{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:30:21Z","timestamp":1784680221345,"version":"3.55.0"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,8,11]],"date-time":"2025-08-11T00:00:00Z","timestamp":1754870400000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"European Union\u2019s Horizon 2020 Research and Innovation program","award":["101008139"],"award-info":[{"award-number":["101008139"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Emerging tobacco and nicotine products, such as e-cigarettes and heated tobacco products (HTPs), are gaining popularity, particularly among young people. This study examines the perceptions of e-cigarettes and HTPs among nicotine-naive individuals and their variations across sociodemographic subgroups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a cross-sectional analysis of the Special Eurobarometer 99.3 (May\u2013June 2023) among never users of tobacco or nicotine products in the European Union (EU) (n\u00a0=\u200913\u2009436). We estimated the weighted prevalence of perceptions of e-cigarettes and HTPs: appeal, perceived effectiveness for smoking cessation, support for them being regulated like cigarettes, and support for keeping them out of sight in points of sale. Multi-level Poisson regression models examined associations of sociodemographic factors with these perceptions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among never users in the EU, 2.6% found e-cigarettes appealing, while 2.0% found HTPs appealing. Fifty-point eight percent and 58.8% of participants supported strict regulations and point-of-sale restrictions for these products, respectively. Younger age groups were more likely to find e-cigarettes (prevalence ratio [PR]\u2009=\u20091.70, for ages 15\u201339 vs. \u226555) and HTPs (PR\u2009=\u20091.88, PR\u2009=\u20091.54 for ages 15\u201324 and 25\u201339) appealing and view them as effective for smoking cessation. Support for regulations similar to cigarettes was higher among women, individuals with higher education, those living with children, and those without financial difficulties.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>While the appeal of these products to never users remained low overall, the study found that young people were more likely to find them appealing, posing a risk for experimentation. Meanwhile, over 50% of respondents supported stricter regulations, which could influence policy changes in this area.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications<\/jats:title>\n                    <jats:p>Although appeal of e-cigarettes and Heated Tobacco Products (HTPs) was relatively low among people who have never used e-cigarettes, HTPs, or smoking tobacco in the EU, appeal was higher among younger age groups, which are often targeted by the industry. We also found substantial support for stricter regulatory policies for e-cigarettes and HTPs across the EU. These findings might encourage governments to increase restrictions around these emerging nicotine and tobacco products.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ntr\/ntaf168","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T11:49:10Z","timestamp":1754567350000},"page":"2223-2230","source":"Crossref","is-referenced-by-count":3,"title":["Perceptions of e-Cigarettes and Heated Tobacco Products Among Never Users of Nicotine in the European Union"],"prefix":"10.1093","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-7881-0781","authenticated-orcid":false,"given":"Charlotte Xin","family":"Li","sequence":"first","affiliation":[{"name":"Department of Primary Care and Public Health, School of Public Health, Imperial College London , London ,","place":["UK"]},{"name":"European Network for Smoking and Tobacco Prevention, Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pin-Chun","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health, School of Public Health, Imperial College London , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ariadna","family":"Feliu","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health, School of Public Health, Imperial College London , London ,","place":["UK"]},{"name":"CIBER en Enfermedades Respiratorias (CIBERES) , Madrid ,","place":["Spain"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1318-8439","authenticated-orcid":false,"given":"Anthony A","family":"Laverty","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health, School of Public Health, Imperial College London , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0108-3288","authenticated-orcid":false,"given":"Cristina","family":"Martinez","sequence":"additional","affiliation":[{"name":"CIBER en Enfermedades Respiratorias (CIBERES) , Madrid ,","place":["Spain"]},{"name":"Tobacco Control Unit, Cancer Control and Prevention Program, Institut Catal\u00e0 d\u2019Oncologia, L\u2019Hospitalet de Llobregat , Barcelona ,","place":["Spain"]},{"name":"Cancer Control and Prevention Group, Institut d\u2019Investigaci\u00f3 Biom\u00e8dica de Bellvitge-IDIBELL, L\u2019Hospitalet de Llobregat , Barcelona ,","place":["Spain"]},{"name":"Department of Public Health, Maternal Health and Mental Health, School of Nursing, Universitat de Barcelona, L'Hospitalet del Llobregat , Barcelona ,","place":["Spain"]},{"name":"Philip R. Lee Institute for Health Policy Studies, University of California San Francisco , San Francisco, CA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2101-2559","authenticated-orcid":false,"given":"Filippos T","family":"Filippidis","sequence":"additional","affiliation":[{"name":"Department of Primary Care and Public Health, School of Public Health, Imperial College London , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,8,1]]},"reference":[{"key":"2025112403470834800_ref1","volume-title":"Tobacco Overview","author":"European Commission","year":"2025"},{"key":"2025112403470834800_ref2","article-title":"Attitudes of Europeans towards tobacco and related products","author":"European Commission"},{"key":"2025112403470834800_ref3","volume-title":"Nicotine vaping in england: An evidence update including health risks and perceptions, 2022 a report commissioned by the office for health improvement and disparities","author":"McNeill","year":"2022"},{"issue":"1","key":"2025112403470834800_ref4","doi-asserted-by":"publisher","first-page":"151","DOI":"10.1186\/s12931-021-01737-5","article-title":"An updated overview of e-cigarette impact on human health","volume":"22","author":"Marques","year":"2021","journal-title":"Respir Res"},{"issue":"2","key":"2025112403470834800_ref5","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1513\/AnnalsATS.201311-391FR","article-title":"Electronic cigarettes. 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