Perceptions and use of electronic cigarettes among young adults in China
Xinsong Wang 1
Xiulan Zhang 1
Xiaoxin Xu 1  
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School of Social Development and Public Policy, Beijing Normal University, Beijing, China
Xiaoxin Xu   

School of Social Development and Public Policy, Beijing Normal University, New Library Building 2024B,19 Xinjiekouwai St. Haidian District, 100875 Beijing, China
Publish date: 2019-03-04
Tob. Induc. Dis. 2019;17(March):17
Little is known about the perception and use of e-cigarettes by the Chinese, particularly the young people. This study reveals the awareness, attitudes, and use of e-cigarettes among young adults in China, examines the relationship between smoking behavior and e-cigarette perception and use, and demonstrates the phenomenon of e-cigarette gifting.

We used results from a mobile app-based survey conducted in November 2015 that included 10477 young Chinese adults aged between 19 and 29 years. Bivariate tests were conducted to analyze perception and use of e-cigarettes by respondents of different smoking status. Multivariate logistic regressions were applied to examine the correlates of e-cigarette use and perception and e-cigarette gifting behavior, particularly the factors of tobacco smoking status and quitting behavior.

Among the surveyed young adults, 88.40% were aware of e-cigarettes, and nearly a quarter of all respondents had used e-cigarettes by the time of our survey. Multivariate regression results demonstrated that current smokers with quitting experience were more likely to be aware of and to use e-cigarettes than current smokers with no quitting experience. Smokers with quitting experience also were more inclined to promote e-cigarettes to others by either recommending them or giving them as gifts.

E-cigarettes have gained popularity among young adults in China and smokers, especially those who had tried quitting, were more likely to have known and used e-cigarettes. More empirical research on the relationship between e-cigarette use and smoking cessation is warranted to better inform a potential regulatory framework in China.

The authors have completed and submitted an ICMJE form for disclosure of potential conflicts of interest and they declare that they have no competing interests, financial or otherwise, related to the current work. X Wang, X Zhang, X Xu and Y Gao report grants from the Bill and Melinda Gates Foundation, during the conduct of the study.
This study was supported by the Bill and Melinda Gates Foundation (Grant number OPP1123586). The funder had no role in the study design, collection, analysis, or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication. The corresponding author had full access to all data in the study and had final responsibility for the decision to submit the paper for publication.
Not commissioned; externally peer reviewed.
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