Prevalence and correlates of e-cigarette source and use of e-cigarettes with nicotine: A case study of Mexico, where e-cigarettes are banned.

Autor: Vidaña-Pérez D; Department of Health Promotion, Education & Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA., Gallegos-Carrillo K; Epidemiology and Health Services Research Unit-Morelos, Mexican Social Security Institute. Cuernavaca, Mexico., Barrientos-Gutierrez I; Evaluation and Surveys Research Center/Tobacco Research Department, National Institute of Public Health, Mexico City, Mexico., Cruz-Jiménez L; Department of Health Promotion, Education & Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA., Rodríguez-Bolaños R; Evaluation and Surveys Research Center/Tobacco Research Department, National Institute of Public Health, Mexico City, Mexico., Arillo-Santillán E; Evaluation and Surveys Research Center/Tobacco Research Department, National Institute of Public Health, Mexico City, Mexico., Thrasher JF; Department of Health Promotion, Education & Behavior, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA; Evaluation and Surveys Research Center/Tobacco Research Department, National Institute of Public Health, Mexico City, Mexico. Electronic address: thrasher@mailbox.sc.edu.
Jazyk: angličtina
Zdroj: The International journal on drug policy [Int J Drug Policy] 2024 Nov; Vol. 133, pp. 104609. Date of Electronic Publication: 2024 Oct 05.
DOI: 10.1016/j.drugpo.2024.104609
Abstrakt: Background: Low- and middle-income countries have increasingly banned e-cigarettes, as in Mexico. In these countries, little is known about where adults obtain e-cigarettes or who uses e-cigarettes with nicotine.
Methods: Data were analyzed from eight online surveys of Mexican adults who both smoked and used e-cigarettes (November 2018-March 2021; n = 2,060). For the e-cigarette they used most often, participants reported how they acquired it (social sources=reference; online purchase; vape shop purchase; other retail purchase) and if it contained nicotine (no=reference group; yes; don't know). Multinomial models regressed each of these outcomes on smoking- and e-cigarette-related factors, as well as sociodemographics.
Results: Almost half the sample (45.9 %) reported obtaining their e-cigarettes from social sources, with online purchase being the second most common source (28.7 %). Being male, having recently attempted to quit smoking, and more frequent e-cigarette use were positively associated with purchasing e-cigarettes (vs social sources) across all venues. Most reported that their e-cigarettes contained nicotine (58.2 %), a third reported using e-cigarettes without nicotine (35.9 %), and some did not know (5.8 %). More frequent smoking and e-cigarette use, using closed e-cigarette devices and purchasing e-cigarettes online were positively associated with using e-cigarettes with nicotine.
Conclusions: Despite Mexico's e-cigarette ban, adults who smoke access e-cigarettes through multiple sources, including online and vape shop purchases. Most participants reported using e-cigarettes with nicotine, though many did not or did not know.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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