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Article

Use of Electronic Nicotine Delivery Systems (ENDS) in China: Evidence from Citywide Representative Surveys from Five Chinese Cities in 2018

1
School of Public Health, Georgia State University, Atlanta, GA 30303, USA
2
Global Health Institutes, Emory University, Atlanta, GA 30322, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(7), 2541; https://doi.org/10.3390/ijerph17072541
Submission received: 4 March 2020 / Revised: 3 April 2020 / Accepted: 5 April 2020 / Published: 8 April 2020
(This article belongs to the Special Issue Smoking Prevention and Tobacco Control)

Abstract

China is the largest cigarette consuming country in the world. The emergence of electronic nicotine delivery systems (ENDS) in China may have important implications for the Chinese tobacco market. Unfortunately, research on ENDS in China, while growing, is still limited. This study was designed to examine the awareness and use of ENDS among adult urban residents in China. Data from five citywide representative surveys conducted in 2017–2018 were used. Percentages of residents who had ever heard of, ever used, or used ENDS in the past 30 days among all residents and smokers were estimated, in total and by demographic characteristics. Multiple logistic regression models were used to estimate the adjusted associations between awareness and use of ENDS and individual-level demographic characteristics and socioeconomic status (SES). Overall, 51.3% had ever heard, 4.8% ever used, and 0.9% used ENDS in the past 30 days. Men, young adults, those with high levels of education, and current smokers were more likely to be aware of and use ENDS. Among smokers, 67.8% had ever heard, 17.1% ever used, and 3.9% used ENDS in the past 30 days, respectively. Young adult smokers and smokers with high levels of education were more likely to be aware of and use ENDS. Our study results on ENDS awareness and use patterns and associated factors in China provide important evidence to inform research and policies related to ENDS manufacture, marketing, and sales in China.
Keywords: ENDS; electronic cigarettes; E-cigarettes; China; Chinese smokers, adult smokers ENDS; electronic cigarettes; E-cigarettes; China; Chinese smokers, adult smokers

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MDPI and ACS Style

Huang, J.; Duan, Z.; Wang, Y.; Redmon, P.B.; Eriksen, M.P. Use of Electronic Nicotine Delivery Systems (ENDS) in China: Evidence from Citywide Representative Surveys from Five Chinese Cities in 2018. Int. J. Environ. Res. Public Health 2020, 17, 2541. https://doi.org/10.3390/ijerph17072541

AMA Style

Huang J, Duan Z, Wang Y, Redmon PB, Eriksen MP. Use of Electronic Nicotine Delivery Systems (ENDS) in China: Evidence from Citywide Representative Surveys from Five Chinese Cities in 2018. International Journal of Environmental Research and Public Health. 2020; 17(7):2541. https://doi.org/10.3390/ijerph17072541

Chicago/Turabian Style

Huang, Jidong, Zongshuan Duan, Yu Wang, Pamela B. Redmon, and Michael P. Eriksen. 2020. "Use of Electronic Nicotine Delivery Systems (ENDS) in China: Evidence from Citywide Representative Surveys from Five Chinese Cities in 2018" International Journal of Environmental Research and Public Health 17, no. 7: 2541. https://doi.org/10.3390/ijerph17072541

APA Style

Huang, J., Duan, Z., Wang, Y., Redmon, P. B., & Eriksen, M. P. (2020). Use of Electronic Nicotine Delivery Systems (ENDS) in China: Evidence from Citywide Representative Surveys from Five Chinese Cities in 2018. International Journal of Environmental Research and Public Health, 17(7), 2541. https://doi.org/10.3390/ijerph17072541

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