E-cigarettes in airports and on flights: Europe and the US
DOI:
https://doi.org/10.20882/adicciones.1001Keywords:
Electronic cigarettes, Advertisements, Points of sale, Airports, Aircraft.Abstract
Background. While progress has been made to create smoke-free airports, sales of e-cigarettes at airports and airplanes and the presence of advertisements might detract from these smoke-free policies. The objective of this study is to describe the presence of policies, advertising, sales and use of e-cigarettes in airports and on flights in Europe and the US.Methods. A cross-sectional study was conducted between March-May, 2014. The study included 21 large and mid-sized airports of Europe and the US as well as 19 flights. A standardised protocol was used to observe points of sales and advertisements and to collect information on the implementation of policies on e-cigarette use. In addition, a series of questions were developed to obtain policy details from airport personnel and flight attendants.Results. Retail outlets selling e-cigarettes in airports were present in approximately 20% and 40% of the observed pre and post-security areas, respectively. In post-security, 27.8% of the airport staff reported that the use of e-cigarettes indoors was not allowed, 22.2% reported that they did not know, 27.8% reported that it was only allowed in the smoking room, and 22.2% reported that it was allowed anywhere. Smoking ban announcements were made on all flights. However, only 15.8% of the flights made a specific announcement regarding the ban of using e-cigarettes. Conclusions. In light of our results, it seems necessary to reinforce in-flight e-cigarette smoking ban announcements and to instruct airport employees about the existence of e-cigarette smoking policies. Furthermore, airports themselves should also be encouraged to adopt smoke-free policies.References
Federal Register. (2015). Rules and regulations. Retrieved at https://www.gpo.gov/fdsys/pkg/FR-2015-10-30/pdf/2015-27622.pdf.
Grana, R., Benowitz, N. & Glantz, S.A. (2014a). E-Cigarettes A Scientific Review. Circulation, 129, 1972–1986. doi:10.1161/CIRCULATIONAHA.114.007667.
Grana, R.A., Ling, P.M., Benowitz, N. & Glantz, S. (2014b). Electronic Cigarettes. Circulation, 129, e490–e492. doi:10.1161/CIRCULATIONAHA.114.008545.
Grana, R.A. & Ling, P.M. (2014c). “Smoking Revolution”: A Content Analysis of Electronic Cigarette Retail Websites. American Journal of Preventive Medicine, 46, 395–403. doi:10.1016/j.amepre.2013.12.010.
IATA. (2016). Guidance on electronic cigarettes. Retrieved at https://www.iata.org/whatwedo/safety/Documents/IATA-Guidance-on-Electronic-Cigarettes.pdf.
Mayor, S. (2014). E-cigarettes cause indoor air pollution and inflammation, German study shows. British Medical Journal, 348, g467. doi:10.1136/bmj.g467.
Soong, A., Navas-Acien, A., Pang, Y., Lopez, M.J., Garcia-Esquinas, E. & Stillman, F.A. (2016). A Cross-Sectional Study of Tobacco Advertising, Promotion, and Sponsorship in Airports across Europe and the United States. International Journal of Environmental Research and Public Health, 13, pii: E959. doi:10.3390/ijerph13100959.
Stillman, F.A., Soong, A., Zheng, L.Y. & Navas-Acien, A. (2015a). E-cigarette use in air transit: self-reported data from US flight attendants. Tobacco Control, 24, 417-418. doi:10.1136/tobaccocontrol-2013-051514.
Stillman, F.A., Soong, A., Kleb, C., Grant, A. & Navas-Acien, A. (2015b). A review of smoking policies in airports around the world. Tobacco Control, 24, 528–531. doi:10.1136/tobaccocontrol-2013-051364.
Tan, A.S.L., Bigman, C.A. & Sanders-Jackson, A. (2015). Sociodemographic correlates of self-reported exposure to e-cigarette communications and its association with public support for smoke-free and vape-free policies: results from a national survey of US adults. Tobacco Control, 24, 574–581. doi:10.1136/tobaccocontrol-2014-051685.
European Union. (2014). Tobacco Products Directive (2014/40/EU). Retrieved at https://ec.europa.eu/health//sites/health/files/tobacco/docs/dir_201440_en.pdf.
