ASH: "No evidence that e-cigarettes are acting as a gateway into smoking"

Here's the ASH press release on e-cigarettes.

The headline figure has already been published – by the Sunday Times on April 13 – so what we get today is a bit more detail about people's attitudes to e-cigarettes and vaping.

Significantly, ASH CEO Deborah Arnott admits that "there is no evidence from our research that e-cigarettes are acting as a gateway into smoking" and "usage among non-smokers remains negligible".

The full press release reads:

Over 2 million Britons now regularly use electronic cigarettes

Figures released by health charity ASH on the day the ASA’s consultation on the advertising of electronic cigarettes closes reveal that usage of electronic cigarettes among adults in Britain has tripled over the past two years from an estimated 700,000 users in 2012 to 2.1 million in 2014. Nearly two-thirds of users are smokers and one third are ex-smokers, an increase in the proportion of ex-smokers compared to previous years. Once again, current use of electronic cigarettes amongst self-reported non-smokers is negligible (0.1%) and only around 1% of never smokers report ever trying electronic cigarettes.

The YouGov survey, commissioned by ASH, reveals a dramatic rise in the number of current and ex-smokers who have tried electronic cigarettes over the past four years. In 2010, only 8.2 per cent of current or ex-smokers had ever tried electronic cigarettes. By 2014, this figure had risen to 51.7 per cent.

There has been a consistent rise in the number of current or ex-smokers who use electronic cigarettes on a regular basis from 2.7 per cent in 2010 to 17.7 per cent in 2014.

Just over a third (35%) of British adults believe that electronic cigarettes are good for public health while around a quarter (22%) disagree.

For the first time, the ASH YouGov survey asked about the type of electronic cigarette commonly used. Over a half of electronic cigarette users started off using rechargeable electronic cigarettes with prefilled cartridges, with only one in four starting by using cigarettes with a tank or reservoir. But amongst current users the balance is more evenly split with 47% most often using rechargeable e-cigarettes with prefilled cartridges and 41% using rechargeable devices with a separate tank. Only 20% started off using disposable electronic cigarettes and only 8% most often use disposable e-cigs currently.

There are a variety of reasons given by current and ex-smokers for why they use or have tried electronic cigarettes. Among current users of electronic cigarettes:

The main reasons given by ex-smokers are “to help me stop smoking entirely” (71%) and “to help me keep off tobacco” (48%).

The main reason given by current smokers is to “help me reduce the amount of tobacco I smoke, but not stop completely” (48%) followed by “to save money compared with smoking tobacco” (37%); and “to help me stop smoking entirely” (36%).

Deborah Arnott, Chief Executive of health charity ASH said: “The dramatic rise in use of electronic cigarettes over the past four years suggests that smokers are increasingly turning to these devices to help them cut down or quit smoking. Significantly, usage among non-smokers remains negligible.

"While it is important to control the advertising of electronic cigarettes to make sure children and non-smokers are not being targeted, there is no evidence from our research that e-cigarettes are acting as a gateway into smoking.”

A separate ongoing survey - the Smoking Toolkit Study carried out in England – has also found that smokers are increasingly using electronic cigarettes as an aid to quitting, overtaking use of medicinal nicotine products such as patches and gum. [4] The proportion of smokers who have quit in the last year has increased and smoking rates in England are continuing to fall.

Commenting on the findings, leader of the study, Professor Robert West, said: “Despite claims that use of electronic cigarettes risks renormalizing smoking, we found no evidence to support this view. On the contrary, electronic cigarettes may be helping to reduce smoking as more people use them as an aid to quitting.”

(For further information on the YouGov survey data see the ASH fact sheet on Use of electronic cigarettes in Great Britain.)

ASH Scotland has issued its own press release in response to the YouGov poll. Note the difference in the tone of the comments:

Use of electronic cigarettes soars in Scotland - survey finds five-fold rise in smokers who ‘vape’

The use of electronic cigarettes among adult smokers in Scotland has increased by over five times in the past four years, from 3% in 2010 to 17% in 2014.

The finding comes from a new YouGov survey commissioned by health charity ASH Scotland.

It also shows use of e-cigarettes among adult ex-smokers in Scotland was 3% in 2014.

The poll reveals a dramatic rise in the number of current smokers in Scotland who have tried electronic cigarettes over the past four years. In 2010, only 7% of current smokers had ever tried electronic cigarettes. By 2014, the figure had risen to 45%.

Just under a third (31%) of adults in Scotland who have heard of e-cigarettes believe that they will be good for public health while around a quarter (23%) disagree. Agreement was even higher among smokers (55%).

Current use of e-cigarettes amongst those who have never smoked is negligible (zero or nearly zero) and only around 1% of never-smokers report ever trying e-cigarettes.

ASH Scotland Chief Executive Sheila Duffy said: “These new figures emphasise the growing popularity of e-cigarettes and we believe there needs to be a vigorous public debate about their use.

“Our interest is in helping people improve their health and so we welcome harm reduction as a principle. We believe that ‘vaping’ will prove to be less harmful than smoking – but not harmless, as some supporters suggest.

“We are calling for regulation of the market in e-cigarettes - and other new nicotine delivery devices - because nicotine is a highly addictive substance and the companies involved are under strong commercial pressure to recruit young people into using it.

“To minimise the risk of drawing the next generation into nicotine addiction, we also want an under-18 age restriction on the sale of e-cigarettes in Scotland, as is already being planned for England and Wales, and we need restrictions on how these products are promoted.

“However, including e-cigarettes in the smoke-free enclosed public spaces legislation would require scientific evidence that harm from ‘second-hand’ e-cigarette emissions is likely. This is not the situation to date. But we support venues that have banned vaping to protect smoke-free environments.

“There are particular concerns with the growing involvement of tobacco companies in this market because of their history of prioritising profits over people and misleading consumers. It is not in their interest for people to become free of nicotine addiction. We must defend Scotland’s vision for creating a generation free from tobacco and ensure that e-cigarettes work for this, not against it.”

The Scotsman has the story here: Five-fold rise in e-cigarette smokers in Scotland.

It includes a short quote from me.

Comments

[Frank]

Duffy states “However, including e-cigarettes in the smoke-free enclosed public spaces legislation would require scientific evidence that harm from ‘second-hand’ e-cigarette emissions is likely." Really? All scientific evidence showing shs to be harmful to date has so far been discredited.
Forget e cigs, shouldn't smoking bans based on lies and false pretences be overturned or must propaganda always be allowed to troop science ?
http://news.heartland.org/newspaper-article/2008/07/01/scientific-evidence-shows-secondhand-smoke-no-danger