New study led by Queen Mary University of London finds no evidence that e-cigarettes act as a gateway to smoking at the population level. The research also suggests that alternative nicotine products may be competing against cigarettes, potentially accelerating the decline in smoking, although more data is needed for confirmation.
Reviewed by Danielle Ellis, B.Sc.Sep 22 2023 The most comprehensive study to date investigating whether e-cigarettes are a gateway into or out of smoking finds that, at the population level, there is no sign that e-cigarettes and other alternative nicotine delivery products promote smoking.
Study: Effects of reduced-risk nicotine-delivery products on smoking prevalence and cigarette sales: an observational study. Image Credit: Lumen Photos / Shutterstock The decline in smokers in Australia has been slower than in the UK, and slower than in both the UK and the USA among young people and in lower socioeconomic groups. The decline in cigarette sales has also accelerated faster in the UK than in Australia. The increase in heated tobacco product sales in Japan was accompanied by a significant decrease in cigarette sales.
Professor Peter Hajek, Director of Health and Lifestyle Research Unit, Wolfson Institute of Population Health, Queen Mary University of London, said:
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