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Social norms for e-cigarettes and smoking: associations with initiation of e-cigarette use, intentions to quit smoking and quit attempts: findings from the EUREST-PLUS ITC Europe Surveys

2020; Oxford University Press; Volume: 30; Issue: Supplement_3 Linguagem: Inglês

10.1093/eurpub/ckaa014

1464-360X

Máirtín S. McDermott, Katherine East, Sara C Hitchman, Ann McNeill, Yannis Tountas, Tibor Demjén, Esteve Fernández, Ute Mons, Antigona Trofor, Aleksandra Herbeć, Kinga Janik‐Koncewicz, Geoffrey T. Fong, Constantine Vardavas, Constantine Vardavas, Andrea Glahn, Christina N Kyriakos, Dominick Nguyen, Katerina Nikitara, Cornel Radu-Loghin, Polina Starchenko, Aristidis Tsatsakis, Charis Girvalaki, Chryssi Igoumenaki, Sophia Papadakis, Aikaterini Papathanasaki, Manolis Tzatzarakis, Constantine Vardavas, Nicolas Bécuwe, Lavinia Deaconu, Sophie Goudet, Christopher Hanley, Oscar Rivière, Tibor Demjén, Judit Kiss, Anna Piroska Kovacs, Esteve Fernández, Yolanda Castellano, Marcela Fu, Sarah O Nogueira, Olena Tigova, Ann McNeill, Katherine East, Sara C Hitchman, Ute Mons, Sarah Kahnert, Yannis Tountas, Panagiotis Behrakis, Filippos T Filippidis, Christina Gratziou, Paraskevi Κatsaounou, Theodosia Peleki, Ioanna Petroulia, Chara Tzavara, Antigona Trofor, Marius Eremia, Lucia Maria Lotrean, Florin Mihălţan, Gernot Rohde, Tamaki Asano, Claudia Cichon, Amy Far, Céline Genton, Melanie Jessner, Linnéa Hedman, Christer Janson, Ann Lindberg, Beth Maguire, Sofía Ravara, Valérie Vaccaro, Brian J. Ward, Marc C. Willemsen, Hein de Vries, Karin Hummel, Gera E. Nagelhout, Witold Zatoński, Aleksandra Herbeć, Kinga Janik‐Koncewicz, Krzysztof Przewoźniak, Mateusz Zatoński, Geoffrey T. Fong, Thomas K Agar, Pete Driezen, Shannon Gravely, Anne C K Quah, Mary E. Thompson,

Behavioral Health and Interventions

Social norms have received little attention in relation to electronic cigarettes (EC). The current study examine social norms for EC use and smoking tobacco, and their associations with (i) initiation of EC use, (ii) intention to quit smoking and (iii) attempts to quit smoking.Cross-sectional and longitudinal data analysis from Waves 1 and 2 of the ITC 6 European Country Survey and corresponding waves from England (the ITC Four Country Smoking and Vaping Survey). Current smokers at baseline, who heard of ECs and provided data at both waves were included (n = 3702). Complex samples logistic regression examined associations between the outcomes and descriptive (seeing EC use in public, close friends using ECs/smoking) and injunctive (public approves of ECs/smoking) norms, adjusting for country, demographics, EC use and heaviness of smoking.In longitudinal analyses, seeing EC use in public at least some days was the only social norm that predicted initiation of EC use between waves (OR = 1.66, 95%CI = 1.08-2.56). In the cross-sectional analysis, having an intention to quit was associated with seeing EC use in public (OR = 1.37, 95%CI = 1.04-1.81) and reporting fewer than three close friends smoke (OR = 0.59, 95%CI = 0.44-0.80). There was no association between any social norm and making a quit attempt between waves.Initiation of EC use is predicted by seeing EC use in public, which was also associated with greater intention to quit smoking. Friends' smoking was associated with lower intention to quit. These findings may allay concerns that increased visibility of ECs is renormalizing smoking amongst current smokers.