Evidence map›Paper›PMID 41408621›Full record

ArticleBMC public health2025

Reasons for not using e-cigarettes among adults who smoke: findings from the 2019-2021 Euromonitor International's Voice of the Consumer: Nicotine Survey in 20 countries.

Di Pei, Saida Sharapova, Lucy Popova

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Di PeiSchool of Public Health, Georgia State University, P.O. Box 3995, Atlanta, GA, 30302, USA. dpei@gsu.edu.
Saida SharapovaIndependent researcher, Atlanta, GA, 30041, USA.
Lucy PopovaSchool of Public Health, Georgia State University, P.O. Box 3995, Atlanta, GA, 30302, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs e-cigarette use rates continue to increase globally, people in different countries have developed varying perceptions of e-cigarette use. Understanding these perceptions could potentially help policymakers develop regulations that align with their tobacco control objectives. Existing research on the reasons for not using e-cigarettes among adults who smoke cigarettes has been limited to specific countries. This study broadens the scope and reports reasons for not using e-cigarettes among adults who smoke cigarettes in 20 leading nicotine markets worldwide.

methodsWe performed a secondary analysis of data from the 2019-2021 Euromonitor International's Voice of Consumer: Nicotine Survey. The study sample consisted of adults who had never used e-cigarettes or had used them more than one year ago, and who currently smoked combustible cigarettes monthly or more often in 20 leading nicotine-consuming countries, including Canada, China, Czech Republic, France, Germany, Greece, Israel, Italy, Japan, Kazakhstan, Netherlands, Poland, Romania, Russia, Slovakia, South Korea, Spain, Ukraine, the United Kingdom, and the United States. Reasons for not using e-cigarettes were measured with a multiple-response question. Weighted percentages for each reason overall and by age, sex, and country were reported.

resultsThe top reasons for not using e-cigarettes among adults who smoked cigarettes across the 20 countries were "never considered/not enough information," "inauthentic/not 'the real thing,'" and "too expensive," closely followed by "safety concerns." The top reasons were similar in most countries, with some variations. Greece had "do not want to quit smoking" and France had "prolonging addiction/substituting to another format" among the top reasons. In Poland, South Korea, Romania, and Slovakia, "unaware of the product" was one of the top reasons.

conclusionsTobacco control practitioners and policymakers can use the findings on reasons for not using e-cigarettes both domestically and globally to inform public health campaigns and policies that align with the specific tobacco control objectives in each country to ultimately reduce the burden of tobacco-related disease.

Indexed as

Electronic Nicotine Delivery SystemsSmokersVapingAdolescentAdultFemaleHumansMaleMiddle AgedSurveys and QuestionnairesYoung AdultAddictionE-cigarettesPerceptionsTobacco use cessation

Identifiers

PMID41408621
PMCPMC12822330

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.