Home > Exposure to secondhand aerosol of electronic cigarettes in indoor settings in 12 European countries: data from the TackSHS survey.

Amalia, Beladenta and Liu, Xiaoqiu and Lugo, Alessandra and Fu, Marcela and Odone, Anna and van den Brandt, Piet A and Semple, Sean and Clancy, Luke and Soriano, Joan B and Fernández, Esteve and Gallus, Silvano (2020) Exposure to secondhand aerosol of electronic cigarettes in indoor settings in 12 European countries: data from the TackSHS survey. Tobacco Control , Early online .

INTRODUCTION
Exposure to secondhand aerosol from e-cigarette (SHA) may pose harmful effects to bystanders. This study aims to investigate the prevalence, duration and determinants of SHA exposure in various indoor settings in 12 European countries.

METHODS
In 2017-2018, we conducted a cross-sectional study, the TackSHS survey, on a representative sample of the population aged ≥15 years in 12 European countries (Bulgaria, England, France, Germany, Greece, Ireland, Italy, Latvia, Poland, Portugal, Romania and Spain). We described the prevalence and duration of exposure to SHA in several indoor settings among 11 604 e-cigarette non-users. Individual-level and country-level characteristics associated with SHA exposure were also explored using multilevel logistic regression analyses.

RESULTS
Overall, 16.0% of e-cigarette non-users were exposed to SHA in any indoor setting at least weekly, ranging from 4.3% in Spain to 29.6% in England. The median duration of SHA exposure among those who were exposed was 43 min/day. 'Other indoor settings' (eg, bar and restaurant) was reported as the place where most of e-cigarette non-users were exposed (8.3%), followed by workplace/educational venues (6.4%), home (5.8%), public transportation (3.5%) and private transportation (2.7%). SHA exposure was more likely to occur in certain groups of non-users: men, younger age groups, those with higher level of education, e-cigarette past users, current smokers, those perceiving SHA harmless and living in countries with a higher e-cigarette use prevalence.

CONCLUSIONS
We found inequalities of SHA exposure across and within European countries. Governments should consider extending their tobacco smoke-free legislation to e-cigarettes to protect bystanders, particularly vulnerable populations such as young people.

TRIAL REGISTRATION NUMBER
NCT02928536.


Item Type:Article
Date:2 March 2020
Publisher:BMJ Publishing
Volume:Early online
EndNote:View
Related URLs:
Subjects:B Substances > Tobacco (cigarette smoking) > Secondhand smoke (passive smoking)
B Substances > Tobacco (cigarette smoking) > Nicotine product (e-cigarette / vaping)
VA Geographic area > International aspects
VA Geographic area > Europe > Ireland
VA Geographic area > Europe > European Union

Repository Staff Only: item control page