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

by Rainer Reile 1,2,* and Kersti Pärna 2
Department of Epidemiology and Biostatistics, National Institute for Health Development, 11619 Tallinn, Estonia
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;
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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