Patterns of awareness and use of electronic cigarettes in Mexico, a middle-income country that bans them: Results from a 2016 national survey

Zavala‐Arciniega, Luis; Reynales-Shigematsu, Luz Myriam; Lozano, Paula; Rodríguez-Andrade, Miguel Ángel; Arillo-Santillán, Edna; Thrasher, James F.

doi:10.1016/j.ypmed.2018.09.018

Cited by 38 publications

(39 citation statements)

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“…For example, prevalence of ever-use and current use in Mexico were similar to the other MRP Latin American countries (Uruguay and Brazil), and although there is a law banning the sale of nicotine NVPs in Mexico, it was categorized as an RP country because of weak enforcement, resulting in high accessibility [35] and high prevalence among Mexican adolescents [54,55]. regional location) seemed to have similar NVP prevalence estimates.…”

Section: Discussionmentioning

confidence: 75%

“…regional location) seemed to have similar NVP prevalence estimates. For example, prevalence of ever-use and current use in Mexico were similar to the other MRP Latin American countries (Uruguay and Brazil), and although there is a law banning the sale of nicotine NVPs in Mexico, it was categorized as an RP country because of weak enforcement, resulting in high accessibility [35] and high prevalence among…”

Section: Discussionmentioning

confidence: 86%

“…Since these findings, NVP use has increased dramatically in many countries, especially where laws have not restricted the sale and marketing of vaping products, for example in the United States [27][28][29]. In England, where the sale of NVPs is legal and the concept of harm reduction has largely been embraced by public health organizations [11,30,31], it has been shown that the use of NVPs by current smokers and recent ex-smokers is higher than most other countries world-wide, particularly in countries that have more restrictive NVP regulations [4,[32][33][34][35][36], and also compared to other EU countries with similar NVP regulations under the EU TPD [2,3,37].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence of awareness, ever‐use and current use of nicotine vaping products (NVPs) among adult current smokers and ex‐smokers in 14 countries with differing regulations on sales and marketing of NVPs: cross‐sectional findings from the ITC Project

et al. 2019

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Aims This paper presents updated prevalence estimates of awareness, ever‐use, and current use of nicotine vaping products (NVPs) from 14 International Tobacco Control Policy Evaluation Project (ITC Project) countries that have varying regulations governing NVP sales and marketing. Design, Setting, Participants and Measurements A cross‐sectional analysis of adult (≥ 18 years) current smokers and ex‐smokers from 14 countries participating in the ITC Project. Data from the most recent survey questionnaire for each country were included, which spanned the period 2013–17. Countries were categorized into four groups based on regulations governing NVP sales and marketing (allowable or not), and level of enforcement (strict or weak where NVPs are not permitted to be sold): (1) most restrictive policies (MRPs), not legal to be sold or marketed with strict enforcement: Australia, Brazil, Uruguay; (2) restrictive policies (RPs), not approved for sale or marketing with weak enforcement: Canada, Malaysia, Mexico, New Zealand; (3) less restrictive policies (LRPs), legal to be sold and marketed with regulations: England, the Netherlands, Republic of Korea, United States; and (4) no regulatory policies (NRPs), Bangladesh, China, Zambia. Countries were also grouped by World Bank Income Classifications. Country‐specific weighted logistic regression models estimated adjusted NVP prevalence estimates for: awareness, ever/current use, and frequency of use (daily versus non‐daily). Findings NVP awareness and use were lowest in NRP countries. Generally, ever‐ and current use of NVPs were lower in MRP countries (ever‐use = 7.1–48.9%; current use = 0.3–3.5%) relative to LRP countries (ever‐use = 38.9–66.6%; current use = 5.5–17.2%) and RP countries (ever‐use = 10.0–62.4%; current use = 1.4–15.5%). NVP use was highest among high‐income countries, followed by upper–middle‐income countries, and then by lower–middle‐income countries. Conclusions With a few exceptions, awareness and use of nicotine vaping products varied by the strength of national regulations governing nicotine vaping product sales/marketing, and by country income. In countries with no regulatory policies, use rates were very low, suggesting that there was little availability, marketing and/or interest in nicotine vaping products in these countries where smoking populations are predominantly poorer. The higher awareness and use of nicotine vaping products in high income countries with moderately (e.g. Canada, New Zealand) and less (e.g. England, United States) restrictive policies, is likely due to the greater availability and affordability of nicotine vaping products.

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

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Prevalence of awareness, ever‐use and current use of nicotine vaping products (NVPs) among adult current smokers and ex‐smokers in 14 countries with differing regulations on sales and marketing of NVPs: cross‐sectional findings from the ITC Project

et al. 2019

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“…Smokeless tobacco use is low (0.6%). While only 1.1% currently used e-cigarettes in 2016 [26], use has been growing and was much higher among smokers (5%), particularly young adult smokers (9%) [10]. The General Law for Tobacco Control in Mexico bans the distribution, marketing, and sales of products that look or function like cigarettes, which regulators have interpreted to include e-cigarettes.…”

Section: Study Contextmentioning

confidence: 99%

“…In Mexico, 2008 tobacco legislation prohibits the marketing of novel nicotine-containing products, such as e-cigarettes and HTPs. In this legislative context, e-cigarettes are primarily obtained through social networks, online, and informal economic channels [10]. Whether Mexican consumers can access HTPs has not been studied, but since late 2018, PMI has publically campaigned to enter the legal market.…”

Section: Introductionmentioning

confidence: 99%

Adult Smokers’ Awareness and Interest in Trying Heated Tobacco Products: Perspectives from Mexico, where HTPs and E-Cigarettes are Banned

Cruz-Jiménez

Barrientos‐Gutiérrez

Coutiño-Escamilla

et al. 2020

IJERPH

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Background: We evaluated smokers’ perceptions of heated tobacco products (HTPs) in Mexico, where industry publically lobbied to introduce HTPs into this country that banned both HTPs and e-cigarettes. Methods: Online surveys (November 2018 to July 2019) were analyzed from adults who only smoked cigarettes (n = 2091) or who smoked and used e-cigarettes (“dual users” n = 1128). Logistic models regressed HTP awareness, interest to trying HTPs, and having seen HTPs for sale (only among aware participants) on sociodemographics and tobacco-related variables. Results: Of the 17.1% who were aware of HTPs, 52.7% reported having seen HTPs for sale. Of all respondents, 75% were somewhat or very interested in trying HTPs. Compared to their counterparts, more frequent smokers, dual users, those exposed to online e-cigarette ads, and those with friends who used e-cigarettes were both more aware of and interested in trying HTPs. Greater awareness was also associated with higher education, recent attempts to quit, receipt of email e-cigarette ads, and smoking among friends and family. Seeing HTPs for sale was higher for those who recently attempted to quit, were exposed to e-cigarette ads online or by email, or had friends who used e-cigarettes. Conclusion: Interest in HTPs is high among smokers in Mexico, which already has a large black market for illegal e-cigarettes. HTPs use should be monitored in this context, especially given the public health impacts of HTPs are unclear.

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A Critical Analysis of the Prohibition of Electronic Nicotine Delivery Systems

Morphett

Gartner

2022

Handbook of Substance Misuse and Addictions

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Patterns of awareness and use of electronic cigarettes in Mexico, a middle-income country that bans them: Results from a 2016 national survey

Cited by 38 publications

References 42 publications

Prevalence of awareness, ever‐use and current use of nicotine vaping products (NVPs) among adult current smokers and ex‐smokers in 14 countries with differing regulations on sales and marketing of NVPs: cross‐sectional findings from the ITC Project

Prevalence of awareness, ever‐use and current use of nicotine vaping products (NVPs) among adult current smokers and ex‐smokers in 14 countries with differing regulations on sales and marketing of NVPs: cross‐sectional findings from the ITC Project

Adult Smokers’ Awareness and Interest in Trying Heated Tobacco Products: Perspectives from Mexico, where HTPs and E-Cigarettes are Banned

A Critical Analysis of the Prohibition of Electronic Nicotine Delivery Systems

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