Patterns of awareness and use of electronic cigarettes in Mexico, a middle-income country that bans them: Results from a 2016 national survey.
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ABSTRACT: Among high-income countries, awareness and use of e-cigarettes is lower in countries with more restrictive e-cigarette regulations. Little is known about e-cigarettes in middle-income countries, many of which like Mexico, ban e-cigarette sales and marketing. The current study determined the national-level prevalence and correlates of e-cigarette awareness and consumption in Mexico. Data were analyzed from a 2016 nationally representative survey. Prevalence of e-cigarette awareness, trial and current use was estimated separately for adolescents (n?=?12,436), adult nonsmokers (n?=?36,966), and adult smokers (n?=?7347). For each group, crude and adjusted logistic models regressed e-cigarette outcomes on sociodemographic and smoking-related variables, adjusting for the sampling design and weights. Prevalence varied across subgroups for e-cigarette awareness (adolescents?=?45.3%; adult nonsmokers?=?33.9%; adult smokers?=?54.3%), e-cigarette trial (adolescents?=?6.5%; adult nonsmokers?=?2.6%; adult smokers?=?18.2%) and current use of electronic cigarettes (adolescents?=?1.1%; adult nonsmokers?=?0.3%; adult smokers?=?4.5%). Among adolescents and adults, current smoking and higher smoking frequency were significantly associated with e-cigarette awareness, trial and use. Among adolescents and nonsmokers, awareness, trial and use of e-cigarette were significantly lower among females than males. Among adult smokers, however, females were more likely to use e-cigarettes than males (AOR?=?1.80; 95% CI?=?1.08-3.02). Higher education and greater wealth increased the likelihood of trial of e-cigarettes among adult nonsmokers and smokers. Despite the ban on the distribution and sales of e-cigarettes, a substantial number of Mexicans, have access to e-cigarettes. Decision makers and advocates should consider e-cigarette regulations as recommended by the WHO, at the same time Mexico must invest in the infrastructure needed to enforce these regulations.
SUBMITTER: Zavala-Arciniega L
PROVIDER: S-EPMC6276365 | biostudies-literature | 2018 Nov
REPOSITORIES: biostudies-literature
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