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Perception of E-cigarette Use among Adult Users in China

A Mixed-method Study

Bibliographic Data

ID15466530
AuthorsDuan Zhao (0000-0003-0226-7940, Duke Kunshan University), Yantao Zuo (Rutgers, the State University of New Jersey, corresponding author), Dilshat S Urmi (Duke Kunshan University), Yangyujin Liu (Duke Kunshan University), Pinpin Zheng (0000-0003-3902-2955, Fudan University), Fan Wang (0000-0002-9869-9504, East China Normal University), Wang Fan (0000-0002-1290-1688, East China Normal University), Abu S Abdullah (0000-0002-9841-0344, Boston University, corresponding author)
Year2020
Volume17
Issue8
Pages2754-2754
Publication date2020-04-16
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph17082754
PMID32316185
OpenAlexW3016780499
LanguageEN
Citations received2
References cited29

The use of electronic cigarettes (ECs) is increasing rapidly in China, but the perception of these products and their health impact among Chinese users have received little research attention. This study collected semi-structured in-depth interview data from experienced adult EC (including heated tobacco products also named ECs on the Chinese market) users in the Shanghai area. The subjects were recruited from those who participated in a previous online survey on EC use. A thematic narrative approach was used to analyze the data. Thirty current EC users were interviewed for evaluation of their perception of EC use in a variety of categories, including reasons for using, concerns, social acceptance, satisfaction, and health impacts. Participants' common reasons for using ECs were the ease of use and carrying, hygiene, no fire hazard, reduced smoke exposure, aiding quitting smoking, reduced health hazard, palatable flavor, being fashionable, and substituting cigarettes in non-smoking areas. Most (90%; 27/30) participants reduced (77%) or quit smoking (13%) after using ECs, and 80% were willing to recommend these products to others. Most (90%) of the participants reportedly noticed positive health changes after using ECs. Regulatory concerns were expressed by 33% participants. Participants predominately viewed ECs as a viable substitute for smoking, with substantial effects on tobacco harm reduction. These findings lend support to EC use as a promising opportunity for public health promotion in China through engaging smokers in smoking cessation attempts. However, overall public health benefits/risks of EC use, and its regulatory affairs need to be considered

China · Electronic cigarette · Environmental health · Harm · Harm reduction · Misinformation · Perception · Political science · Public health · Qualitative research · Thematic analysis · Medicine · Nursing · Pediatric health and respiratory diseases · Psychology · Smoking Behavior and Cessation · Social Psychology

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Unique citing works2
Citations per year0,4
Citation span2021 - 2022 (2)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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