E-cigarettes and Shisha

1
E-cigarettes and Shisha Gateways to regular
smoking among British youth?
Martin Dockrell FRSPHDirector of Policy
ResearchAction on Smoking Health
2
E-cigarette use among adults has increased rapidly
E-cigarette use among adult smokers in Great
Britain
3
but current use remains confined largely to
current and ex-smokers
E-cigarette use in Britain, 2013(All adults)
4
Children who have never smoked rarely use
e-cigarettes
E-cigarette use among children in Britain,
2013(All children, by smoking status N12,171)
N1680 N235 N74 N79 N26 N60
5
Weekly use is rare and confined to older children
E-cigarette use in Britain, 2013(All children,
by age)
6
2 out of 3 children who had used e-cigarettes had
not used them in the last month
Have you used an e-cigarette in the last month?
(Children who have ever used e-cigarettes N97)
7
Children who have never used e-cigarettes dont
expect to try soon
Do you expect you will try e-cigarettes soon?
(Children who have never used e-cigarettes
N2075)
8
Shisha use is rare but more common among younger
adults
Shisha use among adults in Britain, 2013
(N12,171)
N1324 N1180 N1758 N2351 N5558
9
Shisha use is more common than e-cigarette use
among children
Shisha and e-cigarette use and awareness
byChildren (N2178)
10
Awareness if shisha is lower among younger
children
Heard of shisha (All children by age)
11
Awareness of shisha is lower among never smokers
All Children (N2178)
12
1 in 5 older children have tried shisha
Shisha use and awareness(All children, by age)
13
Never smokers rarely try shisha
Shisha use and awareness (All children, by
smoking status)
N573 N159 N47 N69 N20 N46
14
Children who have never used shisha dont expect
to try soon
Do you expect you will try shisha soon?
(Children who have never used shisha N1988)
7 of 18 year olds who have not yet tried shisha
expect to try soon
15
Conclusions

• e-cigarette use is a growing phenomenon
• but current use among children remains relatively
  rare and confined to older children and smokers
• Shisha use is almost twice as common but is also
  confined almost entirely to older children and
  smokers. However, more expect to start soon.
• We found negligible shisha smoking or
  e-cigarettes use among children who have never
  smoked so far
• When a young person smokes cigarettes every day
  and shisha once a month, tackle the cigarette
  smoking with the shisha use
• We need bigger, better, faster evidence to inform
  policy