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Open AccessBrief Report

E-Cigarette Use by Smoking Status in Estonia, 2012–2018

by Rainer Reile 1,2,* and Kersti Pärna 2
1
Department of Epidemiology and Biostatistics, National Institute for Health Development, 11619 Tallinn, Estonia
2
Institute of Family Medicine and Public Health, University of Tartu, 50411 Tartu, Estonia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(2), 519; https://doi.org/10.3390/ijerph17020519
Received: 9 December 2019 / Revised: 10 January 2020 / Accepted: 13 January 2020 / Published: 14 January 2020
(This article belongs to the Special Issue Electronic Cigarettes: Good and Bad Impacts)
Background: In the context of declining smoking rates in Estonia, this study aims to analyze the recent trends in e-cigarette use and its associations with smoking status and sociodemographic factors. Methods: Nationally representative data from biennial cross-sectional health surveys in 2012–2018 (n = 9988) were used to describe the prevalence of smoking and e-cigarette use by smoking status in Estonia. Multivariate logistic regression analysis was used to describe the sociodemographic patterns of e-cigarette use in three subgroups: the general population, smokers, and ex-smokers. Results: The prevalence of current smoking decreased from 45.4% in 2012 to 31.5% in 2018 among men and from 26.6% to 20.0% among women. At the same time, e-cigarette use in the general population had increased to 3.7% among men and to 1.2% among women. The increase in the prevalence of e-cigarette use was statistically significant among men in the general population, smokers, and ex-smokers, but non-significant among women. In addition to period effects, e-cigarette use was patterned by age, gender, and education. Conclusion: In 2002–2018, the e-cigarette use had increased but smoking had decreased in Estonia. A timely and targeted tobacco policy may alleviate the harm of e-cigarette use from the public health perspective. View Full-Text
Keywords: e-cigarettes; tobacco policy; smoking; Estonia e-cigarettes; tobacco policy; smoking; Estonia
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Reile, R.; Pärna, K. E-Cigarette Use by Smoking Status in Estonia, 2012–2018. Int. J. Environ. Res. Public Health 2020, 17, 519.

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