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. 2023 Nov 14;68:1606234. doi: 10.3389/ijph.2023.1606234

TABLE 3.

Joinpoint regressions testing for trends in e-cigarette and tobacco cigarette purchasing, and purchase locations between 2017 and 2022 by country (International Tobacco Control Youth Tobacco and Vaping Study, Canada, England, and the United States, 2017–2022).

Product Canada England United States
E-Cigarettes Tobacco cigarettes E-Cigarettes Tobacco cigarettes E-Cigarettes Tobacco cigarettes
Outcome Variables AWPC+ (95% CI) AWPC (95% CI) AWPC (95% CI) AWPC (95% CI) AWPC (95% CI) AWPC (95% CI)
Product Purchasing 11.7%* (6.7% to 16.9%) −4.9% (−9.7% to 0.1%) 15.6%* (11.3% to 0.2%) 3.7% (−2.5% to 10.3%) 4.8%* (1.3% to 8.5%) −19.7%* (−26.1% to −12.7%)
Purchase Locations
Vape shop/tobacco specialty shop −1.1% (−2.9% to 0.8%) 3.7% (−10.2% to 19.7%) −4.6%* (−6.8% to −2.3%) 12.5% (−13.8% to 46.7%) −4.9%* (−7.0% to −2.8%) −7.5% (−16.7% to 2.7%)
Traditional retail store 11.4%* (0.8% to 23.2%) −2.2%* (−4.4% to 0.0%) 15.5%* (9.2% to 22.2%) 2.2% (−0.5% to 5.1%) 1.2% (−2.8% to 5.3%) −6.4%* (−9.4 to −3.3)
Internet −14.6%* (−25.8% to-1.8%) −14.6%* (−25.8% to −1.8%) −1.1 (−9.2% to 7.8%) 12.9% (−18.0% to 55.6%) −13.3%* (−22.3% to −3.2%) 1.9% (−37.9% to 67.2%)
Friend/family/other 0.5% (−3.8% to 5.0%) 0.4% (−15.0% to 18.6%) 3.1% (−7.0% to 14.3%) −7.3% (−16.4% to 2.8%) 9.1% (−9.1% to 31.0%) 15.7%* (7.8% to 24.2%)

+AWPC, average wave percentage change.

*Statistically different from zero at the p < 0.05 level.