Journal article

Have e-cigarettes renormalised or displaced youth smoking? Results of a segmented regression analysis of repeated cross sectional survey data in England, Scotland and Wales

Britt Hallingberg, Olivia M Maynard, Linda Bauld, Rachel Brown, Linsay Gray, Emily Lowthian, Anne-Marie MacKintosh, Laurence Moore, Marcus R Munafo, Graham Moore

Tobacco Control | BMJ PUBLISHING GROUP | Published : 2020


OBJECTIVES: To examine whether during a period of limited e-cigarette regulation and rapid growth in their use, smoking began to become renormalised among young people. DESIGN: Interrupted time-series analysis of repeated cross-sectional time-series data. SETTING: Great Britain PARTICIPANTS: 248 324 young people aged approximately 13 and 15 years, from three national surveys during the years 1998-2015. INTERVENTION: Unregulated growth of e-cigarette use (following the year 2010, until 2015). OUTCOME MEASURES: Primary outcomes were prevalence of self-reported ever smoking and regular smoking. Secondary outcomes were attitudes towards smoking. Tertiary outcomes were ever use of cannabis and al..

View full abstract


Awarded by National Institute for Health Research (NIHR) in England under its Public Health Research Board

Awarded by British Heart Foundation

Awarded by Cancer Research UK

Awarded by Economic and Social Research Council

Awarded by Medical Research Council

Awarded by Welsh Government

Awarded by Wellcome Trust, under UK Clinical Research Collaboration

Awarded by Chief Scientist of the Scottish Government Health Care Directorates

Funding Acknowledgements

This work presents independent research funded by the National Institute for Health Research (NIHR) in England under its Public Health Research Board (grant number 16/57/01). The views expressed in this article are those of the authors and do not necessarily reflect those of the National Health Service (NHS), the NIHR or the Department of Health for England. The work was also undertaken with the support of The Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), a UKCRC Public Health Research Centre of Excellence. Joint funding (MR/KO232331/1) from the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the Welsh Government and the Wellcome Trust, under the auspices of the UK Clinical Research Collaboration, is gratefully acknowledged. LM and LG acknowledge support from the Medical Research Council and the Chief Scientist Office (MC_UU_12017/13 and MC_UU_12017/14) of the Scottish Government Health Care Directorates (SPHSU13 and SPHSU14). The School Health Research Network is a partnership between DECIPHer at Cardiff University, Welsh Government, Public Health Wales and Cancer Research UK, funded by Health and Care Research Wales via the National Centre for Health and Wellbeing Research.