Trend in electronic cigarettes and smokeless tobacco in Italian adolescents, Global Youth Tobacco Smoke (GYTS), 2014, 2018
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Study, Prevention & Oncologic Network Institute (ISPRO), Italy
Department of Environmental Health Sciences, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Italy
Sapienza University and SITAB (Società Italiana di Tabaccologia), Italy
ISPRO, Italy
Italian Ministry of Health, Italy
Istituto Superiore di Sanità (ISS), Italy
ISS, Italy
University of Turin, Italy
University of Novara, Italy
Publication date: 2019-03-26
Tob. Prev. Cessation 2019;5(Supplement):A35
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Main aim was to describe prevalence trends in Italy, 2014-2018 of tobacco cigarettes, electronic cigarettes (e-cig), smokeless tobacco (snuff, chewing tobacco, heated tobacco products), and to describe cigarettes and e-cig access from the Global Youth Tobacco Survey (GYTS).

GYTS is a nationally representative school-based, cross-sectional survey of students aged 13-15 years . GYTS has been carrying out in 61 countries worldwide and used a standard methodology. Ten items were selected in order to describe prevalence trends and access to tobacco cigarettes and e-cig.

Ever and current tobacco use in Italy non-significantly decreased from 46.4% to 41.0%, and from 23.4% to 19.8%, respectively. Ever and current e-cig users significantly increased from 28.0% to 43.5%, and from 8.4% to 17.5%, respectively. Ever and current smokeless tobacco use in 2018 were 3.4% and 1.6%, respectively. In 2018, 68.0% and 76.0% of adolescents who were current cigarette smokers or e-cig users, respectively, reported retailers did not refuse to sell them cigarettes or e-cig because of their age; 19.7% and 15.3% of current smokers reported to buy cigarettes in stores, or in vending machines, respectively. Among current e-cig users, 10.2% reported to get e-cig from specialized shops.

From 2014 to 2018 current e-cig users doubled; in 2018, current smokeless tobacco users were 1.6%. Even though sale bans to minors were implemented in Italy for cigarettes and e-cig, about 2 out 3 tobacconists and managers of e-cig shops keep on selling their products to adolescents.

This study was partially supported by European Union’s Horizon 2020 Project TackSHS under grant agreement No 681040. This study was supported by the Italian Ministry of Health (MADES Project, chapter 4100/22).
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