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Author Notes:

Jidong Huang. School of Public Health, Georgia State University, 140 Decatur St., Suite 859 Atlanta, GA 30303, United States. E-mail: jhuang17@gsu.edu

Conceptualization: JH and PBR; methodology: JH, ZD and YW; data collection: PBR; formal analysis: ZD and YW; writing first draft: JH, ZD and YW; manuscript writing, reviewing and editing: JH, ZD, YW and PBR; project administration: MPE and PBR; funding acquisition: MPE and PBR. All authors have read and agreed to the final version of the manuscript.

Technical assistance was provided by China CDC, Chengdu Institute of Health Education, Wuhan Institute of Health Education, Xiamen CDC, Xi’an Institute of Health Education, the ThinkTank Research Center for Health Development, and RTI International.

The authors have each completed and submitted an ICMJE form for disclosure of potential conflicts of interest. The authors declare that they have no competing interests, financial or otherwise, related to the current work. P.B. Redmon and M.P. Eriksen report grants from Pfizer Inc. to the Georgia State University Research Foundation (grant number: CON009013), during the conduct of the study.

Subject:

Research Funding:

The Georgia State University's China Tobacco Control Partnership - Tobacco Free Cities program generated the data used in this study. The Tobacco Free Cities program was supported by funding from Pfizer Inc. to the Georgia State University Research Foundation (grant number: CON009013). The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. The content is solely the responsibility of the authors and does not necessarily represent the official view of Pfizer, Inc. or the China Tobacco Control Partnership.

Keywords:

  • Science & Technology
  • Life Sciences & Biomedicine
  • Substance Abuse
  • Public, Environmental & Occupational Health
  • e-cigarettes
  • Chinese adult smokers
  • reasons not trying/using
  • smoking cessation
  • SMOKING-CESSATION

Reasons why Chinese smokers prefer not to use electronic cigarettes

Tools:

Journal Title:

TOBACCO INDUCED DISEASES

Volume:

Volume 18, Number December

Publisher:

, Pages 104-104

Type of Work:

Article | Final Publisher PDF

Abstract:

INTRODUCTION China is the world's largest e-cigarette manufacturer. It also has the world's largest smoking population. Although smoking is strongly associated with e-cigarette use, the prevalence of e-cigarette use is low among Chinese smokers compared with smokers in countries such as the US and UK. This study aims to explore the reasons why Chinese smokers prefer not to use e-cigarettes. METHODS Cross-sectional data from the Tobacco Questions for Surveys (TQS) conducted in four large Chinese cities (Chengdu, Wuhan, Xiamen, and Xi'an) in 2017-2018 were analyzed. A multi-stage cluster sampling approach was applied to select a representative sample of adults for each city. Weighted percentages and 95% confidence intervals (CIs) were estimated for self-reported reasons why smokers in China had never tried e-cigarettes, in total and by demographic characteristics. Multivariate logistic regression models were used to examine the adjusted associations between the top reasons why smokers never tried e-cigarettes and demographic and socioeconomic characteristics. RESULTS The top three reasons that Chinese adult smokers reported for never having tried e-cigarettes were: 'I do not want to quit smoking' (35.35%), 'I do not think they would help me quit or cut down' (24.31%), and 'I am not addicted to smoking and don't need help to quit' (14.93%). Other prominent reasons included: 'I am concerned they are not safe enough', and 'I do not want to substitute one addiction for another'. Generally, there were no statistically significant associations between reasons why smokers never tried e-cigarettes and demographic and socioeconomic characteristics. CONCLUSIONS Our results suggest that many Chinese smokers associate e-cigarette use with smoking cessation. Continued monitoring of smokers' views, beliefs, and risk perceptions regarding e-cigarettes is warranted. Health education campaigns communicating the risks of e-cigarettes are also needed.

Copyright information:

© 2020 Duan Z. et al.

This is an Open Access work distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons.org/licenses/by/4.0/).
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