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18.3 Prevalence of e-cigarette use
Foreword

Relevant news and research: Prevalence of e-cigarette use

Agaku, I. (2026). Tobacco Product Use among U.S. Adults, 2023-2024. NEJM Evid, 4, EVIDpha2500339. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41805408


Freeman, B., Egger, S., Watts, C., Madigan, C., Jenkinson, E., Brooks, A. and Dessaix, A. (2026). Turning the tide on teen vaping in NSW. Generation Vape. Available from: https://www.cancercouncil.com.au/cancer-prevention/smoking/generation-vape/


Kasza, K. A., Goniewicz, M. L., Driezen, P., Hammond, D. and Hyland, A. J. (2026). Vaping and smoking trajectories among youth and adults in the United States across the period 2014-2022. Front Public Health, 1775015. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41810306


The Hon Ryan Park MP (2026). New report shows fewer teens in NSW are taking up vaping. . Available from: https://www.nsw.gov.au/ministerial-releases/new-report-shows-fewer-teens-nsw-are-taking-up-vaping


Vu, G. T., Sun, T., Connor, J. P., Thai, P., Gartner, C., Hall, W., Leung, J. and Chan, G. (2026). Patterns and Correlates of Disposable E-Cigarette Use Among US Youth. Am J Prev Med, 108352. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41905610


Hasan, S. I. and Ruslan, S. N. A. (2026). Development and validation of the Malaysia adolescents e-cigarette survey (MY-ACES). Public Health, 106176. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41687286


Hwang, J. H., Park, I., Ahn, Y., Kang, S. H., Lee, J. and Park, S. W. (2026). Tobacco Product Use Behaviors Trend among Korean Youth: Finding from the Korean Youth Health Behavior Panel Survey (Waves 1 to 6). Jugan Geongang Gwa Jilbyeong, 6, 287-303. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41696500


Jacques, N., Pan, L., Arrazola, R. A., Kirksey Jones, C., Adetokun, A. and Ahluwalia, I. B. (2026). Changes in tobacco use patterns among students aged 13-15 years in 13 countries: Global Youth Tobacco Survey, 2013-2023. Tob Control. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41720592


Yang, W. J. (2026). Trends in Combustible Cigarette Smoking, Electronic Cigarette Use, and Related Behaviors Among Korean Adults: An 11-Year Analysis of Data from the Korea National Health and Nutrition Examination Survey (2013-2023). Tuberc Respir Dis (Seoul). Available from: https://www.ncbi.nlm.nih.gov/pubmed/41713845


(2025). The Royal Children's Hospital National Child Health Poll. Hooked early: Nicotine use among Australian teens. Available from: https://rchpoll.org.au/polls/hooked-early-nicotine-use-among-australian-teens/


Alshahrani, N. Z., Shukri, A. K., Alzain, M. A. and Adebisi, Y. A. (2025). E-cigarette use among adults with cardiometabolic conditions. Heart Lung, 102699. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41478219


Assadi, R. A., Ali Omar Alshimmari, N. and Sreedharan, J. (2025). Prevalence and patterns of traditional and e-cigarette use, and factors associated with e-cigarette use. Front Public Health, 1698254. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41487628


Bai, Y., Cao, P., Kim, C., Ienciu, K., Ehi, G. and Chum, A. (2026). Longitudinal trends in vaping, smoking, and harmful alcohol use across sexual orientations in the UK (2014-2021). PLoS One, 1, e0339847. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41544040


Banks, E., Bush, A., Pisinger, C. and Egger, S. (2026). Signs of increased smoking and vaping among young people in UK. BMJ, r2625. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41500672


Camacho, R. B., Nistar, R., Shenoy, R. D. and Acuna, J. M. (2026). Trends and Correlates of Cigarette, Electronic Cigarette, and Hookah Use Among Women of Childbearing Age in the U.S. Health and Human Services Regions: Insights from PRAMS Phase 8 (2016‒2022) Data. Matern Child Health J. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41484565


Erturk, D., Bavli, K., Kuscu, F., Duru Cetinkaya, P., Candevir, A., Komur, S., Acar, O., Inal, A. S. and Tasova, Y. (2026). Assessment of awareness and use of electronic cigarettes among people living with HIV. AIDS Care, 1-8. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41543079


Guan, T., Yu, Z., Bhosle, P., Li, C., Sun, K. and Rao, M. B. (2026). Why Our Youth Vape?-A Trend Analysis Based on Cross-Sectional Annual Surveys of Middle and High School Students in the U.S. Medicina (Kaunas), 1. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41597509


Indumathi, K. P., Sibyl, S., Krishnaprakash, G., Gunasekaran, M., George, A. M. and Gabriel, R. K. (2025). Knowledge and awareness of E-Cigarettes among 18-24 years young adult's in Chennai - A pilot E-Survey. J Educ Health Promot, 494. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41574016


Johnstone, S., Diemond, R., Hawk, L. W. and Smith, D. M. (2026). Changes in combustible cigarette and electronic nicotine delivery system use among people with and without schizophrenia spectrum disorders in the USA (2016-2023). Tob Control. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41545208


McDaniel, J. T., Redner, R., Roberts, D., Ezigbo, U. and Higgins, S. T. (2026). Moral Injury and Nicotine Dependence from Electronic Cigarettes Among Women Veterans: A Behavioral Economic Perspective. Subst Use Misuse, 1-6. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41489267


Mok, Y., Cummings, K. M., Randol, C. W., Roberson, A., Levy, D. T. and Meza, R. (2026). Joinpoint trend analysis of prevalence of combustible and non-combustible tobacco product use by adults in the United States, using cross-sectional data from NHIS 2015-2023. Tob Induc Dis. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41551944


Wang, S., Nighbor, T., Westmaas, J. L., Asare, S., Patel, M. and Nargis, N. (2026). Prevalence and Sources of E-Cigarette Use: Findings From a Rapid-Response Survey in High-Tobacco-Burden U.S. States, 2023-2024. Am J Prev Med, 2S, 108062. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41611358


Zhang, L., Qiu, S. S., Zhao, X., Ao, S. H. and Wang, Z. C. (2026). Invisible minority stress and addictive behaviors: disparities in psychological distress and e-cigarette use among lesbian, gay, and bisexual adults in China. BMC Psychol. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41546019


Brouwer, A. F., Roberts, O. K., Jeon, J., Jimenez-Mendoza, E., Land, S. R., Freedman, N. D., Torres-Alvarez, R., Mistry, R., Levy, D. T. and Meza, R. (2025). Transitions in cigarette and ENDS use in the PATH Study: a multistate transition model analysis of adults in 2021-2022 compared to previous years. medRxiv. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41445640


Gebeyehu, N. A., Gelaw, K. A., Atalay, Y. A., Walle, B. G., Gesese, M. M., Admass, B. A., Birhan, B., Geberemariam, A. E., Alemu, B. W., Shewangashaw, N. E. and Tegegne, K. D. (2025). Global prevalence of E-cigarette use among students: Systematic review and meta-analysis. PLoS One, 12, e0332160. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41325320


Jackson, S. E., Shahab, L., Buss, V., Tattan-Birch, H., Cox, S., Taylor, E. and Brown, J. (2025). The changing face of nicotine use in England: Age-specific annual trends, 2014 to 2024. Addiction. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41354055


Kim, N., Haizelden, J., Avery, G. and Mumba, M. (2026). Nicotine and cannabis vaping among U.S. emerging young adults: Findings from 2022 and 2023 National Survey on Drug Use and Health. Addict Behav, 108577. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41370901


Miller, N., Samel-Kowalik, P., Krzych-Falta, E., Zadrozna, A. and Samolinski, B. (2025). New vs. old - use of nicotine delivery products by adult residents of Poland. Ann Agric Environ Med, 4, 582-591. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41472597


Raad, D. C. J., Koome, A. M., Baser, Y. E., Borm, F. J., Croes, E. A., Cohen, D. and van Bodegom, D. (2025). Frequent, dual and nighttime nicotine use among Dutch adolescents: findings from a school-based survey. Eur J Pediatr, 12, 816. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41331134


Scala, M., Possenti, I., Lugo, A., Odone, A., Smits, L. and Gallus, S. (2025). Prevalence and patterns of electronic cigarette and heated tobacco product use among Italian adults in 2024: A cross-sectional study. Tob Prev Cessat. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41404182


Xie, Y., Li, Y., Su, Z., Liu, Z., Cui, Z., Huang, Z., Cheng, A., Zhou, X., Li, J., Qin, R., Liu, Y., Xia, X., Song, Q., Zhao, L., Xiao, D. and Wang, C. (2025). Prevalence of cigarette and e-cigarette dual use and associated factors among people who smoke in China aged 20-69 years. BMC Public Health, 1, 186. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41366358


Das, M. (2025). More e-cigarette users than cigarette smokers for the first time in the UK. Lancet Oncol. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41242326


De Vito, A., Giacomelli, A., Mazzitelli, M., Baldin, G., Fabbiani, M., Colpani, A., Galimberti, M., Carbone, A., Civati, A., Cattelan, A., Di Giambenedetto, S. and Madeddu, G. (2025). Use of Tobacco and Alternative Nicotine Products Among People with HIV: A Cross-Sectional Multicenter Survey. AIDS Behav. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41231311


Iacobucci, G. (2025). Vaping overtakes smoking in Britain for first time. BMJ, r2345. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41198219


Masonbrink, A. R., Bae, D., Cho, J., Miech, R. A., Dai, H. D., Harlow, A. F., Sussman, S., Han, D. H., Sanchez, L. M., Adjei, A., Meza, L. R., Li, M. and Leventhal, A. M. (2025). Trends in Daily Nicotine Vaping and Unsuccessful Quit Attempts in Youths. JAMA Netw Open, 11, e2541061. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41182763


Sawyer, S. M., Canterford, L., Greenhalgh, E., Ellul, S., Vijayakumar, N., Scollo, M. and Dashti, S. G. (2025). Tracking the course of vaping and cigarette smoking across adolescence: the Child to Adult Transition Study. Lancet Reg Health West Pac, 101719. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41209650


Wolkowicz, N. R., Schwartz, E. K. C., Hefner, K. R. and Sofuoglu, M. (2025). Prevalence & Characteristics of E-Cigarette and Nicotine Pouch Use Among United States Military Veteran Smokers. Mil Med. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41231681


Aloufi, N., Alhamawi, R. M., Alalwani, S. N., Alrefaei, W. K., Aljohani, H. A., Ali, M. M. and Alahmadi, F. H. (2025). Prevalence of e-cigarette users in the Medina region of Saudi Arabia. Tob Induc Dis. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41031094


Singh, S., Borkenhagen, D., Dimitropoulos, G. and Arnold, P. D. (2025). Investigating changes in vape use among Canadian youth from 2014 to 2022. Can J Public Health. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41166011


Surdacka, J., Matuszewska, M., Lipiak, A. and Chawlowska, E. (2025). Nicotine consumption in Poland: from traditional cigarettes to modern products - a scoping review. BMC Public Health, 1, 3346. Available from: https://www.ncbi.nlm.nih.gov/pubmed/41053725


World Health Organization (2025). WHO tobacco trends report: 1 in 5 adults still addicted to tobacco. . Available from: https://www.who.int/news/item/06-10-2025-who-tobacco-trends-report-1-in-5-adults-still-addicted-to-tobacco


World Health Organization (2025). WHO global report on trends in prevalence of tobacco use 2000–2024 and projections 2025–2030. . Available from: https://www.who.int/publications/i/item/9789240116276


McKeganey, N., Patton, A., Grier, D., Sandhu, K. and Barnard, G. (2025). How Widespread is the Use of E-Cigarettes Among Adults in the United States Who Have Never Smoked? A Tale of Three Studies. Subst Use Misuse, 12-Jan. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40996699


Kisia, L., Mohamed, S. F., Kyule, G., Tchoupe, C., Abolarin, O., Pokothoane, R., Gelibo, T., Iddi, S., Okumu, B., Mbaya, N., Kadengye, D. T., Mirindi, D. M., Akiode, A., Ademola, T., Okezie, U. and Mdege, N. D. (2025). Use of tobacco and nicotine products among adolescents in Sub-Saharan Africa: protocol for a population-based multi-country household survey. Front Public Health, 1562352. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40777631


Cancer Council Victoria (2025). Cautious optimism and calls for sustained efforts on nicotine addiction as vaping rise halts among young people. . Available from:


Freeman, B., Egger, S., Rose, S., Brooks, A., Madigan, C. and Dessaix, A. (2025). Vaping and young people: Assessing early impacts of Australia's comprehensive approach to vaping product control. Generation Vape. Available from:


Razali, M. F., Riyadzi, M. R., Abd Hamid, H. A., Wan-Fei, K. and Yusoff, U. N. (2025). Prevalence of adolescent dual tobacco use and its associated factors: findings from a cross-sectional study. BMJ Open, 7, e097974. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40713049


Tabbakh, T., Haynes, A. and Durkin, S. (2025). Current vaping and current smoking in the Australian population aged 14+ years: 2018 – 2024. . Available from:


Cordero, D. A., Jr. (2025). A harmless and flavorful smoke? Young adults' use of e-cigarettes in developing countries. Int J Cardiol Cardiovasc Risk Prev, 200410. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40290397


North, C., Nguyen, H., Li, X. and Loukas, A. (2025). Trends in Electronic Nicotine Delivery Systems and Cigarette Use Among Texas College Students, 2015-2024. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40271928


Cox, S., Jackson, S. E., Brown, J., Kale, D. and Shahab, L. (2025). Trends in single and multiple non-combustible nicotine product use: a population study in England. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40036237


McGill, B., Rose, S., Egger, S., Brooks, A., Dessaix, A. and Freeman, B. (2025). Assessing the impacts of Australia's new vape laws on parents and teachers: early positive indicators. Generation Vape. Available from: https://www.cancercouncil.com.au/wp-content/uploads/2025/03/Assessing-the-impacts-of-Australias-vape-laws-on-parents-and-teachers-short-report-March-2025.pdf


Vahratian, A., Briones, E. M., Jamal, A. and Marynak, K. L. (2025). Electronic Cigarette Use Among Adults in the United States, 2019-2023. NCHS Data Brief, 524. Available from: https://www.ncbi.nlm.nih.gov/pubmed/40036117


Lund, L., Andersen, S. and Bast, L. S. (2025). Sex-specific trends in patterns of tobacco and nicotine use among young people in Denmark from 2020 to 2023: A multigroup latent class analysis. Int J Drug Policy, 104728. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39999606


AlDukhail, S. K., El Desouky, E. D., Monshi, S. S., Al-Zalabani, A. H., Alanazi, A. M., El Dalatony, M. M., Shubayr, M. A., Elkhobby, A. A., Alqahtani, M. M., Alhazmi, A. S. and Aldossary, M. S. (2025). Electronic cigarette use among adolescents in Saudi Arabia: A national study, 2022. Tob Induc Dis. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39839675


Freeman, B., Egger, S., Brooks, A. and Dessaix, A. (2025). Assessing the impacts of Australia's new vape laws on adolescents: early indicators of success. Generation Vape. Available from: https://www.cancercouncil.com.au/wp-content/uploads/2025/01/Assessing-the-impacts-of-Australias-vape-laws-on-adolescents-early-indicators-of-success-short-report-JAN-2025.pdf


Greenhalgh, E. M., Scully, M., Scollo, M. and Durkin, S. J. (2025). Quantifying differences in teenage vaping across countries: the importance of comparing like with like. Tob Control. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39779325


Izquierdo-Condoy, J. S., Sosa, K. R., Salazar-Santoliva, C., Restrepo, N., Olaya-Villareal, G., Castillo-Concha, J. S., Loaiza-Guevara, V. and Ortiz-Prado, E. (2025). E-cigarette use among adolescents in Latin America: A systematic review of prevalence and associated factors. Prev Med Rep, 102952. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39817049


Mahase, E. (2025). One in 20 adults in England now smoke cigarettes and vape, study finds. BMJ, r148. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39848662


Miech, R. A., Johnston, L. D., Patrick, M. E. and O'Malley, P. M. (2024). Monitoring the Future National Survey Results in Drug Use, 1975-2024: Overview of Key Findings for Secondary School Students. Monitoring the Future Monograph Series. Available from: https://monitoringthefuture.org/results/annual-reports/


van Zyl-Smit, R. N., Filby, S., Soin, G., Hoare, J., van den Bosch, A. and Kurten, S. (2024). Electronic cigarette usage amongst high school students in South Africa: a mixed methods approach. EClinicalMedicine, 102970. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39764547


Leinberger-Jabari, A., Ahmad, A., Lindson, N., Oke, J., Hartmann-Boyce, J., Fong, G. T., El-Shahawy, O., Ali, R. and Sherman, S. (2024). E-cigarette (EC) and heated tobacco product (HTP) use in the United Arab Emirates, an emerging EC and HTP market: A cross-sectional analysis of the International Tobacco Control (ITC) UAE Survey. Nicotine Tob Res. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39704356


Santos, I. S., Dos Santos, J. M. and Karam, S. A. (2024). Lifetime and active use of electronic cigarettes among Brazilian adolescents: The 2019 national school health survey - PeNSE 2019. Public Health, 117-123. Available from: https://www.ncbi.nlm.nih.gov/pubmed/39644732


Earlier news and research

For news items and research on this topic earlier than 2025, click here.

Intro
Chapter 2