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Use of Electronic Cigarettes in European Populations: A Narrative Review
Open AccessArticle

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

1
Evaluation and Surveys Research Center, National Institute of Public Health, Cuernavaca, Mor 62100, Mexico
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Tobacco Research Department, National Institute of Public Health, Cuernavaca, Mor 62100, Mexico
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Epidemiology and Health Services Research Unit, Mexican Institute of Social Security, Cuernavaca, Mor 62000, Mexico
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School of Demography, Australian National University, Canberra 0200, Australia
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Department of Health Promotion, Education & Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA
*
Authors to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(7), 2173; https://doi.org/10.3390/ijerph17072173
Received: 9 March 2020 / Revised: 17 March 2020 / Accepted: 19 March 2020 / Published: 25 March 2020
(This article belongs to the Special Issue E-Cigarettes: A Global Public Health Perspective)
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. View Full-Text
Keywords: heated tobacco product; nicotine; ENDs/ANDs; LMICs heated tobacco product; nicotine; ENDs/ANDs; LMICs
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Cruz-Jiménez, L.; Barrientos-Gutiérrez, I.; Coutiño-Escamilla, L.; Gallegos-Carrillo, K.; Arillo-Santillán, E.; Thrasher, J.F. Adult Smokers’ Awareness and Interest in Trying Heated Tobacco Products: Perspectives from Mexico, where HTPs and E-Cigarettes are Banned. Int. J. Environ. Res. Public Health 2020, 17, 2173.

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