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Electronic Cigarette Policy Recommendations: A Scoping Review.

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Conflicting e-cigarette recommendations from health organizations create confusion. This review maps diverse stances on electronic cigarettes, highlighting varied approaches to tobacco prevention strategies.

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Area of Science:

  • Public Health
  • Tobacco Control
  • Behavioral Science

Background:

  • Organizations hold conflicting views on e-cigarettes' role in tobacco prevention.
  • Uncertainty exists regarding whether e-cigarettes aid or hinder existing tobacco control efforts.
  • This has led to varied organizational position statements on e-cigarette use.

Purpose of the Study:

  • To conduct a scoping review of e-cigarette position statements.
  • To map the range and frequency of e-cigarette use recommendations from international health organizations.
  • To analyze variations in recommendations based on organization type, geography, and publication year.

Main Methods:

  • Collected 81 position statements from published and gray literature.
  • Performed qualitative content analysis by two independent coders.
  • Categorized e-cigarette recommendations into five distinct types.

Main Results:

  • Identified five categories of recommendations: encouragement for cessation/nicotine replacement (N=5), support for cessation (N=20), avoidance pending research (N=19), access restriction (N=30), and prohibition of marketing/sale (N=7).
  • Observed significant diversity in organizational recommendations regarding e-cigarette use.
  • Found variation linked to differing tobacco prevention priorities and confidence in current research.

Conclusions:

  • Organizational recommendations on e-cigarettes are diverse and potentially confusing.
  • Variability stems from differing tobacco prevention goals and research confidence.
  • Further research should investigate the impact of this variability on stakeholder attitudes and behaviors.