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E-Cigarette Use by Smoking Status in Estonia, 2012-2018
Rainer Reile1,2, Kersti Pärna2
1Department of Epidemiology and Biostatistics, National Institute for Health Development, Tallinn 11619, Estonia.
Estonia saw a decrease in smoking rates between 2012 and 2018, alongside a rise in electronic cigarette (e-cigarette) use, particularly among men. Public health policies should address e-cigarette risks.
Area of Science:
- Public Health
- Epidemiology
- Tobacco Control
Background:
- Smoking rates in Estonia have been declining.
- Understanding trends in e-cigarette use is crucial for public health.
- Sociodemographic factors may influence e-cigarette adoption.
Purpose of the Study:
- To analyze recent trends in e-cigarette use in Estonia from 2012-2018.
- To examine the association between e-cigarette use, smoking status, and sociodemographic factors.
- To inform targeted tobacco control policies.
Main Methods:
- Utilized nationally representative cross-sectional health survey data (2012-2018, n=9988).
- Described prevalence of smoking and e-cigarette use by smoking status.
- Employed multivariate logistic regression to identify sociodemographic patterns.
Main Results:
- Current smoking prevalence decreased significantly in both men and women.
- E-cigarette use increased to 3.7% (men) and 1.2% (women) in the general population.
- E-cigarette use increase was significant in men across general population, smokers, and ex-smokers; non-significant in women.
- E-cigarette use was associated with age, gender, and education.
Conclusions:
- E-cigarette use increased while smoking decreased in Estonia during 2002-2018.
- Targeted tobacco policies are necessary to mitigate public health risks associated with e-cigarette use.
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