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Int J Environ Res Public Health. 2019 Jun 28;16(13). pii: E2297. doi: 10.3390/ijerph16132297.

The Prevalence of Cigarette and E-cigarette Smoking Among Students in Central and Eastern Europe-Results of the YUPESS Study.

Author information

1
Department of Epidemiology, School of Medicine in Katowice, Medical University of Silesia in Katowice, Medykow 18 Str, 40-752 Katowice, Poland.
2
Department of Epidemiology, School of Medicine in Katowice, Medical University of Silesia in Katowice, Medykow 18 Str, 40-752 Katowice, Poland. mateusz.jankowski@sum.edu.pl.
3
Canadian Centre for Health and Safety in Agriculture, College of Medicine, University of Saskatchewan, 104 Clinic Place, PO Box 23, Saskatoon, SK S7N 2Z4, Canada.
4
Department of Medicine, College of Medicine, University of Saskatchewan, 103 Hospital Drive, Saskatoon, SK S7N 0W8, Canada.
5
Department of Sports Medicine and Rehabilitation, Yanka Kupala State University of Grodno, 22 Ozheshko Str, 230023 Grodno, Belarus.
6
Department of General and Oncological Pulmonology, Norbert Barlicki Memorial Teaching Hospital No. 1, Medical University of Lodz, Kopcińskiego 22 Str, 90-153 Lodz, Poland.
7
Department of Family Medicine, Warsaw Medical University, Banacha Street 1a, 02-097 Warsaw, Poland.
8
Department of Social Pedagogy and Social Work, Krasnoyarsk State Pedagogical University named after V.P. Astafiev, A. Lebedeva 89 Str, Krasnoyarsk 660017, Russia.
9
Institute of Biology Systems and Genetic Research, Lithuanian University of Health Sciences, MLK, Eivenių 4Str, LT-50103 Kaunas, Lithuania.
10
Department of Human Physiology and Pathophysiology, Faculty of Medicine, University of Rzeszów, Kopisto 2a Str, 35-359 Rzeszow, Poland.
11
Department of Allergology and Cystic Fibrosis, Clinical Provincial Hospital No. 2, Lwowska 60 Str, 35-301 Rzeszów, Poland.
12
Department of Epidemiology, Faculty of Public Health, Slovak Medical University in Bratislava, Limbová 14 Str, 833 03 Bratislava, Slovak Republic.
13
Student's Scientific Society at 2nd Department of Lung Diseases and Tuberculosis, Medical University of Bialystok, Żurawia 14 Str, 15-540 Bialystok, Poland.
14
Department of General Hygiene and Ecology, Grodno State Medical University, Gorkogo 80 Str, 230009 Grodno, Belarus.
15
Department of Childhood Psychology, Krasnoyarsk State Pedagogical University named after V.P. Astafiev, A. Lebedeva 89 Str, Krasnoyarsk 660017, Russia.
16
2nd Department of Lung Diseases and Tuberculosis, Medical University of Bialystok, Żurawia 14 Str, 15-540 Bialystok, Poland.
17
Department of Hygiene and Epidemiology, Medical University of Lodz, Zeligowskiego 7/9 Str, 90-752 Łódź, Poland.
18
School of Public Health, Centre of Postgraduate Medical Education, Kleczewska 61/63 Str, 01-826 Warsaw, Poland.

Abstract

Electronic cigarettes (e-cigarettes) are an alternative to traditional tobacco cigarette smoking. The aim of this study was to assess the prevalence of cigarette smoking and e-cigarette use among university students from Central and Eastern Europe and to investigate personal characteristics associated with cigarette and e-cigarette smoking. A questionnaire-based cross-sectional survey was performed between 2017-2018 among university students in five European countries: Belarus, Lithuania, Poland, Russia, and Slovakia. The questionnaire included 46 questions related to the frequency and habits of traditional cigarettes and e-cigarettes use. Completed questionnaires were obtained from 14,352 students (8800 medical; aged 20.9 ± 2.4 years) with an overall response rate of 72.2%. Two-thirds of the respondents had smoked a traditional tobacco cigarette and 43.7% had used an e-cigarette. Overall current smoking status included 12.3% traditional cigarette smokers, 1.1% e-cigarette users, and 1.8% were dual users with the remainder being non-smokers. Smoking status differed between the research centres (p < 0.001). Females were less likely to try either cigarettes (OR = 0.83) or e-cigarettes (OR = 0.62) and were less likely to be current cigarette (OR = 0.64), e-cigarette (OR = 0.34), or dual users (OR = 0.33) than males. Perception of e-cigarettes significantly differed between smokers and non-smokers (p < 0.001). Among university students, cigarettes are more popular than e-cigarettes.

KEYWORDS:

e-cigarettes; electronic cigarettes; smoking; students; tobacco

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