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. 2023 Feb;118(2):382-386.
doi: 10.1111/add.16044. Epub 2022 Sep 11.

Rapid growth in disposable e-cigarette vaping among young adults in Great Britain from 2021 to 2022: a repeat cross-sectional survey

Harry Tattan-Birch  1   2 , Sarah E Jackson  1   2 , Loren Kock  1   2 , Martin Dockrell  3 , Jamie Brown  1   2
Affiliations

Rapid growth in disposable e-cigarette vaping among young adults in Great Britain from 2021 to 2022: a repeat cross-sectional survey

Harry Tattan-Birch et al. Addiction. 2023 Feb.

Abstract

Aims: To estimate recent trends in the prevalence of disposable e-cigarette vaping in Great Britain, overall and across ages, and to measure these trends in the context of changes in smoking and vaping prevalence.

Design: The Smoking Toolkit Study, a monthly representative cross-sectional survey.

Setting: Great Britain.

Participants: A total of 36 876 adults (≥ 18 years) completed telephone interviews between January 2021 and April 2022.

Measurements: Current e-cigarette vapers were asked which type of device they mainly use. We estimated age-specific monthly time trends in the prevalence of current disposable e-cigarette use among vapers and inhaled nicotine use (vaping/smoking), smoking and vaping among adults.

Findings: From January 2021 to April 2022, there was an 18-fold increase in the percentage of vapers who used disposables, rising from 1.2 to 22.2% [prevalence ratio (PR) = 18.0; 95% compatibility interval (CI) = 9.18-49.0]. Growth in disposable e-cigarette vaping was most pronounced in younger adults (interaction P-value = 0.013): for example, the percentage of 18-year-old vapers using disposables rose from 0.4 to 54.8% (PR = 129; 95% CI = 28.5-4520), while it rose from 2.1 to 10.0% (PR = 4.73; 95% CI = 2.06-23.6) among 45-year-old vapers. However, the overall percentage of people currently using any inhaled nicotine remained stable over time both among all adults (20.0 versus 21.2%; PR = 1.06; 95% CI = 0.92-1.22) and among 18-year-olds (30.2 versus 29.7%; PR = 0.99; 95% CI = 0.80-1.22). In 18-year-olds, vaping prevalence grew (11.3 versus 17.7%; PR = 1.57; 95% CI = 1.12-2.29), and there was imprecise evidence for a decline in smoking (24.5 versus 19.5%; PR = 0.80; 95% CI = 0.63-1.04). In 45-year-olds, there was relatively little change in vaping (PR = 1.08; 95% CI = 0.88-1.33) or smoking prevalence (PR = 1.01; 95% CI = 0.88-1.16).

Conclusions: Use of disposable e-cigarettes in Great Britain grew rapidly between 2021 and 2022, especially among younger adults, but the overall prevalence of inhaled nicotine use was stable over time. Most young adult vapers in Great Britain now use disposable products.

Keywords: Disposable e-cigarettes; ENDS; Elf Bar; England; Puff Bar; Scotland; Wales; electronic nicotine delivery systems; vaping; young adults.

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Conflict of interest statement

H.T.B., L.K., M.D. and S.J. declare no conflicts of interest. J.B. has received unrestricted research funding to study smoking cessation from manufacturers of smoking cessation medications (Pfizer and Johnson & Johnson).

Figures

FIGURE 1
FIGURE 1
Percentage of current vapers using disposable e‐cigarettes across ages in Great Britain from 2021 to April 2022. A total of 36 876 eligible adults were surveyed (approximately 2300 each month). Lines represent point estimates from logistic regression allowing an interaction between age and month, modelled non‐linearly using restricted cubic splines (three knots). Shaded areas represent standard errors. Data and analysis code are available on‐line (https://osf.io/km3x6/)
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References

    1. Tattan‐Birch H, Brown J, Shahab L, Jackson SE. Trends in use of e‐cigarette device types and heated tobacco products from 2016 to 2020 in England. Sci Rep. 2021;11:13203. - PMC - PubMed
    1. Park‐Lee E, Ren C, Sawdey MD, Gentzke AS, Cornelius M, Jamal A, et al. Notes from the field: e‐cigarette use among middle and high school students—National Youth Tobacco Survey, United States, 2021. Morb Mortal Wkly Rep. 2021;70:1387–9. - PMC - PubMed
    1. Action on Smoking and Health (ASH) . Use of E‐cigarettes (vaporisers) among adults in Great Britain. London, UK: ASH; 2020. Available at: https://ash.org.uk/information-and-resources/ash-fact-sheets/
    1. Wang TW, Gentzke AS, Neff LJ, Glidden EV, Jamal A, Park‐Lee E, et al. Disposable E‐cigarette use among U.S. youth—an emerging public health challenge. N Engl J Med. 2021;384:1573–6. - PubMed
    1. Talih S, Salman R, Soule E, El‐Hage R, Karam E, Karaoghlanian N, et al. Electrical features, liquid composition and toxicant emissions from ‘pod‐mod’‐like disposable electronic cigarettes. Tob Control. 2021;31:667–70. 10.1136/tobaccocontrol-2020-056362 - DOI - PMC - PubMed

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