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. 2017 Oct 2;27(1):18–25. doi: 10.1136/tobaccocontrol-2017-053759

Table 2.

Status quo and e-cigarette substitution, premature deaths and life years lost, men and women born in 2001 (age 15 years in 2016)

Outcomes Year 2016 2026 2056 Cumulative (2016–2100) Deaths prevented/life years gained* % Change relative to status quo
Age, years 15 25 55
Male
Status Quo Scenario†
Prevalence Never smoker 95.5% 75.5% 72.8%
Cigarette smoker 4.5% 21.7% 10.6%
Former smoker 0.0% 2.8% 16.7%
Premature deaths 0 0 1381 176 915
Life years lost 0 0 43 507 2101 908
Optimistic Scenario‡
Prevalence Never smoker 95.5% 75.5% 72.5%
Cigarette smoker 4.5% 5.0% 2.1%
Former smoker>age 40 years 0.0% 0.0% 1.2%
E-cigarettes exclusive 0.0% 16.7% 8.7%
Former smoker<age 40 years 0.0% 2.8% 10.5%
E-cigarette/former smoker 0.0% 0.0% 0.0%
Former E-cigarette user 0.0% 0.0% 4.9%
Premature deaths 0 0 301 29 556 147 359 83.3%
Life years lost 0 0 9496 402 823 1699 085 80.8%
Pessimistic Scenario§
Premature deaths 0 0 1247 141 287 35 629 20.1%
Life years lost 0 0 39 308 1793 892 308 016 14.7%
Female
Status Quo Scenario†
Prevalence Never smoker 97.6% 82.8% 79.4%
Cigarette smoker 2.4% 15.2% 8.3%
Former smoker 0.0% 2.1% 12.3%
Premature deaths 0 0 369 63 244
Life years lost 0 0 12 513 711 172
Optimistic Scenario‡
Prevalence Never smoker 97.6% 82.8% 79.4%
Cigarette smoker 2.4% 5.0% 2.1%
Former smoker>age 40 years 0.0% 0.0% 1.3%
E-cigarettes exclusive 0.0% 10.2% 6.2%
Former smoker<age 40 years 0.0% 2.1% 7.5%
E-cigarette/former smoker 0.0% 0.0% 0.0%
Former e-cigarette user 0.0% 0.0% 3.5%
Premature deaths 0 0 109 14 297 48 947 77.4%
Life years lost 0 0 3687 181 846 529 326 74.7%
Pessimistic Scenario§
Premature deaths 0 0 387 61 469 1775 2.8%
Life years lost 0 0 13 106 737 757 −26 585 −3.7%

*Life years gained=life years lost in Status Quo − Life years lost in E-cigarette Substitution Scenario.

†Status Quo Scenario: Smoking Rates evolve from initial 2016 levels based on age, gender and cohort-specific smoking initiation and cessation rates in the absence of e-cigarette use.

‡Optimistic Scenario: e-cigarettes excess risk 5% of smoking, 5% of the population continues to initiate cigarette smoking or remain as smokers, the remainder of never smokers then initiate e-cigarette use at the rate of cigarette smoking initiation in the Status Quo Scenario, and both smokers and e-cigarette users quit at the rate of smokers in the Status Quo Scenario.

§Pessimistic Scenario: e-cigarettes excess risk 40% of smoking, 10% of the population continues to initiate cigarette smoking or remain as smokers, the remainder of never smokers then initiate e-cigarette use at the 150% rate of cigarette smoking initiation in the Status Quo Scenario, and e-cigarette users quit at 50% of the rate of smokers in the Status Quo Scenario and smokers quit at the Status Quo cessation rate.