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Did E-Cigarette Users Notice the New European Union’s E-Cigarette Legislation? Findings from the 2015–2017 International Tobacco Control (ITC) Netherlands Survey

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Department of Health Promotion, Maastricht University (CAPHRI), Maastricht, 6229 HA Limburg, The Netherlands
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Department of Family Medicine, Maastricht University (CAPHRI), Maastricht, 6229 HA Limburg, The Netherlands
3
IVO Research Institute, The Hague, 2595 AA Zuid Holland, The Netherlands
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Department of Communication, University of Amsterdam (ASCoR), Amsterdam, 1001 NG Noord Holland, The Netherlands
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Netherlands Expertise Center for Tobacco Control (NET), Trimbos Institute, Utrecht, 3521 VS Utrecht, The Netherlands
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(16), 2917; https://doi.org/10.3390/ijerph16162917
Received: 19 July 2019 / Revised: 6 August 2019 / Accepted: 12 August 2019 / Published: 14 August 2019
(This article belongs to the Special Issue E-Cigarettes: A Global Public Health Perspective)
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Abstract

This study examined to what extent e-cigarette users noticed the European Union’s new legislation regarding e-cigarettes, and whether this may have influenced perceptions regarding addictiveness and toxicity. Data were obtained from yearly surveys (2015–2017) of the International Tobacco Control (ITC) Netherlands Survey. Descriptive statistics and Generalized Estimating Equations were applied. About a third of the e-cigarette users noticed the text warning (28%) and the leaflet (32%). When compared to tobacco-only smokers, e-cigarette users showed greater increases in perceptions regarding addictiveness (β = 0.457, p = 0.045 vs. β = 0.135, p < 0.001) and toxicity (β = 0.246, p = 0.055 vs. β = 0.071, p = 0.010). In conclusion, the new legislation’s noticeability should be increased. View Full-Text
Keywords: electronic cigarette; health warnings; noticing electronic cigarette; health warnings; noticing
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van Mourik, D.-J.A.; Nagelhout, G.E.; van den Putte, B.; Hummel, K.; Willemsen, M.C.; de Vries, H. Did E-Cigarette Users Notice the New European Union’s E-Cigarette Legislation? Findings from the 2015–2017 International Tobacco Control (ITC) Netherlands Survey. Int. J. Environ. Res. Public Health 2019, 16, 2917.

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