An online survey of users of tobacco vaporizers, reasons and modes of utilization, perceived advantages and perceived risks

Queloz, Sébastien; Etter, Jean‐François

doi:10.1186/s12889-019-6957-0

Cited by 19 publications

(26 citation statements)

References 30 publications

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“…A recent qualitative study of current and former IQOS users in the United Kingdom found that one of the main reasons for initiating HTP use and continued use was because it is 'less harmful', 'less hazardous', and 'less damaging' for their health than cigarettes [24]. A cross-sectional online survey of HTP users from various countries, mainly from Switzerland, reported 89% of respondents were using HTPs because they are less toxic than cigarettes [25]. Two other research studies in Korea [26] and Germany [27] also reported HTP use was positively associated with believing that they were less harmful than cigarettes.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Harmfulness of Heated Tobacco Products Compared to Combustible Cigarettes among Adult Smokers in Japan: Findings from the 2018 ITC Japan Survey

Gravely

Fong

Sutanto

et al. 2020

IJERPH

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In Japan, the tobacco industry promotes heated tobacco products (HTPs) as a reduced-risk tobacco product. This study examines: (1) smokers’ harm perceptions of HTPs relative to combustible cigarettes; (2) differences in relative harm perceptions between exclusive smokers and smokers who use HTPs (concurrent users) and between concurrent users based on frequency of product use; and (3) if smokers who were exposed to HTP advertising hold beliefs that are consistent with marketing messages of lower harmfulness. This cross-sectional study included 2614 adult exclusive cigarette smokers and 986 concurrent users who reported their perceptions of harmfulness of HTPs compared to cigarettes, as well as their exposure to HTP advertising in the last six months. Among all smokers, 47.5% perceive that HTPs are less harmful than cigarettes, 24.6% perceive HTPs to be equally as harmful, 1.8% perceive HTPs as more harmful, and 26.1% did not know. Concurrent users are more likely than exclusive smokers to believe that HTPs are less harmful (62.1% versus 43.8%, p < 0.0001) and less likely to report that they did not know (14.3% versus 29.4%, p < 0.0001). Frequent HTP users are more likely than infrequent users to believe that HTPs are less harmful (71.7% versus 57.1%, p ≤ 0.001). Believing that HTPs are less harmful than cigarettes was associated with noticing HTP advertising on TV (p = 0.0005), in newspapers/magazines (p = 0.0001), on posters/billboards (p < 0.0001), in stores where tobacco (p < 0.0001) or where HTPs (p < 0.0001) are sold, on social media (p < 0.0001), or in bars/pubs (p = 0.04). HTP users were significantly more likely than non-HTP users to believe that HTPs are less harmful than cigarettes, with this belief being more prominent among frequent users. Smokers who have been exposed to HTP advertising were more likely to perceive HTPs as less harmful than cigarettes.

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Section: Discussionmentioning

confidence: 99%

Perceptions of Harmfulness of Heated Tobacco Products Compared to Combustible Cigarettes among Adult Smokers in Japan: Findings from the 2018 ITC Japan Survey

Gravely

Fong

Sutanto

et al. 2020

IJERPH

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“… 28 Most users found IQOS weaker on the throat than combustible cigarettes and reported improved physical health, but feared becoming dependent. 28 …”

Section: Introductionmentioning

confidence: 99%

“…Most research on consumer responses to IQOS has been conducted by PMI 22–25. Independent survey research found that IQOS is perceived as less harmful than smoking 26–28. Focus group studies in Switzerland and Japan found IQOS was more socially acceptable, cleaner and uptake was encouraged by ‘clean and chic’ marketing and less of a harsh feeling on the throat compared with cigarettes 29.…”

Section: Introductionmentioning

confidence: 99%

“…However, the bulkiness of the device, charging/cleaning, cost and the odd smell discouraged use 29. Popular reasons for using IQOS identified in a Swiss study included complete smoking cessation, the reduced toxicity relative to smoking, the reduced smell and the improved taste 28. Most users found IQOS weaker on the throat than combustible cigarettes and reported improved physical health, but feared becoming dependent 28…”

Section: Introductionmentioning

confidence: 99%

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Factors that influence smokers’ and ex-smokers’ use of IQOS: a qualitative study of IQOS users and ex-users in the UK

et al. 2020

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BackgroundOne of the most widely available heated tobacco products is IQOS by Philip Morris International. However, there is a lack of independent research exploring IQOS initiation and subsequent use among smokers and ex-smokers.AimsTo (1) explore the reasons why smokers and ex-smokers use and continue/discontinue IQOS and (2) consider implications for future research and policy.ParticipantsAdult (18+) current (n=22) and ex-users (n=8) of IQOS who either currently smoked or quit smoking in the last 2 years.MethodsQualitative interview study in London, UK.ResultsSix main factors influenced initiation and use of IQOS: (1) Health—wanting to reduce/quit smoking and perceptions of reduced harm (while understanding IQOS was not risk-free). Branded packaging, absence of pictorial warnings and physical health improvements conveyed reduced harm. (2) Financial—including high start-up costs, but cheaper ongoing costs than smoking. (3) Physical—mixed views on enjoyment and satisfaction. Sensory experiences influenced use including discreetness, cleanliness, reduced smell and tactile similarities relative to combustible cigarettes. (4) Practical—issues of accessibility, shortcomings with maintenance/operation limited ongoing use, whereas use in smoke-free places increased use. (5) Psychological—similarities in rituals and routines, although new practices developed to charge and clean; some liked trailblazing new technology. (6) Social—improved social interactions from using IQOS instead of smoking, but with more limited shared social experiences for some.ConclusionFor some, IQOS facilitated smoking substitution. Factors such as packaging, labelling, risk communication, price and smoke-free policies appear to influence initiation and use.

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“…Awareness of e-cigarettes and ecigarette experimentation have doubled both among adults and adolescents in many countries since 2008 (Grana, Benowitz, & Glantz, 2014). E-cigarette use has increased over time, especially among smokers to reduce their consumption of traditional tobacco products or to quit smoking (Queloz & Etter, 2019). Nonetheless, a recent study showed that e-cigarettes may have a higher addictive potential than smoked cigarettes (Jankowski et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Electronic Cigarette Use among Young Adults: The French “Trajectoires EpidéMiologiques en POpulation” (TEMPO) Cohort Study

Aljandaleh

Bolze

El-Khoury

et al. 2020

Substance Use & Misuse

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Background Electronic cigarettes (e-cigarettes) are sold in France since 2010 and have rapidly become popular. However, factors associated with e-cigarette use among young adults are not well known. Methods We used data from the 2015 French TEMPO community based cohort study, restricted to current and former smokers with data on e-cigarette use (n=368 adults, 23-41 years). Participants completed a self-administered questionnaire including information on family status, educational attainment, occupation and type of work contract, health problems, alcohol and cannabis use, electronic cigarette use, as well as perceptions of e-cigarettes. Use of traditional tobacco was assessed in 2011 and 2015. Data were analyzed using logistic regression models. Results Among current and former smokers, 26.9% reported lifetime e-cigarettes use and 15.2% current use. Factors associated with lifetime use were: low socioeconomic position (OR=2.2; 95% CI=1.2-4.2), traditional cigarette use (OR associated with smoking in 2011 and 2015= 13.1; 95% CI=5.2-32.6) and positive perceptions of e-cigarettes (OR =4.4; 95% CI=2.4-8.1) as well as asthma (OR=2.1; 95% CI=0.9-4.9) and overweight/obesity (OR=2.5, 95% CI=0.9-6.9). Factors associated with current use were traditional cigarette smoking (OR associated with smoking in 2011 and 2015 = 3.9; 95% CI= 1.3-12.2) and positive perceptions of e-cigarettes (OR =4.4; 95% CI=2.3-8.4). Conclusions Young adults who use e-cigarettes tend to persist in smoking traditional cigarettes. The conditions under which e-cigarette use can help individuals quit traditional tobacco products remain to be elucidated.

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An online survey of users of tobacco vaporizers, reasons and modes of utilization, perceived advantages and perceived risks

Cited by 19 publications

References 30 publications

Perceptions of Harmfulness of Heated Tobacco Products Compared to Combustible Cigarettes among Adult Smokers in Japan: Findings from the 2018 ITC Japan Survey

Perceptions of Harmfulness of Heated Tobacco Products Compared to Combustible Cigarettes among Adult Smokers in Japan: Findings from the 2018 ITC Japan Survey

Factors that influence smokers’ and ex-smokers’ use of IQOS: a qualitative study of IQOS users and ex-users in the UK

Factors Associated with Electronic Cigarette Use among Young Adults: The French “Trajectoires EpidéMiologiques en POpulation” (TEMPO) Cohort Study

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