{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T09:43:27Z","timestamp":1765273407331,"version":"3.46.0"},"reference-count":57,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T00:00:00Z","timestamp":1759190400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"the Research Network on Chronicity, Primary Care and Health Promotion","award":["RD21\/0016\/0026"],"award-info":[{"award-number":["RD21\/0016\/0026"]}]},{"DOI":"10.13039\/501100004587","name":"Carlos III Health Institute","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"crossref"}]},{"name":"European Recovery Instrument"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Introduction: Electronic nicotine delivery systems present emerging challenges for public health. This study describes the use of electronic cigarettes (ECs) and dual consumption patterns in the Spanish population. Material and Methods: A descriptive cross-sectional study was conducted using data from the 2022 Survey on Alcohol and Other Drugs in the General Population in Spain (EDADES), targeting individuals aged 15\u201364. Variables included sociodemographic characteristics, dual consumption (defined as use of both EC and conventional tobacco, daily and\/or within the last 30 days), perceived health status, and self-perceived risk of ECs or tobacco consumption. Analysis included descriptive statistics and multinomial logistic regression. Results: The study included 26,337 participants, (51% men). The prevalence of dual users in the population was 1.55% (95%CI: 1.40\u20131.70). Each additional year of age was associated with increased odds of exclusive tobacco use (aOR: 1.04; IC95%: 1.02\u20131.05). Compared to dual users, individuals with monthly incomes of 1000\u20131499 and 1500\u20132499 had higher odds of exclusive tobacco use (aOR 1.56; 95%CI: 1.03\u20132.34 and 1.90; 95%CI: 1.28\u20132.82, respectively). Dual use was associated with a \u2018fair\u2019 perceived health compared to exclusive EC users (aOR: 0.28; 95%CI: 0.13\u20130.60) and exclusive tobacco users (aOR: 0.62; 95%CI: 0.47\u20130.83), and with \u2018poor\/very poor\u2019 health compared to exclusive tobacco users (OR: 0.43; 95%CI: 0.24\u20130.79). Among former EC users, 71% reported exclusive conventional tobacco use in the past 30 days. Conclusion: The prevalence of dual use in Spain was 1.55%. Dual users were younger than conventional tobacco smokers and, had lower income levels and poorer self-perceived health status compared to exclusive EC users.<\/jats:p>","DOI":"10.3390\/ijerph22101507","type":"journal-article","created":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T15:38:55Z","timestamp":1759246735000},"page":"1507","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Analysis of the Dual Use of Electronic Cigarettes and Conventional Tobacco According to the Survey on Alcohol and Other Drugs in the General Population in Spain (EDADES 2022)"],"prefix":"10.3390","volume":"22","author":[{"given":"Javier","family":"Rubio-Serrano","sequence":"first","affiliation":[{"name":"Foundation for Primary Care Biomedical Research and Innovation, Research Network on Chronicity, Primary Care and Health Promotion, 28003 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1635-1003","authenticated-orcid":false,"given":"Ileana","family":"Gefaell-Larrondo","sequence":"additional","affiliation":[{"name":"Federica Montseny Health Care Centre, Research Unit, Primary Care Managment, 28035 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Encarnaci\u00f3n","family":"Serrano-Serrano","sequence":"additional","affiliation":[{"name":"Los Fresnos Healthcare Center, 28850 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo","family":"Olano-Espinosa","sequence":"additional","affiliation":[{"name":"Concejal\u00eda de Salud P\u00fablica, Consumo y Bienestar Animal, Ayundatemiento de Alcorc\u00f3n, 28921 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9sar","family":"Minu\u00e9-Lorenzo","sequence":"additional","affiliation":[{"name":"Perales del R\u00edo Health Care Centre, 28909 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,9,30]]},"reference":[{"key":"ref_1","unstructured":"Drope, J., Hamill, S., Chaloupka, F., Guerrero, C., Lee, H.M., Mirza, M., Mouton, A., Murukutla, N., Ngo, A., and Perl, R. 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