Table 4. Association of WHO FCTC regulations and individual-level characteristics with current e-cigarette use among study participants from selected countries.
| Characteristics | Unadjusted OR (95% CI) | Model 1 Adjusted OR (95% CI) | Model 2 Adjusted OR (95% CI) | Model 3 Adjusted OR (95% CI) | Model 4 Adjusted OR (95% CI) | Model 5 Adjusted OR (95% CI) |
|---|---|---|---|---|---|---|
| Article 13 | ||||||
| Ban covers display and visibility of tobacco products at point of sale (vs none) | 0.88 (0.61–1.27) | 0.79 (0.58–1.08) | ||||
| Ban covers internet (domestic and global) (vs none) | ||||||
| Either or | 0.95 (0.63–1.42)* | 0.84 (0.59–1.20) | ||||
| Both | 0.56 (0.36–0.88)* | 0.58 (0.39–0.86)** | ||||
| Ban covers product placement as means of advertisement or promotion (vs none) | 0.85 (0.59–1.21) | 0.73 (0.53–0.99)* | ||||
| Ban covers depiction of tobacco or tobacco use in entertainment media products (vs none) | 1.01 (0.71–1.44) | 0.88 (0.65–1.20) | ||||
| Strength of additional TAPS measures | 0.94 (0.86–1.02) | 0.91 (0.85–0.98)* | ||||
| Age, in years | 1.16 (1.15–1.18)*** | 1.04 (1.02–1.06)*** | 1.04 (1.02–1.06)*** | 1.04 (1.02–1.06)*** | 1.04 (1.02–1.06)** | 1.04 (1.02–1.06)** |
| Female (vs male) | 0.56 (0.54–0.58)*** | 0.62 (0.59–0.64)*** | 0.62 (0.58–0.64)*** | 0.62 (0.59–0.64)*** | 0.62 (0.59–0.64)*** | 0.61 (0.59–0.64)*** |
| Saw advertising at the point of sale (ref No) | ||||||
| Yes | 1.91 (1.84–1.99)*** | 1.62 (1.54–1.71)*** | 1.62 (1.54–1.71)*** | 1.62 (1.54–1.71)*** | 1.62 (1.54–1.71)*** | 1.62 (1.54–1.71)*** |
| Did not visit | 1.26 (1.21–1.32)*** | 1.24 (1.17–1.32)*** | 1.24 (1.16–1.32)*** | 1.24 (1.17–1.32)*** | 1.24 (1.17–1.32)*** | 1.24 (1.17–1.32)*** |
| Being taught about the dangers of tobacco use in any of the classes (ref No) | 0.82 (0.79–0.85)*** | 0.86 (0.82–0.91)*** | 0.86 (0.82–0.91)*** | 0.86 (0.82–0.91)*** | 0.86 (0.82–0.91)*** | 0.86 (0.82–0.91)*** |
| Seeing any people using tobacco on TV, video or in movies (ref No) | ||||||
| Yes | 1.31 (1.26–1.37)*** | 1.12 (1.06–1.19)*** | 1.12 (1.06–1.19)*** | 1.12 (1.06–1.19)*** | 1.12 (1.06–1.19)*** | 1.12 (1.06–1.19)*** |
| Did not watch any | 1.65 (1.56–1.74)*** | 1.37 (1.27–1.48)*** | 1.37 (1.27–1.48)*** | 1.37 (1.27–1.48)*** | 1.37 (1.27–1.48)*** | 1.37 (1.27–1.48)*** |
| Highest amount of pocket money (vs all lower perceived levels) | 1.71 (1.63–1.80)*** | 1.46 (1.37–1.57)*** | 1.46 (1.37–1.57)*** | 1.46 (1.37–1.57)*** | 1.46 (1.36–1.57)*** | 1.46 (1.37–1.57)*** |
| Current use of combustible cigarettes (vs none) | 10.36 (9.92–10.82)*** | 8.86 (8.40–9.34)*** | 8.86 (8.40–9.34)*** | 8.86 (8.40–9.34)*** | 8.86 (8.40–9.34)*** | 8.86 (8.41–9.34)*** |
| World Bank country income group (ref High-income economy) | ||||||
| Upper middle | 0.68 (0.48–0.97)* | 0.64 (0.44–0.93)* | 0.61 (0.42–0.88)** | 0.61 (0.42–0.88)** | 0.64 (0.44–0.94)* | 0.63 (0.44–0.91)* |
| Lower middle | 0.68 (0.47–0.99)* | 0.53 (0.36–0.78)** | 0.56 (0.38–0.81)** | 0.55 (0.37–0.81)** | 0.53 (0.36–0.79)** | 0.59 (0.40–0.86)** |
| Low income | 0.13 (0.06–0.29)*** | 0.16 (0.07–0.37)*** | 0.18 (0.08–0.40)*** | 0.15 (0.07–0.34)*** | 0.16 (0.07–0.36)*** | 0.16 (0.08–0.36)*** |
| WHO region (ref Africa) | ||||||
| The Americas | 1.48 (0.79–2.76) | |||||
| The Eastern Mediterranean | 1.22 (0.55–2.70) | |||||
| Europe | 1.83 (0.99–3.40) | |||||
| The Western Pacific | 1.59 (0.84–2.99) | |||||
| Affordability of cigarettes | 1.00 (0.99–1.01) | |||||
| Tobacco growing | 1.00 (0.69–1.47) | |||||
| Article 12 score | 0.99 (0.95–1.04) | |||||
| Article 8, 11 and 16 scores | 0.99 (0.98–1.01) |
Multilevel models (column 1) with listed variables included as fixed effects with a country random intercept; 48 countries. Adjusted models (columns 2–5): n=118 788; 47 countries. Models 1–5 adjusted for age; gender; saw advertising at the point of sale (ref No), yes, did not visit; being taught about the dangers of tobacco use in any of the classes (ref No); seeing any people using tobacco on TV, video or in movies during within 1 year prior to being surveyed (ref No), yes, did not watch any; highest amount of pocket money (vs all lower perceived levels); current use of combustible cigarettes (vs none); World Bank country income group (ref High-income economy), upper middle, lower middle, low income.
*P<05; **p<0.01; ***p<0.001.
TAPS, tobacco advertising, promotion and sponsorship; WHO FCTC, WHO Framework Convention on Tobacco Control.