Tobacco: E-cigarettes

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While it appears that the regulatory environment in different countries can influence vaping prevalence, even in restricted environments, such as AU, vaping is still happening with consumers relying on online sources to purchase their nicotine vaping devices and supplies . In AU, the ban of sale of NVPs appears to have led to current vapers relying mainly on online purchasing sources, unless they are buying non-nicotine containing e-liquid, in which case, other retail outlets were the primary purchase location. In the US and EN the purchase locations were fairly evenly distributed among vape shops, online, and other. Table 1a–d display the bi-variate descriptive characteristics of NVP users by purchase location separately within each of the four countries. With the exception of NVP users in EN (42.5%), the majority of survey participants reported using NVP that allowed for adjustable power (61.7% in CA, 59.1% in the US, and 57.9% in AU), though this question did not assess the 259 participants who reported using disposable systems. Current vapers in all four countries reported having a high household income the most often, and a moderate education level (except in the US where the largest category of education level was "low"


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Different NVPs differ in how they deliver nicotine, which influences quitting cigarette-smoking [6,7,8,9], though individual factors may contribute as well . In AU, banning the retail sale of nicotine vaping products has led vapers to rely mainly on online purchasing sources, whereas the lack of enforcement of the same regulation in CA has allowed specialty vape shops to flourish. Adjusted odds ratios and 95% confidence intervals were reported for between country comparisons. Inclusion in an NLM database does not imply endorsement of, or agreement with, the contents by NLM or the National Institutes of Healt


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