behaviour on Smoking Cessation Intention in Young Soldiers," IJERPH, MDPI, vol. 18(15), pages 1-11, July.
    7. Nipuni Nilakshini Wimalasena & Alice Chang-Richards & Kevin I-Kai Wang & Kim N. Dirks, 2021. "Housing Risk Factors Associated with Respiratory Disease: A Systematic Review," IJERPH, MDPI, vol. 18(6), pages 1-24, March.
    8. Marwan Akel & Fouad Sakr & Iqbal Fahs & Ahmad Dimassi & Mariam Dabbous & Virginie Ehlinger & Pascale Salameh & Emmanuelle Godeau, 2022. "Smoking Behavior among Adolescents: The Lebanese Experience with Cigarette Smoking and Waterpipe Use," IJERPH, MDPI, vol. 19(9), pages 1-13, May.
    9. Théophile T Azomahou & Racky Baldé & Abdoulaye Diagne & Pape Yona Mané & Ibrahima Sory Kaba, 2019. "Public finances and tobacco taxation with product variety: Theory and application to Senegal and Nigeria," PLOS ONE, Public Library of Science, vol. 14(2), pages 1-21, February.
    10. Chin-Jung Lin & Wei-Hsin Huang & Che-Yuan Hsu & Jin-Jin Tjung & Hsin-Lung Chan, 2021. "Smoking Cessation Rate and Its Predictors among Heavy Smokers in a Smoking-Free Hospital in Taiwan," IJERPH, MDPI, vol. 18(24), pages 1-7, December.
    11. Martijn Van Heel & Dinska Van Gucht & Koen Vanbrabant & Frank Baeyens, 2017. "The Importance of Conditioned Stimuli in Cigarette and E-Cigarette Craving Reduction by E-Cigarettes," IJERPH, MDPI, vol. 14(2), pages 1-18, February.
    12. Anca Maria Pop & Raluca Coroș & Alexandra Mihaela Stoica & Monica Monea, 2021. "Early Diagnosis of Oral Mucosal Alterations in Smokers and E-Cigarette Users Based on Micronuclei Count: A Cross-Sectional Study among Dental Students," IJERPH, MDPI, vol. 18(24), pages 1-10, December.
    13. Melinda Pénzes & Márta Bakacs & Zoltán Brys & József Vitrai & Gergely Tóth & Zombor Berezvai & Róbert Urbán, 2021. "Vaping-Related Adverse Events and Perceived Health Improvements: A Cross-Sectional Survey among Daily E-Cigarette Users," IJERPH, MDPI, vol. 18(16), pages 1-15, August.
    14. Kerem Shuval & Michal Stoklosa & Nigar Nargis & Jeffrey Drope & Shay Tzafrir & Lital Keinan-Boker & Laura F. DeFina & Mahmoud Qadan, 2021. "Cigarette Prices and Smoking Behavior in Israel: Findings from a National Study of Adults (2002–2017)," IJERPH, MDPI, vol. 18(16), pages 1-11, August.
    15. Mateusz Jankowski & Joshua Allan Lawson & Andrei Shpakou & Michał Poznański & Tadeusz Maria Zielonka & Ludmila Klimatckaia & Yelena Loginovich & Marta Rachel & Justína Gereová & Łukasz Minarowski & Ih, 2019. "Smoking Cessation and Vaping Cessation Attempts among Cigarette Smokers and E-Cigarette Users in Central and Eastern Europe," IJERPH, MDPI, vol. 17(1), pages 1-13, December.
    16. Shea Jiun Choo & Chee Tao Chang & Balamurugan Tangiisuran & Mohd Faiz Abdul Latif & Nor Aida Sanusi & Sabariah Noor Harun, 2022. "Abstinence Rate, Adverse Events and Withdrawal Symptoms after Varenicline Use and Predicting Factors of Smoking Abstinence: A Multicentre Single-State Study in Malaysia," IJERPH, MDPI, vol. 19(13), pages 1-12, June.
    17. Marko Vladisavljević & Jovan Zubović & Mihajlo Đukić & Olivera Jovanović, 2021. "Inequality-Reducing Effects of Tobacco Tax Increase: Accounting for Behavioral Response of Low-, Middle-, and High-Income Households in Serbia," IJERPH, MDPI, vol. 18(18), pages 1-19, September.
    18. Ajide, Kazeem Bello & Ibrahim, Ridwan Lanre & Mohammed, Abubakar & Saleh Al-Faryan, Mamdouh Abdulaziz, 2023. "Infectious diseases and health outcomes’ implications of natural resource curse in Africa," Resources Policy, Elsevier, vol. 81(C).
    19. Samuel Asare & Michal Stoklosa & Jeffrey Drope & Aidan Larsen, 2019. "Effects of Prices on Youth Cigarette Smoking and Tobacco Use Initiation in Ghana and Nigeria," IJERPH, MDPI, vol. 16(17), pages 1-14, August.
    20. Anne Leppänen & Solvig Ekblad & Tanja Tomson, 2020. "Experiences of tobacco cessation including a prescription approach among patients in Swedish primary health care with a focus on socioeconomically disadvantaged areas," PLOS ONE, Public Library of Science, vol. 15(10), pages 1-17, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:12:p:2071-:d:239052. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.