Prevalence of electronic nicotine delivery systems (ENDS) use among youth globally: a systematic review and meta‐analysis of country level data
Abstract Objective: To describe the prevalence and change in prevalence of electronic nicotine delivery systems (ENDS) use in youth by country and combustible smoking status. Methods: Databases and the grey literature were systematically searched to December 2015. Studies describing the prevalence o...
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doaj-da9252dac4104487aaa38b77ca7e5a162020-11-25T01:57:02ZengWileyAustralian and New Zealand Journal of Public Health1326-02001753-64052018-06-0142330330810.1111/1753-6405.12777Prevalence of electronic nicotine delivery systems (ENDS) use among youth globally: a systematic review and meta‐analysis of country level dataSze Lin Yoong0Emily Stockings1Li Kheng Chai2Flora Tzelepis3John Wiggers4Christopher Oldmeadow5Christine Paul6Armando Peruga7Melanie Kingsland8John Attia9Luke Wolfenden10School of Medicine and Public Health University of Newcastle New South WalesNational Drug and Alcohol Research Centre UNSW Australia New South WalesSchool of Medicine and Public Health University of Newcastle New South WalesSchool of Medicine and Public Health University of Newcastle New South WalesSchool of Medicine and Public Health University of Newcastle New South WalesSchool of Medicine and Public Health University of Newcastle New South WalesSchool of Medicine and Public Health University of Newcastle New South WalesCentro de Epidemiología y Políticas de Salud (Center for Epidemiology and Health Policies), Facultad de Medicina/CAS Universidad del Desarrollo Región Metropolitana ChileSchool of Medicine and Public Health University of Newcastle New South WalesSchool of Medicine and Public Health University of Newcastle New South WalesSchool of Medicine and Public Health University of Newcastle New South WalesAbstract Objective: To describe the prevalence and change in prevalence of electronic nicotine delivery systems (ENDS) use in youth by country and combustible smoking status. Methods: Databases and the grey literature were systematically searched to December 2015. Studies describing the prevalence of ENDS use in the general population aged ≤20 years in a defined geographical region were included. Where multiple estimates were available within countries, prevalence estimates of ENDS use were pooled for each country separately. Results: Data from 27 publications (36 surveys) from 13 countries were included. The prevalence of ENDS ever use in 2013–2015 among youth were highest in Poland (62.1%; 95%CI: 59.9–64.2%), and lowest in Italy (5.9%; 95%CI: 3.3–9.2%). Among non‐smoking youth, the prevalence of ENDS ever use in 2013–2015 varied, ranging from 4.2% (95%CI: 3.8–4.6%) in the US to 14.0% in New Zealand (95%CI: 12.7–15.4%). The prevalence of ENDS ever use among current tobacco smoking youth was the highest in Canada (71.9%, 95%CI: 70.9–72.8%) and lowest in Italy (29.9%, 95%CI: 18.5–42.5%). Between 2008 and 2015, ENDS ever use among youth increased in Poland, Korea, New Zealand and the US; decreased in Italy and Canada; and remained stable in the UK. Conclusions: There is considerable heterogeneity in ENDS use among youth globally across countries and also between current smokers and non‐smokers. Implications for public health: Population‐level survey data on ENDS use is needed to inform public health policy and messaging globally.https://doi.org/10.1111/1753-6405.12777electronic nicotine delivery systemssmokingyouth |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sze Lin Yoong Emily Stockings Li Kheng Chai Flora Tzelepis John Wiggers Christopher Oldmeadow Christine Paul Armando Peruga Melanie Kingsland John Attia Luke Wolfenden |
spellingShingle |
Sze Lin Yoong Emily Stockings Li Kheng Chai Flora Tzelepis John Wiggers Christopher Oldmeadow Christine Paul Armando Peruga Melanie Kingsland John Attia Luke Wolfenden Prevalence of electronic nicotine delivery systems (ENDS) use among youth globally: a systematic review and meta‐analysis of country level data Australian and New Zealand Journal of Public Health electronic nicotine delivery systems smoking youth |
author_facet |
Sze Lin Yoong Emily Stockings Li Kheng Chai Flora Tzelepis John Wiggers Christopher Oldmeadow Christine Paul Armando Peruga Melanie Kingsland John Attia Luke Wolfenden |
author_sort |
Sze Lin Yoong |
title |
Prevalence of electronic nicotine delivery systems (ENDS) use among youth globally: a systematic review and meta‐analysis of country level data |
title_short |
Prevalence of electronic nicotine delivery systems (ENDS) use among youth globally: a systematic review and meta‐analysis of country level data |
title_full |
Prevalence of electronic nicotine delivery systems (ENDS) use among youth globally: a systematic review and meta‐analysis of country level data |
title_fullStr |
Prevalence of electronic nicotine delivery systems (ENDS) use among youth globally: a systematic review and meta‐analysis of country level data |
title_full_unstemmed |
Prevalence of electronic nicotine delivery systems (ENDS) use among youth globally: a systematic review and meta‐analysis of country level data |
title_sort |
prevalence of electronic nicotine delivery systems (ends) use among youth globally: a systematic review and meta‐analysis of country level data |
publisher |
Wiley |
series |
Australian and New Zealand Journal of Public Health |
issn |
1326-0200 1753-6405 |
publishDate |
2018-06-01 |
description |
Abstract Objective: To describe the prevalence and change in prevalence of electronic nicotine delivery systems (ENDS) use in youth by country and combustible smoking status. Methods: Databases and the grey literature were systematically searched to December 2015. Studies describing the prevalence of ENDS use in the general population aged ≤20 years in a defined geographical region were included. Where multiple estimates were available within countries, prevalence estimates of ENDS use were pooled for each country separately. Results: Data from 27 publications (36 surveys) from 13 countries were included. The prevalence of ENDS ever use in 2013–2015 among youth were highest in Poland (62.1%; 95%CI: 59.9–64.2%), and lowest in Italy (5.9%; 95%CI: 3.3–9.2%). Among non‐smoking youth, the prevalence of ENDS ever use in 2013–2015 varied, ranging from 4.2% (95%CI: 3.8–4.6%) in the US to 14.0% in New Zealand (95%CI: 12.7–15.4%). The prevalence of ENDS ever use among current tobacco smoking youth was the highest in Canada (71.9%, 95%CI: 70.9–72.8%) and lowest in Italy (29.9%, 95%CI: 18.5–42.5%). Between 2008 and 2015, ENDS ever use among youth increased in Poland, Korea, New Zealand and the US; decreased in Italy and Canada; and remained stable in the UK. Conclusions: There is considerable heterogeneity in ENDS use among youth globally across countries and also between current smokers and non‐smokers. Implications for public health: Population‐level survey data on ENDS use is needed to inform public health policy and messaging globally. |
topic |
electronic nicotine delivery systems smoking youth |
url |
https://doi.org/10.1111/1753-6405.12777 |
work_keys_str_mv |
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