{"id":13553,"date":"2025-07-15T14:42:49","date_gmt":"2025-07-15T13:42:49","guid":{"rendered":"https:\/\/icoprevencio.cat\/uct\/pattern-of-use-acceptability-and-risk-perception-of-electronic-cigarettes\/"},"modified":"2025-07-15T14:42:50","modified_gmt":"2025-07-15T13:42:50","slug":"pattern-of-use-acceptability-and-risk-perception-of-electronic-cigarettes","status":"publish","type":"page","link":"https:\/\/icoprevencio.cat\/uct\/en\/pattern-of-use-acceptability-and-risk-perception-of-electronic-cigarettes\/","title":{"rendered":"Pattern of use, acceptability and risk perception of electronic cigarettes"},"content":{"rendered":"\n<div class=\"wp-block-uagb-container uagb-block-709c37ea alignfull uagb-is-root-container\"><div class=\"uagb-container-inner-blocks-wrap\">\n<div class=\"wp-block-uagb-info-box uagb-block-353171f0 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top wp-block-uagb-info-box--has-margin\"><div class=\"uagb-infobox-margin-wrapper\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-title-wrap\"><h2 class=\"uagb-ifb-title\"><strong>Previous projects<\/strong><\/h2><\/div><\/div><\/div><\/div>\n<\/div><\/div>\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<div class=\"wp-block-uagb-info-box uagb-block-9271b190 uagb-infobox__content-wrap  uagb-infobox-icon-above-title uagb-infobox-image-valign-top wp-block-uagb-info-box--has-margin\"><div class=\"uagb-infobox-margin-wrapper\"><div class=\"uagb-ifb-content\"><div class=\"uagb-ifb-title-wrap\"><h3 class=\"uagb-ifb-title\"><strong>Pattern of use, acceptability and risk perception of electronic cigarettes: prospective study of cohorts with biomarkers<\/strong><\/h3><\/div><p class=\"uagb-ifb-desc\">Currently, interest in electronic cigarettes has increased on the part of the smoking population and some researchers. The electronic cigarette is an electronic device shaped like a cigarette (there are also devices shaped like a cigar or a pipe) that vaporizes a mixture of nicotine, propylene glycol and other chemical compounds. Its use simulates the use of conventional cigarettes, by inhaling the vapor produced. The device consists of a rechargeable battery, an atomizer and a tank or cartridge that contains the liquid to be vaporized. During the first years, electronic cigarettes and their related products could only be purchased via the Internet; however, as has happened in other countries, the specialized stores where e-cigarettes can be purchased proliferated in Spanish cities during 2013, although it seems that their number has decreased during the last year.<br\/> Since the irruption of the electronic cigarette in the market, a polarization has been created, both among researchers and in the population, about its risks and benefits. Some researchers and citizens, groups of users and activists, defend electronic cigarettes as a useful tool to stop smoking or reduce tobacco consumption; they are even suggested as a harm reduction tool for smokers. However, health authorities, other researchers and tobacco control activists consider the electronic cigarette as a way to normalize tobacco consumption in workplaces and public places, in addition to creating new nicotine addicts, especially among the younger population, and promoting dual use with other tobacco products.      <\/p><\/div><\/div><\/div>\n<div class=\"wp-block-uagb-faq uagb-faq__outer-wrap uagb-block-07d58159 uagb-faq-icon-row-reverse uagb-faq-layout-accordion uagb-faq-expand-first-false uagb-faq-inactive-other-true uagb-faq__wrap uagb-buttons-layout-wrap uagb-faq-equal-height     \" data-faqtoggle=\"true\" role=\"tablist\"><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-24e60ec9 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>Objectives<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>&#8211; Identify by means of a questionnaire the pattern of use of electronic cigarettes in the city of Barcelona.<br>&#8211; Describe the perception of risk and the reasons for using the electronic cigarette among its users.<br>&#8211; Analyze the influence of the use of electronic cigarettes on the consumption of conventional tobacco according to the characteristics of the users and their consumption pattern.<br>&#8211; Characterize the levels of propylene glycol, and its main metabolite propylene glycol-glucuronic acid, in urine and saliva in electronic cigarette users.<br>&#8211; To compare the levels of nicotine, cotinine and carcinogens in the urine and saliva of electronic cigarette users with those of a sample of conventional cigarette smokers.<br><\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-9be3fce9 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>Methodology<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p><em>Design:<\/em> cohort study with biomarkers. <em>Subjects:<\/em> electronic cigarette users over 18 years of age in the city of Barcelona (n=600), followed 6 and 12 months after recruitment. <em>Dependent variables:<\/em> electronic cigarette use, pattern of use (with and without nicotine, puffs, liquids used, etc.), beliefs and perceptions about these devices. <em>Independent variables:<\/em> socio-demographic variables, general health status, conventional tobacco consumption (current and prior to electronic cigarette use), obtained through a questionnaire. <em>Sources of information:<\/em> questionnaire, biological samples (saliva and urine), recharge liquid sample.<\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-076be222 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>Duration<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>Three years (2016-2018).<\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-f17a63bd \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>Financing<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>Ayuda PI15\/00291 (\u20ac62,920.00, in three years) from the Health Research Fund of the Carlos III Institute of Health (Fondo Europeo de Desarrollo Regional, FEDER).<br><\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-43ba4076 \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>Research team<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p><a href=\"https:\/\/icoprevencio.cat\/uct\/?member=jose-maria-martinez\">Jose M. Mart\u00ednez-S\u00e1nchez<\/a> (Principal Inv., ICO-IDIBELL)<br> <a href=\"https:\/\/icoprevencio.cat\/uct\/?member=esteve-fernandez\">Esteve Fern\u00e1ndez<\/a> (ICO-IDIBELL)<br> <a href=\"https:\/\/icoprevencio.cat\/uct\/?member=marcela-fu\">Marcela Fu<\/a> (ICO-IDIBELL)<br> <a href=\"https:\/\/icoprevencio.cat\/uct\/?member=montse-ballbe\">Montse Ballb\u00e8<\/a> (ICO-IDIBELL)<br> <a href=\"https:\/\/icoprevencio.cat\/uct\/en\/?p=3243\">Esteve Salt\u00f3<\/a> (DS, ICO-IDIBELL)<br> Juan Carlos Mart\u00edn-S\u00e1nchez (UIC)<br> Jos\u00e9 A. Pascual (IMIM)<br> Ra\u00fal P\u00e9rez-Ortu\u00f1o (IMIM)<br><\/p><\/div><\/div><div class=\"wp-block-uagb-faq-child uagb-faq-child__outer-wrap uagb-faq-item uagb-block-faa63e9c \" role=\"tab\" tabindex=\"0\"><div class=\"uagb-faq-questions-button uagb-faq-questions\">\t\t\t<span class=\"uagb-icon uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t\t<svg xmlns=\"https:\/\/www.w3.org\/2000\/svg\" viewBox= \"0 0 448 512\"><path d=\"M432 256c0 17.69-14.33 32.01-32 32.01H256v144c0 17.69-14.33 31.99-32 31.99s-32-14.3-32-31.99v-144H48c-17.67 0-32-14.32-32-32.01s14.33-31.99 32-31.99H192v-144c0-17.69 14.33-32.01 32-32.01s32 14.32 32 32.01v144h144C417.7 224 432 238.3 432 256z\"><\/path><\/svg>\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<span class=\"uagb-icon-active uagb-faq-icon-wrap\">\n\t\t\t\t\t\t\t<\/span>\n\t\t\t<span class=\"uagb-question\"><strong>Scientific publications<\/strong><\/span><\/div><div class=\"uagb-faq-content\"><p>1: Bunch K, Fu M, Ballb\u00e8 M, Matilla-Santader N, Lid\u00f3n-Moyano C, Martin-Sanchez JC, Fernandez E, Mart\u00ednez-S\u00e1nchez JM. Motivation and main flavor of use, use with nicotine and dual use of electronic cigarettes in Barcelona, Spain: a cross-sectional study. BMJ Open. 2018 Mar 22;8(3):e018329. doi: <a href=\"https:\/\/doi.org\/10.1136\/bmjopen-2017-018329\" target=\"_blank\" rel=\"noreferrer noopener\">10.1136\/bmjopen-2017-018329<\/a> . PMID: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29567840\/\" target=\"_blank\" rel=\"noreferrer noopener\">29567840<\/a> ; PMCID: <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/pmc5875655\/\" target=\"_blank\" rel=\"noreferrer noopener\">PMC5875655<\/a> .<br> 2: Matilla-Santander N, Fu M, Ballb\u00e8 M, Lid\u00f3n-Moyano C, Mart\u00edn-S\u00e1nchez JC, Fern\u00e1ndez E, Mart\u00ednez-S\u00e1nchez JM. Using consumer panels in public health observational studies [Using consumer panels in public health observational studies]. Gac Sanit 2017 Sep-Oct;31(5):436-438. Spanish. doi: <a href=\"https:\/\/doi.org\/10.1016\/j.gaceta.2017.03.011\" target=\"_blank\" rel=\"noreferrer noopener\">10.1016\/j.gaceta.2017.03.011<\/a> . Epub 2017 Jun 7. PMID: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28595990\/\" target=\"_blank\" rel=\"noreferrer noopener\">28595990<\/a> .<br> 3: Lid\u00f3n-Moyano C, Mart\u00ednez-S\u00e1nchez JM, Fu M, Ballb\u00e8 M, Mart\u00edn-S\u00e1nchez JC, Fern\u00e1ndez E. Prevalencia y perfil de uso del cigarrillo electr\u00f3nico en Espa\u00f1a (2014) [Prevalence and user profile of electronic cigarettes in Spain (2014)]. Gac Sanit 2016 Nov-Dec;30(6):432-437. Spanish. doi: <a href=\"https:\/\/doi.org\/10.1016\/j.gaceta.2016.03.010\" target=\"_blank\" rel=\"noreferrer noopener\">10.1016\/j.gaceta.2016.03.010<\/a> . Epub 2016 May 16. PMID: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27198921\/\" target=\"_blank\" rel=\"noreferrer noopener\">27198921<\/a> .<br> 4: Matilla-Santander N, Fu M, Ballb\u00e8 M, Bunch K, Lid\u00f3n-Moyano C, Mart\u00edn-S\u00e1nchez JC, Fern\u00e1ndez E, Mart\u00ednez-S\u00e1nchez JM. Use of electronic cigarettes in public and private settings in Barcelona (Spain). Environ Res. 2017 Oct;158:685-690. doi: <a href=\"https:\/\/doi.org\/10.1016\/j.envres.2017.07.019\" target=\"_blank\" rel=\"noreferrer noopener\">10.1016\/j.envres.2017.07.019<\/a> . Epub 2017 Jul 19. PMID: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/28734255\/\" target=\"_blank\" rel=\"noreferrer noopener\">28734255<\/a> .<br> 5: Mart\u00ednez-S\u00e1nchez JM, Ballb\u00e8 M, P\u00e9rez-Ortu\u00f1o R, Fu M, Sureda X, Pascual JA, Peruga A, Fern\u00e1ndez E. Secondhand exposure to aerosol from electronic cigarettes: pilot study of assessment of tobacco-specific nitrosamine (NNAL) in urine. Gac Sanit 2019 Nov-Dec;33(6):575-578. doi: <a href=\"https:\/\/doi.org\/10.1016\/j.gaceta.2018.07.016\" target=\"_blank\" rel=\"noreferrer noopener\">10.1016\/j.gaceta.2018.07.016<\/a> . Epub 2018 Oct 28. PMID: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30377020\/\" target=\"_blank\" rel=\"noreferrer noopener\">30377020<\/a> .<br> 6: Bru S, Gonz\u00e1lez-Marr\u00f3n A, Lid\u00f3n-Moyano C, Carballar R, Mart\u00ednez-L\u00e1inez JM, P\u00e9rez-Mart\u00edn H, Fu M, P\u00e9rez-Ortu\u00f1o R, Ballb\u00e8 M, Pascual JA, Fern\u00e1ndez E, Clotet J, Mart\u00ednez-S\u00e1nchez JM. Determination of soluble angiotensin-converting enzyme 2 in saliva samples and its association with nicotine. Environ Res. 2022 Oct 3;216(Pt 1):114443. doi: <a href=\"https:\/\/doi.org\/10.1016\/j.envres.2022.114443\" target=\"_blank\" rel=\"noreferrer noopener\">10.1016\/j.envres.2022.114443<\/a> . Epub ahead of print. PMID: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36195157\/\" target=\"_blank\" rel=\"noreferrer noopener\">36195157<\/a> ; PMCID: <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/pmc9527194\/\" target=\"_blank\" rel=\"noreferrer noopener\">PMC9527194<\/a> .                                 <\/p><\/div><\/div><\/div>\n<div style=\"height:131px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":28,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_vp_format_video_url":"","_vp_image_focal_point":[],"footnotes":""},"class_list":["post-13553","page","type-page","status-publish","hentry"],"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"1536x1536":false,"2048x2048":false,"vp_sm":false,"vp_md":false,"vp_lg":false,"vp_xl":false,"vp_sm_popup":false,"vp_md_popup":false,"vp_xl_popup":false},"uagb_author_info":{"display_name":"clara","author_link":"https:\/\/icoprevencio.cat\/uct\/en\/author\/clara\/"},"uagb_comment_info":0,"uagb_excerpt":null,"_links":{"self":[{"href":"https:\/\/icoprevencio.cat\/uct\/en\/wp-json\/wp\/v2\/pages\/13553","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/icoprevencio.cat\/uct\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/icoprevencio.cat\/uct\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/icoprevencio.cat\/uct\/en\/wp-json\/wp\/v2\/users\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/icoprevencio.cat\/uct\/en\/wp-json\/wp\/v2\/comments?post=13553"}],"version-history":[{"count":1,"href":"https:\/\/icoprevencio.cat\/uct\/en\/wp-json\/wp\/v2\/pages\/13553\/revisions"}],"predecessor-version":[{"id":13554,"href":"https:\/\/icoprevencio.cat\/uct\/en\/wp-json\/wp\/v2\/pages\/13553\/revisions\/13554"}],"wp:attachment":[{"href":"https:\/\/icoprevencio.cat\/uct\/en\/wp-json\/wp\/v2\/media?parent=13553"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}