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. 2021 Mar 8;23(9):1611–1616. doi: 10.1093/ntr/ntab040

Table 1.

Reported Current Use of Various Types of Tobacco and Nicotine Products Among Current Cigarette Smokers and Recent Ex-Smokers in ITC 4CV Wave 3 Survey (2020), by Country, Sex, and Age (n = 10 296a, Weighted Data)

Overall Country Sex Age
Types of Nicotine Productb n = 10 296a Canada United States England Australia Male Female 18–24 25–39 40–54 55+
% n = 3302 n = 2093 n = 3548 n = 1353 n = 5108 n = 5188 n = 2346 n = 2101 n = 2461 n = 3388
% % % % % % % % % %
Non-cigarette combustible tobacco product
 Cigar 5.3 6.4** 7.3*** 4.1 2.8 (Ref) 8.1*** 2.1 (Ref) 10.5*** 6.7*** 3.9 3.1 (Ref)
 Cigarillos 4.2 4.9*** 6.6*** 3.1* 1.3 (Ref) 5.3*** 2.8 (Ref) 7.1*** 5.5*** 3.0 2.6 (Ref)
 Pipe 2.5 2.3 2.3 3.2* 1.2 (Ref) 3.3** 1.5 (Ref) 7.0*** 3.0*** 1.3 1.2 (Ref)
 Waterpipe 2.9 2.7 2.3 3.2 3.6 (Ref) 3.6** 2.1 (Ref) 11.1*** 3.7*** 1.3*** 0.4 (Ref)
 Any non-cigarette combustible tobacco productc 12.2 13.8*** 13.8*** 11.5** 7.5 (Ref) 16.5*** 7.2 (Ref) 28.8*** 14.5*** 8.0 7.0 (Ref)
Other noncombustible tobacco product
 Smokeless/oral tobacco 3.2 2.6** 3.7*** 4.2*** 0.7 (Ref) 4.2*** 1.9 (Ref) 10.4*** 4.3*** 1.6*** 0.6 (Ref)
 Heated tobacco product (HTPs) 3.5 4.2*** 2.7*** 4.2*** 1.1 (Ref) 4.2*** 2.6 (Ref) 5.5*** 5.1*** 3.4*** 1.1 (Ref)
 Any noncombustible tobaccod 5.7 5.6*** 5.5*** 7.4*** 1.6 (Ref) 7.2*** 3.3 (Ref) 14.4*** 7.6*** 4.4*** 1.5 (Ref)
Non-tobacco nicotine product
 Tobacco-free nicotine pouch 0.8 0.9*** 0.7** 1.1*** 0.1 (Ref) 1.1*** 0.5 (Ref) 2.3*** 1.4*** 0.4*** 0.1 (Ref)
 Nicotine vaping product (NVPe) 13.7 12.8*** 11.4*** 18.2*** 7.5 (Ref) 15.2*** 12.0 (Ref) 23.0*** 15.6*** 13.4*** 8.4 (Ref)
NRT 10.9 10.0 8.8 12.8 11.1 (Ref) 12.4** 9.1 (Ref) 22.2*** 11.6*** 8.9 7.4 (Ref)
 Any non-tobacco nicotine productf 21.1 19.2 17.8 26.2*** 17.0 (Ref) 23.2*** 18.6 (Ref) 37.8*** 21.9*** 19.9*** 14.8 (Ref)
Other combinations
 Any noncombustible product 22.1 20.0 20.2 27.0*** 17.4 (Ref) 24.5*** 19.3 (Ref) 40.1*** 23.0*** 21.1*** 15.2 (Ref)
 Only noncombustible productsg 13.1 10.9* 12.5 15.1 13.7 (Ref) 13.0 13.1 (Ref) 14.8 11.4 15.1* 12.4 (Ref)

aIn some analyses, the sample size was smaller than the total due to missing cases.

bCurrent use is defined as using a product at least monthly at the time of survey. This applies to cigarettes, HTPs and NVPs. For the other products, current use is defined as using the product “less than weekly” or more frequently.

cThis composite measure was defined as using any non-cigarette smoked products (ie, using any of cigar, cigarillos, pipe, water pipe, or “other” smoked tobacco product).

dUsing any of smokeless/oral tobacco or heated tobacco product (HTP, at least monthly).

eUsing NVP at least monthly. NRT: Nicotine replacement therapy.

fUsing any of nicotine pouch, NVP or NRT.

gThis identifies those who use low-risk products separate from any use of smoked. That is those who can be considered quit (if they do not smoke cigarettes).

*Significantly different from the reference (ref) value at p < .05, **at p < .01, ***at p < .001, based on logistic regressions.