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Background <p>As e-cigarette use rates continue to increase globally, people in different countries have developed varying perceptions of e-cigarette use. Understanding these perceptions could potentially help policymakers develop regulations that align with their tobacco control objectives. Existing research on the reasons for not using e-cigarettes among adults who smoke cigarettes has been limited to specific countries. This study broadens the scope and reports reasons for not using e-cigarettes among adults who smoke cigarettes in 20 leading nicotine markets worldwide.</p> Methods <p>We performed a secondary analysis of data from the 2019–2021 Euromonitor International’s Voice of Consumer: Nicotine Survey. The study sample consisted of adults who had never used e-cigarettes or had used them more than one year ago, and who currently smoked combustible cigarettes monthly or more often in 20 leading nicotine-consuming countries, including Canada, China, Czech Republic, France, Germany, Greece, Israel, Italy, Japan, Kazakhstan, Netherlands, Poland, Romania, Russia, Slovakia, South Korea, Spain, Ukraine, the United Kingdom, and the United States. Reasons for not using e-cigarettes were measured with a multiple-response question. Weighted percentages for each reason overall and by age, sex, and country were reported.</p> Results <p>The top reasons for not using e-cigarettes among adults who smoked cigarettes across the 20 countries were “never considered/not enough information,” “inauthentic/not ‘the real thing,’” and “too expensive,” closely followed by “safety concerns.” The top reasons were similar in most countries, with some variations. Greece had “do not want to quit smoking” and France had “prolonging addiction/substituting to another format” among the top reasons. In Poland, South Korea, Romania, and Slovakia, “unaware of the product” was one of the top reasons.</p> Conclusions <p>Tobacco control practitioners and policymakers can use the findings on reasons for not using e-cigarettes both domestically and globally to inform public health campaigns and policies that align with the specific tobacco control objectives in each country to ultimately reduce the burden of tobacco-related disease.</p>

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Reasons for not using e-cigarettes among adults who smoke: findings from the 2019–2021 Euromonitor International’s Voice of the Consumer: Nicotine Survey in 20 countries

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  • 发表日期：

    2025年12月17日

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  • Di Pei,
  • Saida Sharapova,
  • Lucy Popova

摘要

Background

As e-cigarette use rates continue to increase globally, people in different countries have developed varying perceptions of e-cigarette use. Understanding these perceptions could potentially help policymakers develop regulations that align with their tobacco control objectives. Existing research on the reasons for not using e-cigarettes among adults who smoke cigarettes has been limited to specific countries. This study broadens the scope and reports reasons for not using e-cigarettes among adults who smoke cigarettes in 20 leading nicotine markets worldwide.

Methods

We performed a secondary analysis of data from the 2019–2021 Euromonitor International’s Voice of Consumer: Nicotine Survey. The study sample consisted of adults who had never used e-cigarettes or had used them more than one year ago, and who currently smoked combustible cigarettes monthly or more often in 20 leading nicotine-consuming countries, including Canada, China, Czech Republic, France, Germany, Greece, Israel, Italy, Japan, Kazakhstan, Netherlands, Poland, Romania, Russia, Slovakia, South Korea, Spain, Ukraine, the United Kingdom, and the United States. Reasons for not using e-cigarettes were measured with a multiple-response question. Weighted percentages for each reason overall and by age, sex, and country were reported.

Results

The top reasons for not using e-cigarettes among adults who smoked cigarettes across the 20 countries were “never considered/not enough information,” “inauthentic/not ‘the real thing,’” and “too expensive,” closely followed by “safety concerns.” The top reasons were similar in most countries, with some variations. Greece had “do not want to quit smoking” and France had “prolonging addiction/substituting to another format” among the top reasons. In Poland, South Korea, Romania, and Slovakia, “unaware of the product” was one of the top reasons.

Conclusions

Tobacco control practitioners and policymakers can use the findings on reasons for not using e-cigarettes both domestically and globally to inform public health campaigns and policies that align with the specific tobacco control objectives in each country to ultimately reduce the burden of tobacco-related disease.