Switching from cigarettes to electronic nicotine delivery system: rapid systematic review and meta-analysis and economic aspects

Authors

  • Agustín Ciapponi Centro de Investigaciones en Epidemiología y Salud Pública (CIESP), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina. Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires, Argentina. Médico, doctor en salud pública Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires, Argentina. https://orcid.org/0000-0001-5142-6122
  • Federico Rodríguez Cairoli Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires, Argentina. médico especialista en medicina interna, maestro en efectividad clínica https://orcid.org/0000-0002-3029-4439
  • Germán Solioz Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires, Argentina. médico cardiólogo https://orcid.org/0000-0003-2854-1557
  • Carlos Rojas-Roque Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires, Argentina. bachiller en economía; maestro en epidemiología https://orcid.org/0000-0002-1474-1550
  • Akram Hernández-Vásquez Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires, Argentina. médico, maestro en Gestión y Políticas Públicas https://orcid.org/0000-0003-1431-2526
  • Alfredo Palacios Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires, Argentina. bachiller en economía; maestro en economía https://orcid.org/0000-0001-7684-0880
  • Ariel Bardach Centro de Investigaciones en Epidemiología y Salud Pública (CIESP), Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET), Buenos Aires, Argentina. Instituto de Efectividad Clínica y Sanitaria (IECS), Buenos Aires, Argentina. médico especialista en medicina interna, maestro en efectividad clínica https://orcid.org/0000-0003-4437-0073

DOI:

https://doi.org/10.17843/rpmesp.2021.384.7776

Keywords:

Electronic Nicotine Delivery Systems, Nicotine, Tobacco Use Disorder, Cigarette Smoking, E-Cigarette Vapor, Systematic Review, Meta-Analysis

Abstract

Objectives. To assess how and in what extent the electronic nicotine delivery systems (ENDS) use substituted the consumption of traditional combustible cigarettes (c-cigarettes, c-cig). Materials and Methods. We performed a systematic review of the literature up to August 2019 in scientific databases. Primary outcomes were proportion of complete or partial substitution of conventional to electronic cigarettes and related economic aspects. Secondary outcomes were odds ratio of substitution and country-wise time trends. Results. We retrieved 3,628 references and included 49 studies, providing economic and epidemiological data. Economic studies of cross-price elasticity showed that combustible cigarettes are partially substitutable for electronic cigarettes. Most studies reported that electronic cigarettes consumption prevalence increased
over time. Three studies reported a significant reduction of combustible cigarettes consumed per day among dual users (combustible- plus electronic- cigarettes users) versus combustible-cigarettes users. The pooled adjusted odds ratio of quitting combustible cigarettes among electronic cigarettes users versus never or past electronic cigarettes (e-cigarettes, e-cig) users was 1.19 (95% confidence interval 1.09 to 1.30; heterogeneity score 0%). Longitudinal studies showed globally a growing prevalence of electronic cigarettes use, mainly in adolescents. A negative relationship between consumption and price increase of electronic and combustible cigarettes was found. Conclusion. The chance of quitting smoking combustible cigarettes among current electronic nicotine delivery systems users was increased with respect to never- or pastelectronic
nicotine delivery systems users. Economic studies reported that electronic cigarette is partially substitutable for combustible cigarettes.

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Published

2021-12-22

Issue

Section

Original Article

How to Cite

1.
Ciapponi A, Rodríguez Cairoli F, Solioz G, Rojas-Roque C, Hernández-Vásquez A, Palacios A, et al. Switching from cigarettes to electronic nicotine delivery system: rapid systematic review and meta-analysis and economic aspects. Rev Peru Med Exp Salud Publica [Internet]. 2021 Dec. 22 [cited 2024 May 25];38(4):537-50. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/7776

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