{"id":5077,"date":"2023-01-25T10:14:27","date_gmt":"2023-01-25T08:14:27","guid":{"rendered":"https:\/\/www.ibs.ee\/publications\/tubaka-ja-nikotiinitoodete-tarvitamise-uuring\/"},"modified":"2024-08-06T13:36:28","modified_gmt":"2024-08-06T10:36:28","slug":"tobacco-and-nicotine-product-use-survey","status":"publish","type":"publications","link":"https:\/\/www.ibs.ee\/en\/publications\/tobacco-and-nicotine-product-use-survey\/","title":{"rendered":"Tobacco and Nicotine Products Use Study"},"content":{"rendered":"\n<p class=\"wp-el\">In Estonia, the most common tobacco and nicotine products are cigarettes, e-cigarettes (including disposable and nicotine-free), nicotine pads, snuff and heated tobacco. This study focused on the three products most consumed in Estonia: regular cigarettes, e-cigarettes and nicotine patches. <strong>While the consumption of regular cigarettes has decreased, the use of new alternative tobacco and nicotine products (e.g. e-cigarettes) has increased.<\/strong><\/p>\n\n\n\n<p class=\"wp-el\">Although there have been many studies on tobacco and nicotine products in Estonia, they have not examined the use of these products in such depth. To better understand the use of alternative nicotine products, which are becoming increasingly popular among youth, this study provided an overview. It explored <strong>what these products are, how much they are used, and why. <\/strong>The study also investigated<strong> where these products are obtained <\/strong>and<strong> what attitudes and beliefs are associated with their use.<\/strong> Furthermore, the study described and analyzed the profile of tobacco and nicotine product users. It included personality traits, reasons for quitting, and activities that could prevent or reduce the use of tobacco and nicotine products.\u00a0<\/p>\n\n\n\n<p class=\"wp-el\">The results showed that 23% of the general population surveyed and 7% of the students use tobacco and nicotine products every day or almost every day. <strong>The general population most commonly uses cigarettes, while students most commonly use e-cigarettes. <\/strong>Overall, women are less likely to use the products, with 48% of women have never used them.\u00a0<\/p>\n\n\n\n<h4 class=\"wp-block-heading wp-el\">Key Findings<\/h4>\n\n\n\n<ul class=\"wp-block-list wp-el\">\n<li><strong>The highest proportion of occasional users (monthly users) is among those aged 34 and under.<\/strong> If a person does not know someone who uses tobacco and nicotine products, they are less likely to start using products themselves. 87% of the general population and 80% of students have thought about quitting.<\/li>\n\n\n\n<li>People consider cigarettes and snuff as the most harmful tobacco and nicotine products. <strong>E-cigarettes are considered harmful by 77% of students and 79% of the population.<\/strong> Hookah is regarded as the safest product by students.<\/li>\n\n\n\n<li><strong>57% of the general population and 67% of students choose tobacco and nicotine products based on taste.<\/strong> <strong>The general population prefers menthol-flavored products<\/strong>. <strong>Students,<\/strong> <strong>on the other hand,<\/strong> <strong>prefer sweet-flavoured products<\/strong>. Price is a choice factor for 61% of the population and around half of the students. However, there is no correlation between the respondent&#8217;s income level and the price of purchased products. 17% of the population and 14% of students consider availability as a factor. <span style=\"color: var(--text-color); font-family: var(--body-font); font-size: var(--body-size); font-weight: var(--body-weight);\">It is particularly important for young people living in rural areas of Estonia.\u00a0<\/span><div class=\"flex-shrink-0 flex flex-col relative items-end\"><div class=\"pt-0\"><div class=\"gizmo-bot-avatar flex h-8 w-8 items-center justify-center overflow-hidden rounded-full\"><div class=\"relative p-1 rounded-sm flex items-center justify-center bg-token-main-surface-primary text-token-text-primary h-8 w-8\"><svg width=\"41\" height=\"41\" viewbox=\"0 0 41 41\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"icon-md\" role=\"img\"><text x=\"-9999\" y=\"-9999\"><\/text><path d=\"M37.5324 16.8707C37.9808 15.5241 38.1363 14.0974 37.9886 12.6859C37.8409 11.2744 37.3934 9.91076 36.676 8.68622C35.6126 6.83404 33.9882 5.3676 32.0373 4.4985C30.0864 3.62941 27.9098 3.40259 25.8215 3.85078C24.8796 2.7893 23.7219 1.94125 22.4257 1.36341C21.1295 0.785575 19.7249 0.491269 18.3058 0.500197C16.1708 0.495044 14.0893 1.16803 12.3614 2.42214C10.6335 3.67624 9.34853 5.44666 8.6917 7.47815C7.30085 7.76286 5.98686 8.3414 4.8377 9.17505C3.68854 10.0087 2.73073 11.0782 2.02839 12.312C0.956464 14.1591 0.498905 16.2988 0.721698 18.4228C0.944492 20.5467 1.83612 22.5449 3.268 24.1293C2.81966 25.4759 2.66413 26.9026 2.81182 28.3141C2.95951 29.7256 3.40701 31.0892 4.12437 32.3138C5.18791 34.1659 6.8123 35.6322 8.76321 36.5013C10.7141 37.3704 12.8907 37.5973 14.9789 37.1492C15.9208 38.2107 17.0786 39.0587 18.3747 39.6366C19.6709 40.2144 21.0755 40.5087 22.4946 40.4998C24.6307 40.5054 26.7133 39.8321 28.4418 38.5772C30.1704 37.3223 31.4556 35.5506 32.1119 33.5179C33.5027 33.2332 34.8167 32.6547 35.9659 31.821C37.115 30.9874 38.0728 29.9178 38.7752 28.684C39.8458 26.8371 40.3023 24.6979 40.0789 22.5748C39.8556 20.4517 38.9639 18.4544 37.5324 16.8707ZM22.4978 37.8849C20.7443 37.8874 19.0459 37.2733 17.6994 36.1501C17.7601 36.117 17.8666 36.0586 17.936 36.0161L25.9004 31.4156C26.1003 31.3019 26.2663 31.137 26.3813 30.9378C26.4964 30.7386 26.5563 30.5124 26.5549 30.2825V19.0542L29.9213 20.998C29.9389 21.0068 29.9541 21.0198 29.9656 21.0359C29.977 21.052 29.9842 21.0707 29.9867 21.0902V30.3889C29.9842 32.375 29.1946 34.2791 27.7909 35.6841C26.3872 37.0892 24.4838 37.8806 22.4978 37.8849ZM6.39227 31.0064C5.51397 29.4888 5.19742 27.7107 5.49804 25.9832C5.55718 26.0187 5.66048 26.0818 5.73461 26.1244L13.699 30.7248C13.8975 30.8408 14.1233 30.902 14.3532 30.902C14.583 30.902 14.8088 30.8408 15.0073 30.7248L24.731 25.1103V28.9979C24.7321 29.0177 24.7283 29.0376 24.7199 29.0556C24.7115 29.0736 24.6988 29.0893 24.6829 29.1012L16.6317 33.7497C14.9096 34.7416 12.8643 35.0097 10.9447 34.4954C9.02506 33.9811 7.38785 32.7263 6.39227 31.0064ZM4.29707 13.6194C5.17156 12.0998 6.55279 10.9364 8.19885 10.3327C8.19885 10.4013 8.19491 10.5228 8.19491 10.6071V19.808C8.19351 20.0378 8.25334 20.2638 8.36823 20.4629C8.48312 20.6619 8.64893 20.8267 8.84863 20.9404L18.5723 26.5542L15.206 28.4979C15.1894 28.5089 15.1703 28.5155 15.1505 28.5173C15.1307 28.5191 15.1107 28.516 15.0924 28.5082L7.04046 23.8557C5.32135 22.8601 4.06716 21.2235 3.55289 19.3046C3.03862 17.3858 3.30624 15.3413 4.29707 13.6194ZM31.955 20.0556L22.2312 14.4411L25.5976 12.4981C25.6142 12.4872 25.6333 12.4805 25.6531 12.4787C25.6729 12.4769 25.6928 12.4801 25.7111 12.4879L33.7631 17.1364C34.9967 17.849 36.0017 18.8982 36.6606 20.1613C37.3194 21.4244 37.6047 22.849 37.4832 24.2684C37.3617 25.6878 36.8382 27.0432 35.9743 28.1759C35.1103 29.3086 33.9415 30.1717 32.6047 30.6641C32.6047 30.5947 32.6047 30.4733 32.6047 30.3889V21.188C32.6066 20.9586 32.5474 20.7328 32.4332 20.5338C32.319 20.3348 32.154 20.1698 31.955 20.0556ZM35.3055 15.0128C35.2464 14.9765 35.1431 14.9142 35.069 14.8717L27.1045 10.2712C26.906 10.1554 26.6803 10.0943 26.4504 10.0943C26.2206 10.0943 25.9948 10.1554 25.7963 10.2712L16.0726 15.8858V11.9982C16.0715 11.9783 16.0753 11.9585 16.0837 11.9405C16.0921 11.9225 16.1048 11.9068 16.1207 11.8949L24.1719 7.25025C25.4053 6.53903 26.8158 6.19376 28.2383 6.25482C29.6608 6.31589 31.0364 6.78077 32.2044 7.59508C33.3723 8.40939 34.2842 9.53945 34.8334 10.8531C35.3826 12.1667 35.5464 13.6095 35.3055 15.0128ZM14.2424 21.9419L10.8752 19.9981C10.8576 19.9893 10.8423 19.9763 10.8309 19.9602C10.8195 19.9441 10.8122 19.9254 10.8098 19.9058V10.6071C10.8107 9.18295 11.2173 7.78848 11.9819 6.58696C12.7466 5.38544 13.8377 4.42659 15.1275 3.82264C16.4173 3.21869 17.8524 2.99464 19.2649 3.1767C20.6775 3.35876 22.0089 3.93941 23.1034 4.85067C23.0427 4.88379 22.937 4.94215 22.8668 4.98473L14.9024 9.58517C14.7025 9.69878 14.5366 9.86356 14.4215 10.0626C14.3065 10.2616 14.2466 10.4877 14.2479 10.7175L14.2424 21.9419ZM16.071 17.9991L20.4018 15.4978L24.7325 17.9975V22.9985L20.4018 25.4983L16.071 22.9985V17.9991Z\" fill=\"currentColor\"><\/path><\/svg><\/div><\/div><\/div><\/div><\/li>\n\n\n\n<li><strong>Pupils mainly buy products from friends (61%), a dealer (38%) or someone else (43%). <\/strong>Notably, around a third of 14\u201315-year-olds obtain products from a kiosk, petrol station, or ordinary consumer shop. This is despite Estonia\u2019s Tobacco Act, which makes it illegal to sell tobacco and nicotine products to minors under 18 years old.<div class=\"flex-shrink-0 flex flex-col relative items-end\"><div class=\"pt-0\"><div class=\"gizmo-bot-avatar flex h-8 w-8 items-center justify-center overflow-hidden rounded-full\"><div class=\"relative p-1 rounded-sm flex items-center justify-center bg-token-main-surface-primary text-token-text-primary h-8 w-8\"><svg width=\"41\" height=\"41\" viewbox=\"0 0 41 41\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"icon-md\" role=\"img\"><text x=\"-9999\" y=\"-9999\"><\/text><path d=\"M37.5324 16.8707C37.9808 15.5241 38.1363 14.0974 37.9886 12.6859C37.8409 11.2744 37.3934 9.91076 36.676 8.68622C35.6126 6.83404 33.9882 5.3676 32.0373 4.4985C30.0864 3.62941 27.9098 3.40259 25.8215 3.85078C24.8796 2.7893 23.7219 1.94125 22.4257 1.36341C21.1295 0.785575 19.7249 0.491269 18.3058 0.500197C16.1708 0.495044 14.0893 1.16803 12.3614 2.42214C10.6335 3.67624 9.34853 5.44666 8.6917 7.47815C7.30085 7.76286 5.98686 8.3414 4.8377 9.17505C3.68854 10.0087 2.73073 11.0782 2.02839 12.312C0.956464 14.1591 0.498905 16.2988 0.721698 18.4228C0.944492 20.5467 1.83612 22.5449 3.268 24.1293C2.81966 25.4759 2.66413 26.9026 2.81182 28.3141C2.95951 29.7256 3.40701 31.0892 4.12437 32.3138C5.18791 34.1659 6.8123 35.6322 8.76321 36.5013C10.7141 37.3704 12.8907 37.5973 14.9789 37.1492C15.9208 38.2107 17.0786 39.0587 18.3747 39.6366C19.6709 40.2144 21.0755 40.5087 22.4946 40.4998C24.6307 40.5054 26.7133 39.8321 28.4418 38.5772C30.1704 37.3223 31.4556 35.5506 32.1119 33.5179C33.5027 33.2332 34.8167 32.6547 35.9659 31.821C37.115 30.9874 38.0728 29.9178 38.7752 28.684C39.8458 26.8371 40.3023 24.6979 40.0789 22.5748C39.8556 20.4517 38.9639 18.4544 37.5324 16.8707ZM22.4978 37.8849C20.7443 37.8874 19.0459 37.2733 17.6994 36.1501C17.7601 36.117 17.8666 36.0586 17.936 36.0161L25.9004 31.4156C26.1003 31.3019 26.2663 31.137 26.3813 30.9378C26.4964 30.7386 26.5563 30.5124 26.5549 30.2825V19.0542L29.9213 20.998C29.9389 21.0068 29.9541 21.0198 29.9656 21.0359C29.977 21.052 29.9842 21.0707 29.9867 21.0902V30.3889C29.9842 32.375 29.1946 34.2791 27.7909 35.6841C26.3872 37.0892 24.4838 37.8806 22.4978 37.8849ZM6.39227 31.0064C5.51397 29.4888 5.19742 27.7107 5.49804 25.9832C5.55718 26.0187 5.66048 26.0818 5.73461 26.1244L13.699 30.7248C13.8975 30.8408 14.1233 30.902 14.3532 30.902C14.583 30.902 14.8088 30.8408 15.0073 30.7248L24.731 25.1103V28.9979C24.7321 29.0177 24.7283 29.0376 24.7199 29.0556C24.7115 29.0736 24.6988 29.0893 24.6829 29.1012L16.6317 33.7497C14.9096 34.7416 12.8643 35.0097 10.9447 34.4954C9.02506 33.9811 7.38785 32.7263 6.39227 31.0064ZM4.29707 13.6194C5.17156 12.0998 6.55279 10.9364 8.19885 10.3327C8.19885 10.4013 8.19491 10.5228 8.19491 10.6071V19.808C8.19351 20.0378 8.25334 20.2638 8.36823 20.4629C8.48312 20.6619 8.64893 20.8267 8.84863 20.9404L18.5723 26.5542L15.206 28.4979C15.1894 28.5089 15.1703 28.5155 15.1505 28.5173C15.1307 28.5191 15.1107 28.516 15.0924 28.5082L7.04046 23.8557C5.32135 22.8601 4.06716 21.2235 3.55289 19.3046C3.03862 17.3858 3.30624 15.3413 4.29707 13.6194ZM31.955 20.0556L22.2312 14.4411L25.5976 12.4981C25.6142 12.4872 25.6333 12.4805 25.6531 12.4787C25.6729 12.4769 25.6928 12.4801 25.7111 12.4879L33.7631 17.1364C34.9967 17.849 36.0017 18.8982 36.6606 20.1613C37.3194 21.4244 37.6047 22.849 37.4832 24.2684C37.3617 25.6878 36.8382 27.0432 35.9743 28.1759C35.1103 29.3086 33.9415 30.1717 32.6047 30.6641C32.6047 30.5947 32.6047 30.4733 32.6047 30.3889V21.188C32.6066 20.9586 32.5474 20.7328 32.4332 20.5338C32.319 20.3348 32.154 20.1698 31.955 20.0556ZM35.3055 15.0128C35.2464 14.9765 35.1431 14.9142 35.069 14.8717L27.1045 10.2712C26.906 10.1554 26.6803 10.0943 26.4504 10.0943C26.2206 10.0943 25.9948 10.1554 25.7963 10.2712L16.0726 15.8858V11.9982C16.0715 11.9783 16.0753 11.9585 16.0837 11.9405C16.0921 11.9225 16.1048 11.9068 16.1207 11.8949L24.1719 7.25025C25.4053 6.53903 26.8158 6.19376 28.2383 6.25482C29.6608 6.31589 31.0364 6.78077 32.2044 7.59508C33.3723 8.40939 34.2842 9.53945 34.8334 10.8531C35.3826 12.1667 35.5464 13.6095 35.3055 15.0128ZM14.2424 21.9419L10.8752 19.9981C10.8576 19.9893 10.8423 19.9763 10.8309 19.9602C10.8195 19.9441 10.8122 19.9254 10.8098 19.9058V10.6071C10.8107 9.18295 11.2173 7.78848 11.9819 6.58696C12.7466 5.38544 13.8377 4.42659 15.1275 3.82264C16.4173 3.21869 17.8524 2.99464 19.2649 3.1767C20.6775 3.35876 22.0089 3.93941 23.1034 4.85067C23.0427 4.88379 22.937 4.94215 22.8668 4.98473L14.9024 9.58517C14.7025 9.69878 14.5366 9.86356 14.4215 10.0626C14.3065 10.2616 14.2466 10.4877 14.2479 10.7175L14.2424 21.9419ZM16.071 17.9991L20.4018 15.4978L24.7325 17.9975V22.9985L20.4018 25.4983L16.071 22.9985V17.9991Z\" fill=\"currentColor\"><\/path><\/svg><\/div><\/div><\/div><\/div><\/li>\n\n\n\n<li><strong>Respondents aged 16\u201364 most commonly tried cigarettes as their first tobacco and nicotine product. <\/strong>About half of the population who first started smoking cigarettes had tried hookah as the next product, followed by about a third who had tried e-cigarettes. Similarly to the general population, students started using cigarettes as the first tobacco and nicotine product. The second most commonly tried products among students were e-cigarettes and nicotine pads.<\/li>\n\n\n\n<li><strong>Among tobacco and nicotine product users, around 40% of the population and 68% of students have used more than one product at a time. <\/strong>Among the 16\u201364-year-old polydrug users, 34% prefer cigarettes, 29% e-cigarettes and 15% nicotine cartridges.&nbsp;<\/li>\n\n\n\n<li><strong>Significant proportion of the population and students prefer to use tobacco and nicotine products alone or with friends. <\/strong>Among young people who use tobacco and nicotine products, 44% rate their use experience as pleasurable and 35% as relaxing. Surveyed population are most likely to use the products because of habit (60%) and already developed dependence (44%).<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading wp-el\"><strong>Recommendations<\/strong><\/h4>\n\n\n\n<p class=\"wp-el\"><strong>Effective intervention and prevention measures include several strategies. These strategies are: strengthening alcohol and tobacco policies, improving the school environment for young people, developing parental skills among parents, and enhancing life skills among young people. <\/strong>Additionally, media campaigns, workplace-based preventions, and short interventions are also important. Short interventions include using online applications or websites to promote quitting nicotine and tobacco products.<\/p>\n\n\n\n<p class=\"wp-el\"><strong>Following the example of other countries, a holistic approach should be taken to regulate tobacco and nicotine products.<\/strong> It is important to harmonize regulations between different products. This helps reduce the risk of cross-use or switching to alternative products. Furthermore, it is essential to introduce restrictions that can adapt to new product developments and availability. The impact of various intervention and prevention measures may vary. The results, therefore, depend on each measure&#8217;s objective and target group. Implementation of possible intervention and prevention measures needs more research to ensure their applicability in Estonia.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>To better understand the use of alternative nicotine products, which are becoming increasingly popular among youth, this study provided an overview of what these products are, how much and why they are used in Estonia, where they are obtained, and what attitudes and beliefs are associated with their use.<\/p>\n","protected":false},"featured_media":3530,"template":"","publication-category":[116],"publication-financier":[204],"publication-tag":[],"class_list":["post-5077","publications","type-publications","status-publish","has-post-thumbnail","hentry","publication-category-youth-education-and-labour-market"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tobacco and Nicotine Products Use Study | IBS<\/title>\n<meta name=\"description\" content=\"This study overviewed the tobacco and nicotine products, their use in Estonia, sources, and associated attitudes and beliefs.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ibs.ee\/en\/publications\/tobacco-and-nicotine-product-use-survey\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tobacco and Nicotine Products Use Study | IBS\" \/>\n<meta property=\"og:description\" content=\"This study overviewed the tobacco and nicotine products, their use in Estonia, sources, and associated attitudes and beliefs.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ibs.ee\/en\/publications\/tobacco-and-nicotine-product-use-survey\/\" \/>\n<meta property=\"og:site_name\" content=\"IBS\" \/>\n<meta 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