Article
Electronic cigarettes and narghile users in Brazil: do they differ from cigarettes smokers?
Registro en:
BERTONI, Neilane et al. Electronic cigarettes and narghile users in Brazil: Do they differ from cigarettes smokers? Addictive Behaviors, v. 98, p. 1-6, 2019.
0306-4603
10.1016/j.addbeh.2019.05.031
Autor
Bertoni, Neilane
Szklo, André
De Boni, Raquel Brandini
Coutinho, Carolina
Vasconcellos, Mauricio
Silva, Pedro Nascimento
Almeida, Liz Maria de
Bastos, Francisco Inácio Pinkusfeld Monteiro
Resumen
Background: Cigarette smoking prevalence is declining, however, other tobacco products have emerged recently, such as electronic cigarettes (e-cigarettes) and narghile (hookah/shisha/waterpipe). Narghile sales are not prohibited in Brazil, but e-cigarettes are. Accurate estimates of such products are key for proper monitoring and control. Objective: To describe the prevalence of e-cigarettes and narghile use and to investigate whether sociodemographic characteristics of individuals who are using these products differ from those who are using
manufactured cigarettes. Methods: Using a nationally representative sample survey of Brazilians aged 12–65 years in 2015, we estimated the prevalence rates of each tobacco products within the last 12-months, stratified by macro-region, municipality size, sex-at-birth, sexual orientation, color/race, age-group, and monthly income. Multivariable logistic models were fitted to understand determinants of each tobacco product use, considering the complex sample design. Results: E-cigarette, narghile, and cigarette prevalence rates were estimated at 0.43%, 1.65% and 15.35%, respectively, corresponding to around 0.6million e-cigarette users, 2.5 million narghile users and 23.5 million cigarette users. Non-heterosexual individuals were a most-at-risk group for both e-cigarette/narghile and cigarette use. Despite similarities, e-cigarette/narghile users were younger and had higher socioeconomic status than cigarette users. Additional analyses showed that recent cigarette use seems to be more associated with ecigarette/narghile use among youth than among adults. Conclusions: Our findings may provide valuable information about e-cigarette/narghile use in Brazil. Prevention strategies targeted to youth to both narghile and e-cigarettes use should be implemented together, which might be one strategy to prevent the emergency of a new generation of smokers in Brazil. 2026-12-31
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