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Use of Electronic Nicotine Delivery Systems (ENDS) in China: Evidence from Citywide Representative Surveys from Five Chinese Cities in 2018

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Listed:
  • Jidong Huang

    (School of Public Health, Georgia State University, Atlanta, GA 30303, USA)

  • Zongshuan Duan

    (School of Public Health, Georgia State University, Atlanta, GA 30303, USA)

  • Yu Wang

    (School of Public Health, Georgia State University, Atlanta, GA 30303, USA)

  • Pamela B. Redmon

    (Global Health Institutes, Emory University, Atlanta, GA 30322, USA)

  • Michael P. Eriksen

    (School of Public Health, Georgia State University, Atlanta, GA 30303, USA)

Abstract

China is the largest cigarette consuming country in the world. The emergence of electronic nicotine delivery systems (ENDS) in China may have important implications for the Chinese tobacco market. Unfortunately, research on ENDS in China, while growing, is still limited. This study was designed to examine the awareness and use of ENDS among adult urban residents in China. Data from five citywide representative surveys conducted in 2017–2018 were used. Percentages of residents who had ever heard of, ever used, or used ENDS in the past 30 days among all residents and smokers were estimated, in total and by demographic characteristics. Multiple logistic regression models were used to estimate the adjusted associations between awareness and use of ENDS and individual-level demographic characteristics and socioeconomic status (SES). Overall, 51.3% had ever heard, 4.8% ever used, and 0.9% used ENDS in the past 30 days. Men, young adults, those with high levels of education, and current smokers were more likely to be aware of and use ENDS. Among smokers, 67.8% had ever heard, 17.1% ever used, and 3.9% used ENDS in the past 30 days, respectively. Young adult smokers and smokers with high levels of education were more likely to be aware of and use ENDS. Our study results on ENDS awareness and use patterns and associated factors in China provide important evidence to inform research and policies related to ENDS manufacture, marketing, and sales in China.

Suggested Citation

  • Jidong Huang & Zongshuan Duan & Yu Wang & Pamela B. Redmon & Michael P. Eriksen, 2020. "Use of Electronic Nicotine Delivery Systems (ENDS) in China: Evidence from Citywide Representative Surveys from Five Chinese Cities in 2018," IJERPH, MDPI, vol. 17(7), pages 1-15, April.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:7:p:2541-:d:342708
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    References listed on IDEAS

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    1. Xiao Hu & Yang Wang & Jidong Huang & Rong Zheng, 2019. "Cigarette Affordability and Cigarette Consumption among Adult and Elderly Chinese Smokers: Evidence from A Longitudinal Study," IJERPH, MDPI, vol. 16(23), pages 1-20, December.
    2. S. Khoudigian & T. Devji & L. Lytvyn & K. Campbell & R. Hopkins & D. O’Reilly, 2016. "The efficacy and short-term effects of electronic cigarettes as a method for smoking cessation: a systematic review and a meta-analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(2), pages 257-267, March.
    3. Muhammad Aziz Rahman & Nicholas Hann & Andrew Wilson & George Mnatzaganian & Linda Worrall-Carter, 2015. "E-Cigarettes and Smoking Cessation: Evidence from a Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-16, March.
    4. Nigar Nargis & Rong Zheng & Steve S. Xu & Geoffrey T. Fong & Guoze Feng & Yuan Jiang & Yang Wang & Xiao Hu, 2019. "Cigarette Affordability in China, 2006–2015: Findings from International Tobacco Control China Surveys," IJERPH, MDPI, vol. 16(7), pages 1-21, April.
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