2026-04-05T10:44:25Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/1734772025-12-05T12:16:54Zcom_2072_1057col_2072_478916col_2072_478917

European adult smokers' perceptions of the harmfulness of e-cigarettes relative to combustible cigarettes: cohort findings from the 2016 and 2018 EUREST-PLUS ITC Europe Surveys Gravely, Shannon Driezen, Pete Kyriakos, Christina N. Thompson, Mary E. Balmford, James Demjén, Tibor Fernández Muñoz, Esteve Mons, Ute Tountas, Yannis Janik-Koncewicz, Kinga Zatoński, Witold Trofor, Antigona C. Vardavas, Constantine I. Fong, Geoffrey T. EUREST-PLUS consortium Fumadors Cigarretes electròniques Cigarette smokers Electronic cigarettes Background: This study presents perceptions of the harmfulness of electronic cigarettes (e-cigarettes) relative to combustible cigarettes among smokers from six European Union (EU) countries, prior to the implementation of the EU Tobacco Products Directive (TPD), and 2 years post-TPD. Methods: Data were drawn from the EUREST-PLUS ITC Europe Surveys, a cohort study of adult smokers (>= 18 years) from Germany, Greece, Hungary, Poland, Romania and Spain. Data were collected in 2016 (pre-TPD: N = 6011) and 2018 (post-TPD: N = 6027). Weighted generalized estimating equations were used to estimate perceptions of the harmfulness of e-cigarettes compared to combustible cigarettes (less harmful, equally harmful, more harmful or 'don't know'). Results: In 2016, among respondents who were aware of e-cigarettes (72.2%), 28.6% reported that they perceived e-cigarettes to be less harmful than cigarettes (range 22.0% in Spain to 34.1% in Hungary). In 2018, 72.2% of respondents were aware of e-cigarettes, of whom 28.4% reported perceiving that e-cigarettes are less harmful. The majority of respondents perceived e-cigarettes to be equally or more harmful than cigarettes in both 2016 (58.5%) and 2018 (61.8%, P>0.05). Overall, there were no significant changes in the perceptions that e-cigarettes are less, equally or more harmful than cigarettes, but 'don't know' responses significantly decreased from 12.9% to 9.8% (P = 0.036). The only significant change within countries was a decrease in 'don't know' responses in Spain (19.3-9.4%, P = .001). Conclusions: The majority of respondents in these six EU countries perceived e-cigarettes to be equally or more harmful than combustible cigarettes. 2021-01-28T13:25:11Z 2021-01-28T13:25:11Z 2020-07-01 2021-01-25T08:11:09Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Reproducció del document publicat a: https://doi.org/10.1093/eurpub/ckz215 European Journal of Public Health, 2020, vol. 30, p. 38-45 https://doi.org/10.1093/eurpub/ckz215 cc by-nc (c) Gravely et al., 2020 http://creativecommons.org/licenses/by-nc/3.0/es/ info:eu-repo/semantics/openAccess Oxford University Press Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))