Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 17, 79

E-cigarette Use and Its Predictors: Results From an Online Cross-Sectional Survey in Poland


E-cigarette Use and Its Predictors: Results From an Online Cross-Sectional Survey in Poland

Pawel Lewek et al. Tob Induc Dis.


Introduction: Since the invention of electronic cigarettes (ECs) in 2003, their use has spread worldwide; however, little is known about the profiles of EC users. Understanding the motivators for using ECs enables more accurate prediction of their use and more effective direction of pro-health activities. Our objective was to identify the factors that may influence the decision to use ECs and their possible adverse effects according to the experiences of EC users.

Methods: A cross-sectional online survey was administered between 1 July 2016 and 1 January 2017 among 1288 Polish-speaking users of social networks and EC forums. To explore associations between current EC use and other factors, multivariate binary logistic regression analyses were performed.

Results: The final analysis included 1142 survey participants: mean age 25.9 years (± 11.1), 85.6% were male, 50.3% had secondary education, 98.2% were Polish citizens, and 81.0% were current EC users. Male gender, lower education, aged ≤40 years, former cigarette smoking, previous attempts to quit smoking, perception of lack of harmful effects of ECs, perception of ECs as being tastier and cheaper than cigarettes, awareness of the advantages of ECs and their use as a smoking cessation aid were all statistically significant factors increasing the risk of EC use. The majority of study participants claimed that ECs are less addictive or not addictive compared to cigarettes (62.6%) and less harmful or not harmful (89.5%) compared to cigarettes. The most common reported side effects of ECs were dryness in the mouth (8.3%), itching in the throat (4.5%) and nausea (1.9%).

Conclusions: Males aged ≤40 years with a lower level education were more likely to use ECs in the studied Polish population. The perception that ECs are less harmful than regular cigarettes is a factor increasing the odds of EC use; however, although ECs have few adverse effects, they nevertheless exist.

Keywords: e-cigarettes; electronic nicotine delivery systems; smoking cessation; surveys and questionnaires; vaping.

Conflict of interest statement

The authors have each completed and submitted an ICMJE form for disclosure of potential conflicts of interest. The authors declare that they have no competing interests, financial or otherwise, related to the current work. P. Lewek and P. Kardas report grants from European Union’s Health Programme and from European Commission ERASMUS+ Project, outside the submitted work. P. Kardas reports personal fees from Aflofarm, Fresenius, Lek-AM, Novartis, Polpharma and Sandoz, outside the submitted work.

Similar articles

See all similar articles


    1. Harrell PT, Simmons VN, Correa JB, Padhya TA, Brandon TH. Electronic nicotine delivery systems (‘e-cigarettes’): review of safety and smoking cessation efficacy. Otolaryngol Head Neck Surg. 2014;151(3):381–393. doi: 10.1177/0194599814536847. - DOI - PMC - PubMed
    1. Pisinger C, Døssing M. A systematic review of health effects of electronic cigarettes. Prev Med. 2014;69:248–260. doi: 10.1016/j.ypmed.2014.10.009. - DOI - PubMed
    1. International Agency for Research on Cancer . Tobacco smoke and involuntary smoking. IARC monographs on the evaluation of carcinogenic risks of chemicals to humans. Vol. 83. Lyon, France: IARC; 2004. 1.2 Composition; p. 59.
    1. Kosmider L, Sobczak A, Fik M, et al. Carbonyl compounds in electronic cigarette vapors: effects of nicotine solvent and battery output voltage. Nicotine Tob Res. 2014;16(10):1319–1326. doi: 10.1093/ntr/ntu078. - DOI - PMC - PubMed
    1. Boseley S. Hon Lik invented the e-cigarette to quit smoking – but now he’s a dual user. The Guardian. 2015. Jun 9, Accessed October 6, 2019.

LinkOut - more resources