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dc.contributor.authorMoore, Graham
dc.contributor.authorBrown, Rachel
dc.contributor.authorPage, Nicholas
dc.contributor.authorHallingberg, Britt
dc.contributor.authorMaynard, Olivia
dc.contributor.authorMcKell, Jennifer
dc.contributor.authorGray, Linsay
dc.contributor.authorBlackwell, Anna
dc.contributor.authorLowthian, Emily
dc.contributor.authorMunafo, Marcus
dc.contributor.authorMackintosh, Anne-Marie
dc.contributor.authorBauld, Linda
dc.date.accessioned2020-05-21T11:08:35Z
dc.date.available2020-05-21T11:08:35Z
dc.date.issued2020
dc.identifier.issn0955-3959
dc.identifier.urihttp://hdl.handle.net/10369/11040
dc.descriptionArticle accepted for publication in International Journal of Drug Policyen_US
dc.description.abstractBackground Young people’s experimentation with e-cigarettes has increased in recent years, although regular use remains limited. EU Tobacco Products Directive (TPD) regulations introduced packet warnings, advertising restrictions, and regulated nicotine strength from 2016, in part due to concerns regarding use by young people. This paper examines e-cigarette use trajectories before and after TPD. Methods E-cigarette use data were obtained from School Health Research Network/Health Behaviour in School-aged Children surveys in Wales and Smoking Drinking and Drug Use surveys in England. Data from Wales were analysed using segmented logistic regression, with before and after regression analyses of English data. Semi-structured group interviews included young people aged 14-16 years in Wales, England and Scotland in 2017 and 2018. Results In Wales, ever use of e-cigarettes increased over time, but under a range of assumptions, growth did not appear to continue post-TPD. A small and non-significant change in trend was observed post-implementation (OR=0.96; 95%CI=0.91 to 1.01), which increased in size and significance after adjusting for ever smoking (OR=0.93; 95%CI=0.88 to 0.98). There was little increase in regular e-cigarette use from 2015 to 2017 in Wales. However, ever and regular use increased from 2014 to 2016 in England. Young people in all nations described limited interactions with components of TPD, while describing e-cigarette use as a ‘fad’, which had begun to run its course. Conclusions This study provides preliminary evidence that young people’s e-cigarette experimentation may be plateauing in UK nations. The extent to which this arises from regulatory changes, or due to a fad having begun to lose its appeal among young people in the UK countries, remains unclear. These trends contrast to those observed in North America, where newer products whose EU market entry and marketing been impacted by TPD, have gained traction among young people. Long-term monitoring of e-cigarette use trends and perceptions among young people remain vital.en_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofseriesInternational Journal of Drug Policy;
dc.subjectE-cigaretteen_US
dc.subjectpolicyen_US
dc.subjectadolescenceen_US
dc.subjecttobaccoen_US
dc.subjectmixed methodsen_US
dc.subjectinterrupted time series analysisen_US
dc.titleYoung people’s use of e-cigarettes in Wales, England and Scotland before and after introduction of EU Tobacco Products Directive regulations: a mixed-method natural experimental evaluationen_US
dc.typeArticleen_US
dcterms.dateAccepted2020-05-12
rioxxterms.funderCardiff Metropolitan Universityen_US
rioxxterms.identifier.projectCardiff Metropolian (Internal)en_US
rioxxterms.versionAMen_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserveden_US
rioxxterms.freetoread.startdate2100-01-01
rioxxterms.funder.project37baf166-7129-4cd4-b6a1-507454d1372een_US


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