E-cigarettes and children What does the evidence say?
Use of electronic cigarettes among young people Youth Smokefree GB Survey, 2016. YouGov, commissioned by ASH Introduction These slides report the results from the annual Youth Smokefree GB Survey carried out by YouGov for ASH. All figures, unless otherwise stated, come from surveys carried out in 2013, 2014, 2015 and 2016. The total sample sizes were: 2016: 2,331, 2015: 2,291, 2014: 2,068, 2013: 2,178. The survey is carried out online. For more information please contact [email protected] What were going to cover 1. 2. 3. 4. What is an electronic cigarette? Use of e-cigarettes among young people. Use by smoking status. Frequency, type and flavouring of products used. 5. Perceptions of harm. What is an electronic cigarette? What is an electronic cigarette? In general an electronic cigarette is a battery powered device which delivers nicotine. It typically contains water, nicotine and propylene glycol [which is used to help vaporise the liquid nicotine]. It is does not contain or burn tobacco and therefore does not create smoke which is a product of combustion. A typical electronic cigarettes consists of three main components: 1. a battery
2. an atomiser (heating element) 3. a cartridge containing nicotine Use of e-cigarettes among young people Use of e-cigarettes among young people 2013-16 100% 95% 92% 90% 87% 88% 80% 70% 60% 50% 40% 30% 20% 11% 10% 10% 4% 6% 0% 0% 2013 1% 2014 1% 2015 1% 0% 2016
1% 1% 1% 0% 0% 1% 0% Use of e-cigarettes by age 2016 120% 100% 1% 3% 1% 9% 1% 6% 1% 1% 18% 80% 60% 96% 90% 93% 40% 79% 20%
0% 11 to 13 14 to 15 I have never used them/ not aware of e-cigarettes I use them sometimes (more than once a month) Don't want to say 11 to 15 I have tried them once or twice I use them often (more than once a week) 16 to 18 Summary Whilst awareness and use of e-cigarettes among young people has increased from 2013 2016, regular use, more than once a month, remains low at 1% in 2016. Likelihood that a young person has tried an ecigarette increases across the age bracket with 18% of 16-18 year olds reporting to have tried e-cigarettes compared to 3% of 11-13 year olds. Use by smoking status Use of e-cigarettes by smoking status 2016 250% 200% 150% 100% 50% 0% e av Ih ve
ne se ru d em th a ot n / w e ar eof ci g ett ar es e av Ih e tri d em th ce on se Iu tw
or em th i ce m so eti m ( es no m e or an th ce on a m se Iu Never smoker ) th on em th m so
e tim e m s( Ex-smoker e or an th ce on a m ) th on se Iu em th en oft Current smoker (m e or an th
ce on a w k) ee t n' Do w o tt an sa y Order of use between real cigarettes and e-cigarettes 80% 70% 70% 64% 60% 57% 50% 40% 30% 29% 22% 20% 10% 18% I tried smoking a real cigarette before I first tried using an e-cigarette 9%
8% I tried using an e-cigarette before I first tried smoking a real cigarette 4% I have never smoked a real cigarette 3% but have tried an e-cigarette 0% 2014 I don't remember 2015 10% 3% 2016 Summary While current or regular use of e-cigarettes is rare, it is also almost entirely confined to those who have already tried smoking or are current smokers. In 2016 regular use, more than once a week was reported at 13% among current smokers compared to 0% among never smokers. While the graphs illustrate an increase in the number of never smokers who have tried an e-cigarette, from 18% in 2014 to 29% in 2016, it is important to remember in 2016 just 10% of young people had ever tried vaping. Frequency, type and flavouring of products used. Flavour of e-cigarette last used by those who have tried but do not 60% currently use e-cigarettes 0.52 49% 50% 40% 30% 20%
13% 0.15 12% 6% 0.04 0% at ol c o Ch e r w ur ou no v vo k a a fl 't t fl on dy ui r n D F ca t, e e w ,s s rt se s e ,d
0.1 0.09 10% 5% 3% 3% 0.06 3% 3% 0.03 2% 1% 1% ) r s k ur ur ur ur ils in ur o o ou o o r a o v v v v
v t d v a k fla fla fla fla fla oc t fl oft e o a o r l s c c c l e in No i e r r c c ff th an ba ba ro l/m ko Co O V o o e
o n i t T e r l th ,b yd ho en e t g n M er en wi M En g. . e r( u o av fl k rin d lic ho o c al n A r ou v fla 2016
2015 0.02 ix M Preferred flavour of e-cigarette for current users 45% 42% 40% 36% 35% 30% 25% 23% 20% 15% 13% 13% 11% 10% 5% 0% r ou v fla it u Fr 7% 5% 6% 7%
7% 6% 6% 5% 3% 2% 3% 1% 1% 1% 2% ) r r r s r r r y ils ur sa ou ou ou ou ou ou a o v v v v v v t o
v a a t a fla fla fla fla ck ft t fl nt y fl e o o la r fl so co co l a d c e in N i e r r c c ff n h o a a an tw ko l/m Co Va Ot
,c ob ob er n' o in t t T e o h r t b d D ol ee en e, th gy sw n n r i M , e e s rt .w M En e g . s (e es ,d ur e o
v at fla ol c k o in Ch dr c li ho o c al n A 2016 2015 w no t' k n Do k in dr r ou v fla 1% ix M Summary Among both current and former e-cigarette users fruit flavours are the most popular, for example, among current users 36% report fruit as their preferred flavour in 2016. However, vapers are using a wide range of flavours including tobacco.
Perceptions on harm Perceptions of harm from e-cigarettes compared with smoking 2013-16 80% 74% 70% 66% 67% 63% 60% 50% 40% 30% 21% 23% 18% 20% 14% 11% 10% 10% 1% 0% 2% 2% More harmful 14%
3% About the same 2013 Less harmful 2014 2015 2016 Don't know 11% Summary Overall it is encouraging that a clear majority of young people correctly identify vaping as less harmful than smoking. However, what is concerning is the increase in the number of young people who believe that vaping is about as harmful as smoking increasing by more than 10% between 2013 and 2016. This need to be monitored and it is important that young people are given accurate information about the relative risks of vaping and smoking.
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