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Electronic cigarettes and narghile users in Brazil: Do they differ from cigarettes smokers?

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Title: Electronic cigarettes and narghile users in Brazil: Do they differ from cigarettes smokers?
Authors: Bertoni, Neilane1 (AUTHOR) neilane.bertoni@inca.gov.br, Szklo, André1 (AUTHOR), Boni, Raquel De1 (AUTHOR), Coutinho, Carolina1 (AUTHOR), Vasconcellos, Mauricio1 (AUTHOR), Nascimento Silva, Pedro1 (AUTHOR), de Almeida, Liz Maria1 (AUTHOR), Bastos, Francisco Inácio1 (AUTHOR)
Source: Addictive Behaviors. Nov2019, Vol. 98, pN.PAG-N.PAG. 1p.
Subject Terms: Electronic cigarettes, Cigarette smokers, Tobacco products, Smoking, Cigarettes
Geographic Terms: Brazil
Abstract: Background: Cigarette smoking prevalence is declining, however, other tobacco products have emerged recently, such as electronic cigarettes (e-cigarettes) and narghile (hookah/shisha/waterpipe). Narghile sales are not prohibited in Brazil, but e-cigarettes are. Accurate estimates of such products are key for proper monitoring and control.Objective: To describe the prevalence of e-cigarettes and narghile use and to investigate whether sociodemographic characteristics of individuals who are using these products differ from those who are using manufactured cigarettes.Methods: Using a nationally representative sample survey of Brazilians aged 12-65 years in 2015, we estimated the prevalence rates of each tobacco products within the last 12-months, stratified by macro-region, municipality size, sex-at-birth, sexual orientation, color/race, age-group, and monthly income. Multivariable logistic models were fitted to understand determinants of each tobacco product use, considering the complex sample design.Results: E-cigarette, narghile, and cigarette prevalence rates were estimated at 0.43%, 1.65% and 15.35%, respectively, corresponding to around 0.6million e-cigarette users, 2.5 million narghile users and 23.5 million cigarette users. Non-heterosexual individuals were a most-at-risk group for both e-cigarette/narghile and cigarette use. Despite similarities, e-cigarette/narghile users were younger and had higher socioeconomic status than cigarette users. Additional analyses showed that recent cigarette use seems to be more associated with e-cigarette/narghile use among youth than among adults.Conclusions: Our findings may provide valuable information about e-cigarette/narghile use in Brazil. Prevention strategies targeted to youth to both narghile and e-cigarettes use should be implemented together, which might be one strategy to prevent the emergency of a new generation of smokers in Brazil. [ABSTRACT FROM AUTHOR]
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Database: Education Research Complete
Description
Abstract:<bold>Background: </bold>Cigarette smoking prevalence is declining, however, other tobacco products have emerged recently, such as electronic cigarettes (e-cigarettes) and narghile (hookah/shisha/waterpipe). Narghile sales are not prohibited in Brazil, but e-cigarettes are. Accurate estimates of such products are key for proper monitoring and control.<bold>Objective: </bold>To describe the prevalence of e-cigarettes and narghile use and to investigate whether sociodemographic characteristics of individuals who are using these products differ from those who are using manufactured cigarettes.<bold>Methods: </bold>Using a nationally representative sample survey of Brazilians aged 12-65 years in 2015, we estimated the prevalence rates of each tobacco products within the last 12-months, stratified by macro-region, municipality size, sex-at-birth, sexual orientation, color/race, age-group, and monthly income. Multivariable logistic models were fitted to understand determinants of each tobacco product use, considering the complex sample design.<bold>Results: </bold>E-cigarette, narghile, and cigarette prevalence rates were estimated at 0.43%, 1.65% and 15.35%, respectively, corresponding to around 0.6million e-cigarette users, 2.5 million narghile users and 23.5 million cigarette users. Non-heterosexual individuals were a most-at-risk group for both e-cigarette/narghile and cigarette use. Despite similarities, e-cigarette/narghile users were younger and had higher socioeconomic status than cigarette users. Additional analyses showed that recent cigarette use seems to be more associated with e-cigarette/narghile use among youth than among adults.<bold>Conclusions: </bold>Our findings may provide valuable information about e-cigarette/narghile use in Brazil. Prevention strategies targeted to youth to both narghile and e-cigarettes use should be implemented together, which might be one strategy to prevent the emergency of a new generation of smokers in Brazil. [ABSTRACT FROM AUTHOR]
ISSN:03064603
DOI:10.1016/j.addbeh.2019.05.031