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@article{Gravely:2020:eurpub/ckz215,
author = {Gravely, S and Driezen, P and Kyriakos, CN and Thompson, ME and Balmford, J and Demjén, T and Fernández, E and Mons, U and Tountas, Y and Janik-Koncewicz, K and Zatoski, W and Trofor, AC and Vardavas, CI and Fong, GT and EUREST-PLUS, Consortium},
doi = {eurpub/ckz215},
journal = {European Journal of Public Health},
pages = {iii38--iii45},
title = {European adult smokers' perceptions of the harmfulness of e-cigarettes relative to combustible cigarettes: cohort findings from the 2016 and 2018 EUREST-PLUS ITC Europe Surveys.},
url = {http://dx.doi.org/10.1093/eurpub/ckz215},
volume = {30},
year = {2020}
}

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TY  - JOUR
AB  - BACKGROUND: This study presents perceptions of the harmfulness of electronic cigarettes (e-cigarettes) relative to combustible cigarettes among smokers from six European Union (EU) countries, prior to the implementation of the EU Tobacco Products Directive (TPD), and 2 years post-TPD. METHODS: Data were drawn from the EUREST-PLUS ITC Europe Surveys, a cohort study of adult smokers (≥18 years) from Germany, Greece, Hungary, Poland, Romania and Spain. Data were collected in 2016 (pre-TPD: N = 6011) and 2018 (post-TPD: N = 6027). Weighted generalized estimating equations were used to estimate perceptions of the harmfulness of e-cigarettes compared to combustible cigarettes (less harmful, equally harmful, more harmful or 'don't know'). RESULTS: In 2016, among respondents who were aware of e-cigarettes (72.2%), 28.6% reported that they perceived e-cigarettes to be less harmful than cigarettes (range 22.0% in Spain to 34.1% in Hungary). In 2018, 72.2% of respondents were aware of e-cigarettes, of whom 28.4% reported perceiving that e-cigarettes are less harmful. The majority of respondents perceived e-cigarettes to be equally or more harmful than cigarettes in both 2016 (58.5%) and 2018 (61.8%, P > 0.05). Overall, there were no significant changes in the perceptions that e-cigarettes are less, equally or more harmful than cigarettes, but 'don't know' responses significantly decreased from 12.9% to 9.8% (P = 0.036). The only significant change within countries was a decrease in 'don't know' responses in Spain (19.3-9.4%, P = .001). CONCLUSIONS: The majority of respondents in these six EU countries perceived e-cigarettes to be equally or more harmful than combustible cigarettes.
AU  - Gravely,S
AU  - Driezen,P
AU  - Kyriakos,CN
AU  - Thompson,ME
AU  - Balmford,J
AU  - Demjén,T
AU  - Fernández,E
AU  - Mons,U
AU  - Tountas,Y
AU  - Janik-Koncewicz,K
AU  - Zatoski,W
AU  - Trofor,AC
AU  - Vardavas,CI
AU  - Fong,GT
AU  - EUREST-PLUS,Consortium
DO  - eurpub/ckz215
EP  - 45
PY  - 2020///
SN  - 1101-1262
SP  - 38
TI  - European adult smokers' perceptions of the harmfulness of e-cigarettes relative to combustible cigarettes: cohort findings from the 2016 and 2018 EUREST-PLUS ITC Europe Surveys.
T2  - European Journal of Public Health
UR  - http://dx.doi.org/10.1093/eurpub/ckz215
UR  - https://www.ncbi.nlm.nih.gov/pubmed/32191332
UR  - https://academic.oup.com/eurpub/article/30/Supplement_3/iii38/5810149
UR  - http://hdl.handle.net/10044/1/85763
VL  - 30
ER  -

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