SCI
23 July 2024
Trends in long term vaping among adults in England, 2013-23: population based study
(BMJ, IF: 93.6)
Sarah E Jackson, Harry Tattan-Birch, Lion Shahab, Jamie Brown
CORRESPONDENCE TO: s.e.jackson@ucl.ac.uk
To examine trends in long term (>6 months) vaping among adults in England.
研究英国成年人长期（>6个月）使用电子烟的趋势。
Population based study.
基于人口的研究。
179 725 adults (≥18 years) surveyed between October 2013 and October 2023.
2013年10月至2023年10月期间接受调查的179725名成年人（≥18岁）。
Time trends in prevalence of long term vaping using logistic regression, overall and by vaping frequency (daily or non-daily), and main type of device used (disposable, refillable, or pod).
使用逻辑回归分析长期电子烟流行率的时间趋势，包括总体使用率和电子烟使用频率（每日或非每日），以及使用的主要设备类型（一次性电子烟、可重复使用电子烟或pod型电子烟）。
The proportion of adults reporting long term vaping increased non-linearly, from 1.3% (95% confidence interval 1.1% to 1.5%) in October 2013 to 10.0% (9.2% to 10.9%) in October 2023, with a particularly pronounced rise from 2021. This rise included an increase in long term daily vaping, from 0.6% (0.5% to 0.8%) to 6.7% (6.0% to 7.4%). Absolute increases in long term vaping were larger among people with a history of regular smoking (current smokers: 4.8% (4.0% to 5.8%) to 23.1% (20.4% to 25.9%); recent former smokers: 5.7% (3.4% to 9.2%) to 36.1% (27.6% to 45.4%); long term former smokers: 1.4% (1.0% to 1.9%) to 16.2% (14.2% to 18.4%)), but an increase also occurred among people who had never regularly smoked (0.1% (0.0% to 0.2%) to 3.0% (2.3% to 3.8%)). Growth was also more pronounced in young adults (eg, reaching 22.7% (19.2% to 26.5%) of 18 year olds v 4.3% (3.6% to 5.2%) of 65 year olds), including among those who had never regularly smoked (reaching 16.1% (11.1% to 22.7%) of 18 year olds v 0.3% (0.1% to 0.6%) of 65 year olds). Between October 2013 and March 2021, most long term vapers mainly or exclusively used refillable electronic cigarettes (2.5% to 3.3% of adults) and few (0.1% of adults) used disposable devices. However, prevalence of long term vaping using disposable devices subsequently rose rapidly, and by October 2023 similar proportions of adults mainly or exclusively used disposable and refillable devices (4.9% (4.2% to 5.7%) and 4.6% (4.0% to 5.3%), respectively).
长期使用电子烟的成年人比例呈非线性增长，从2013年10月的1.3%（95%置信区间1.1%至1.5%）上升到2023年10月（9.2%至10.9%），从2021年开始起尤其明显。这一增长包括长期每日电子烟使用的增加，从0.6%（0.5%至0.8%）增加到6.7%（6.0%至7.4%）。长期使用电子烟的绝对增加值在有规律吸烟史的人群中更大（当前吸烟者：4.8%（4.0%至5.8%）至23.1%（20.4%至25.9%）；近期有戒烟者：5.7%（3.4%至9.2%）至36.1%（27.6%至45.4%）；长期戒烟者：1.4%（1.0%至1.9%）至16.2%（14.2%至18.4%）），但从未经常吸烟的人也有所增加（0.1%（0.0%至0.2%）至3.0%（2.3%至3.8%））。年轻人的增长也更为明显（例如，18岁人群应用的增长率为22.7%（19.2%至26.5%），而65岁人群的这一比例为4.3%（3.6%至5.2%）），包括那些从未经常吸烟的人（18岁人群为16.1%（11.1%至22.7%），65岁人群为0.3%（0.1%至0.6%））。在2013年10月至2021年3月期间，大多数长期使用电子烟的人主要使用或专门使用可重复使用的电子烟（占成年人的2.5%至3.3%），很少有人（占成人的0.1%）使用一次性设备。然而，使用一次性设备的长期电子烟的流行率随后迅速上升，到2023年10月，主要或专门使用一次性和可重复使用设备的成年人比例相似（分别为4.9%（4.2%至5.7%）和4.6%（4.0%至5.3%））。
The prevalence of long term vaping increased substantially among adults in England during 2013-23. Much of this increase occurred from 2021, coinciding with the rise in popularity of disposable e-cigarettes. Half of long term vapers now mainly or exclusively use disposable devices. The growth was concentrated among people with a history of regular smoking, but an increase also occurred among people who never regularly smoked, especially young adults.
2013-23年间，英格兰成年人长期使用电子烟的使用率大幅上升。这一增长大部分发生在2021年，与一次性电子烟的普及相吻合。一半的长期使用电子烟的人现在主要或专门使用一次性设备。这种增长多集中出现在有规律吸烟史的人身上，但在从未经常吸烟的人尤其是年轻人身上也出现了增长。
