Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1697641971175.pdf (Australia)
Senator Hollie Hughes Chair Select Committee on Tobacco Harm Reduction PO Box 6100 Parliament House CANBERRA ACT 2600 Dear Senator Hughes Submission to the Select Committee on Tobacco Harm Reduction The Australian Institute of Health and Welfare (AIHW) welcomes the opportunity to provide a submission to the Select Committee on Tobacco Harm Reduction.

The AIHW is a nationally recognised independent information management agency.
We produce authoritative information and statistics to inform and support better policy and service delivery decisions, leading to better health and wellbeing for all Australians.

The AIHW provides accessible information and statistics on a wide range of topics about Australians’ health and wellbeing.

We aim to inform good decisions—and improve the health and welfare of all Australians—through strong evidence that is timely, reliable, relevant and trusted.
The National Drug Strategy Household Survey 2019 contains the latest data relating to Australians’ use of e-cigarettes as well as policy support for measures related to e-cigarette use.

A summary of the survey results relevant to specific terms of reference is provided in Attachment 1 and relevant tables are provided at Attachment 2.

We trust that you find this information useful.


Should the committee have any queries about the information we have provided, or wish to seek additional information from the AIHW, we are available to discuss at your convenience.

Please contact Dr Gabrielle Phillips, Head of the Housing and Specialised Services Group .
Yours sincerely Barry Sandison Chief Executive Officer 2 November 2020 Tobacco Harm ReductionSubmission 214 Attachment 1 Relevant data and information from the National Drug Strategy Household Survey (NDSHS) This large population survey, conducted about every 3 years since 1985, asks people about their knowledge of and attitudes towards drugs, and their history of alcohol and other drug consumption.

It provides information on the use of tobacco, alcohol and other drugs in the general population.
The sample is based on people living in private households— institutionalised people and others not living in private dwellings are not included in the survey.

The most recent survey was conducted in 2019 which was the 13th survey conducted under the auspices of the National Drug Strategy (NDS).

It collected information from nearly 23,000 individuals across Australia.
The National Drug Strategy Household Survey 2019 report contains the latest data on the use of e-cigarettes in Australia, including patterns of use and policy support for measures related to e-cigarette use.

A list of relevant tables from this report as well as a customised data analysis are provided in Attachment 2.
The AIHW submission relates to the following three terms of reference: • • (c) the established evidence on the effectiveness of e-cigarettes as a smoking cessation treatment (d) the established evidence on the uptake of e-cigarettes amongst non-smokers and the potential gateway effect onto traditional tobacco products • (f) access to e-cigarette products under Australia’s current regulatory frameworks.
In response to terms of reference (c) and (d), the data presented below are based on respondents’ self-perceived smoking status at e-cigarette initiation and their current smoking status at the time of completing the survey to illustrate how smoking status may have changed for people who used e-cigarettes.

It also examines the reasons why people used e-cigarettes, including specific analysis for those who said they used e-cigarettes to help them quit smoking.
The data do not provide a direct link between e-cigarette use and subsequent smoking behaviour or evidence on the effectiveness of e-cigarettes as a smoking cessation treatment.

However, the data provide contextual information that may support the inquiry.

In response to term of reference (f), data are presented on where people who used e-cigarettes sourced or purchased their e-cigarettes and how this varies by use of e-cigarettes.
Capturing e-cigarette use The 2013 survey was the first time respondents were asked about their use of e-cigarettes.

It is important to note that the NDSHS does not distinguish between nicotine and non-nicotine e-cigarette products—it is not known whether nicotine was contained in the products used by respondents.
In 2016, a number of changes were made to the questionnaire to better capture the use of e-cigarettes, including: • questions about frequency and duration of use, age first used, reasons for using and where e-cigarettes were obtained • modifying the question about lifetime use and current use of e-cigarettes.

2 Tobacco Harm ReductionSubmission 214 Therefore, 2013 data are not fully comparable with later years and have not been included in this submission.
In 2019, further changes were made to the questionnaire including: • adding a new explanatory statement about tobacco products to the beginning of ‘Section D Tobacco’ to clarify that electronic cigarettes are to be excluded when answering questions about smoking tobacco.
The following explanatory box was added and placed before question D1: For Questions D1 to D22, smoking cigarettes or other forms of tobacco includes manufactured (packet) cigarettes, roll-your own cigarettes, cigars and tobacco in pipes and water pipes, that can be lit, and the smoke inhaled.

Please exclude electronic cigarettes (e-cigarettes) and other personal vaporising devices (where users inhale vapour rather than smoke).
• a new question (D27) about the respondents smoking status when they first used an e-cigarette was added to assist in understanding whether respondents who were ex-smokers and also used e-cigarettes, began using e-cigarettes before or after they quit smoking traditional cigarettes (see questionnaire for question wording).

Definitions for key terms current e-cigarette user: use e-cigarettes either daily, weekly, monthly or less than monthly.
daily smoker: smoke tobacco at least once a day (includes manufactured (packet) cigarettes, roll-your-own cigarettes, cigars or pipes).

Excludes chewing tobacco, electronic cigarettes (and similar) and smoking of non-tobacco products.

ex-smoker: smoked at least 100 cigarettes (manufactured and/or roll-your-own) or the equivalent amount of tobacco in their life, and reported no longer smoking.

lifetime e-cigarette user: have tried e-cigarettes at least once in their lifetime.
never smoker: never smoked 100 cigarettes (manufactured and/or roll-your-own) or the equivalent amount of tobacco.

smoker: smoked at least 100 cigarettes or the equivalent amount of tobacco in their life.

An e-cigarette user may not necessarily be regarded as a smoker.
3 Tobacco Harm ReductionSubmission 214 Tobacco Harm ReductionSubmission 214 Tobacco Harm ReductionSubmission 214 Tobacco Harm ReductionSubmission 214 Where people obtained their e-cigarettes varied considerably depending on their frequency of use (Table 14).

While overall the most common source cited was friends or family members (42%), this tends to be the primary source for people who only used e-cigarettes once or twice (63% of these people).
Daily e-cigarettes users were much more likely to obtain their e-cigarettes over the internet, either from an Australia retailer (30%) or overseas retailer (32%).

People who said they used to use them but no longer do, were the most likely to purchase them at a tobacco retail outlet (30%).

Almost none of the respondents (0.4%) obtained a script and purchased e-cigarettes from a pharmacy (Table 14); however this estimate has a relative standard error of 25% to 50% and should be used with caution.
Policy support for measures related to e-cigarette use There is a high level of support among the Australian general population for measures aimed at reducing tobacco-related harm.
For e-cigarettes specifically, in 2019 there was increased support for: • • restrictions on where and when electronic cigarettes can be advertised (65% compared with 67% in 2016) restricting the use of e-cigarettes in public places (69% compared with 65% in 2016) • prohibiting the sale of e-cigarettes to people under 18 years of age (79% compared with 77% in 2016) (Table 15).
However, those who currently used e-cigarettes or used to use them but no longer do, were less likely to support measures related to restrictions related to advertising and the use of e-cigarettes in public places than those who never used e-cigarettes (Table 16).

While support for ‘banning all additives (e.g.


flavouring) in cigarettes and other tobacco products, to make them less attractive to young people’ decreased between 2016 and 2019 (from 76% to 74%), the majority of people aged 14 and over still supported this measure (Table 15).
7 Tobacco Harm ReductionSubmission 214 Attachment 2 Detailed data tables Table 1: Tobacco smoking status, people aged 14 and over, 1991 to 2019 (per cent) Smoking status 1991 1993 1995 1998 2001 2004 2007 2010 2013 2016 2019 Daily smoker 24.3 25.0 23.8 21.8 19.4 17.5 16.6 15.1 12.8 12.2 11.0# Current occasional - weekly Current occasional - less than weekly Ex-smoker(a) Never smoked(b) # Statistically significant change between 2016 and 2019.
(a) Smoked at least 100 cigarettes (manufactured and/or roll-your-own) or the equivalent amount of tobacco in their life, and reported no longer smoking.

(b) Never smoked 100 cigarettes (manufactured and/or roll-your-own) or the equivalent amount of tobacco.

Notes 1.

2.

In 1991, daily smoking included people who reported smoking daily, or most days.

In 1993, smoking status was only asked to people aged 20 years or over.

3.

Smoking status in 2010 has been revised.


Trend data may not match previously published results.

Source: AIHW 2020; Table 2.1.

Table 2: Proportion and number of smokers (combustible tobacco users) and e-cigarettes users, 2016 and 2019 Smoker status Current smokers (combust ble tobacco) Daily smoker (combustible tobacco) Lifetime e-cigarettes user Current e-cigarette users Daily e-cigarette user # Statistically significant change between 2016 and 2019.
Source: AIHW analysis of 2019 NDSHS (unpublished).
Proportion Persons 2016 14.9 12.2 8.8 1.2 0.5 2019 2016 2019 14.0# 3,000,000 2,900,000 11.0# 2,400,000 2,300,000 11.3# 1,700,000 2,400,000 2.5# 200,000 500,000 1.1# 100,000 200,000 8 Tobacco Harm ReductionSubmission 214 Table 3: Smoking status by age, 2001 to 2019 (per cent) Smoking status 2001 2004 2007 2010 2013 2016 2019 Daily smoking 14–17 18–24 25–29 30–39 40–49 50–59 60–69 70+ 14+ Never smoked(a) 14–17 18–24 25–29 30–39 40–49 50–59 60–69 70+ 14+ *2.2 11.6 15.5 14.0 16.9 14.3 10.4 6.0 12.2 96.4 79.0 70.0 59.5 54.0 51.6 55.2 59.8 62.3 *1.9 9.2 11.3# 11.6# 15.8 15.9 10.8 4.6# 11.0# 96.6 79.6 73.1 64.9# 55.2 51.4 52.8 58.1 63.1 * Estimate has a relative standard error of 25% to 50% and should be used with cau ion.
# Statistically significant change between 2016 and 2019.

(a) Never smoked 100 cigarettes (manufactured and/or roll-your-own) or the equivalent amount of tobacco.

Source: AIHW 2020; Table 2.7.


Table 4: Daily use of combustible cigarettes and e-cigarettes, by sex, people aged 14 and over, 2016 and 2019 (per cent) Exposure Daily combust ble tobacco user Daily e-cigarette user Males Females Persons 2016 2019 2016 2019 2016 2019 13.8 12.2# 10.7 9.9 12.2 11.0# 0.8 1.5# 0.3 0.7# 0.5 1.1# Daily combust ble tobacco and/or e-cigarette user 14.4 13.4 11.0 10.5 12.7 11.9 # Sta istically significant change between 2016 and 2019.
Source: AIHW analysis of 2019 NDSHS (unpublished).
9 Tobacco Harm ReductionSubmission 214 Table 5: Lifetime use of electronic cigarettes (e-cigarettes), by age and smoker status, 2016 to 2019 (per cent) Smokers(a) Non-smokers(b) Persons Age group (years) 2016 14–17(c) 18–24 25–29 30–39 40–49 50–59 60–69 70+ 14+ 50.8 49.1 37.6 39.0 26.2 20.9 18.7 11.6 31.0 2019 63.6 63.9# 53.5# 39.2 35.6# 30.6# 25.8# 10.7 38.7# 2016 8.0 13.6 9.0 6.3 3.3 2.1 1.0 *0.3 4.9 2019 7.8 19.6# 14.2# 9.0# 4.2 3.3# 1.4 *0.3 6.9# 2016 9.2 19.2 14.8 12.2 7.8 5.2 3.0 1.0 8.8 2019 9.6 26.1# 20.4# 13.9 10.3# 8.3# 4.3# 0.9 11.3# * Estimate has a relative standard error of 25% to 50% and should be used with cau ion.
# Statistically significant change between 2016 and 2019.

(a) Includes people who reported smoking combustible cigarettes (manufactured and/or roll-your-own) daily, weekly or less than weekly.

(b) Includes those who have never smoked more than 100 combus ible cigarettes (manufactured and/or roll-your-own), and those who have smoked this amount of combustible tobacco and report no longer smoking.

(c) Due to the small sample size, estimates should be interpreted with caution.
Source: AIHW 2020, Table 2.19.
Table 6: Current use(a) of electronic cigarettes (e-cigarettes), by age and smoker status, 2016 to 2019 (per cent) Smokers(b) Non-smokers(c) Persons Age group (years) 14–17(d) 18–24 25–29 30–39 40–49 50–59 60–69 70+ 14+ 2016 **4.3 6.8 *3.6 5.9 4.3 3.3 *2.9 **0.8 4.4 2019 **17.5 18.7# 13.7# 8.6 9.4# 6.4# 7.0# *2.5 9.7# 2016 2019 2016 2019 *0.8 *2.0 *0.5 0.5 0.8 *0.3 *0.4 **<0.1 0.6 *1.3 2.9 3.2# 1.7# 1.0 1.0# *0.4 *0.1 1.4# *0.9 2.8 *1.2 1.5 1.5 0.8 0.7 *0.1 1.2 *1.8 5.3# 4.8# 2.8# 2.6# 2.0# 1.2 *0.2 2.5# * Estimate has a relative standard error of 25% to 50% and should be used with cau ion.
** Es imate has a high level of sampling error (relative standard error of 51% to 90%), meaning that it is unsuitable for most uses.

# Statistically significant change between 2016 and 2019.

(a) Includes people who reported smoking electronic cigarettes daily, weekly, monthly or less than monthly.

(b) Includes people who reported smoking combustible cigarettes (manufactured and/or roll-your-own) daily, weekly or less than weekly.
(c) Includes those who have never smoked more than 100 combus ible cigarettes (manufactured and/or roll-your-own), and those who have smoked this amount of combustible tobacco and report no longer smoking.

(d) Due to the small sample size, estimates should be interpreted with caution.

Source: AIHW 2020; Table 2.24.
10 Tobacco Harm ReductionSubmission 214 Table 7: Smoking status at initiation(a) of e-cigarette use, by sex, people aged 14 and over, 2019 (per cent) Smoking status A never smoker An ex-smoker A social smoker An occasional smoker A regular smoker Current smoker (social, occasional and regular smoker) Males Females Persons 23.5 7.7 16.9 11.8 40.0 68.7 23.0 8.1 12.6 9.4 47.0 69.0 23.2 7.9 15.4 10.8 42.7 68.9 (a) Response to the question ‘At the time you first used an electronic cigarette, would you say that you were...’.
Note: Base is people who had used electronic cigarettes in heir lifetime.

Source: AIHW analysis of 2019 NDSHS (unpublished).

Table 8: Smoking status at initiation(a) of e-cigarette use, by age, 2019 (per cent) Age groups A never smoker An ex-smoker Current smoker(b) 14–17 18–24 25–29 30–39 40–49 50–59 60–69 70+ 14+ 40+ 64.5 39.0 27.4 17.3 7.2 *3.4 **3.1 n.p.
23.2 5.0 **1.7 *3.1 9.2 10.7 12.5 *8.7 *5.3 *16.2 7.9 10.1 33.8 57.8 63.4 71.9 80.3 87.9 91.6 82.9 68.9 84.9 * Estimate has a relative standard error of 25% to 50% and should be used with cau ion.

** Es imate has a high level of sampling error (relative standard error of 51% to 90%), meaning that it is unsuitable for most uses.

n.p.

not published because of small numbers, confidentiality or other concerns about the quality of the data.
(a) Response to the question ‘At the time you first used an electronic cigarette, would you say that you were...’.

(b) Includes ‘a social smoker’, ‘an occasional smoker’ and ‘a regular smoker’.

Note: Base is people who had used electronic cigarettes in heir lifetime.

Source: AIHW analysis of 2019 NDSHS (unpublished).
Table 9: Smoking status at initiation(a) of e-cigarette use, by frequency of e-cigarette use, people aged 14 and over, 2019 (per cent) Frequency of e-cigarette use A never smoker An ex-smoker Current smoker(b) Daily At least weekly (but not daily) At least monthly (but not weekly) Less than monthly I used to use them, but no longer use I only tried them once or twice **1.0 **0.7 *1.4 *3.8 6.0 87.2 16.4 **2.1 **1.2 *2.5 17.8 60.1 11.4 7.1 4.2 4.9 22.4 49.9 * Estimate has a relative standard error of 25% to 50% and should be used with caution.
** Es imate has a high level of sampling error (relative standard error of 51% to 90%), meaning that it is unsuitable for most uses.

(a) Response to the question ‘At the time you first used an electronic cigarette, would you say hat you were....’.

(b) Includes ‘a social smoker', 'an occasional smoker' and 'a regular smoker'.

Note: Base is people who had used electronic cigarettes in heir lifetime.

Source: AIHW 2020; Table 2.28.


11 Tobacco Harm ReductionSubmission 214 Table 10: Current smoking status by smoking status at e-cigarette initiation(a), people aged 14 and over, 2019 (per cent) Current smoker Ex-smoker Never smoked more than 100 cigarettes Total Never smoker(b) An ex-smoker(c) Current smoker(d) *5.8 *4.1 90.1 100.0 21.9 68.5 *9.6 100.0 64.7 24.7 10.6 100.0 * Estimate has a relative standard error of 25% to 50% and should be used with cau ion.
(a) Response to the question ‘At the time you first used an electronic cigarette, would you say that you were...’.

(b) Never smoked 100 cigarettes (manufactured and/or roll-your-own) or the equivalent amount of tobacco.

(c) Smoked at least 100 cigarettes (manufactured and/or roll-your-own) or the equivalent amount of tobacco in their life but no longer smoke.

(d) Includes ‘a social smoker’, ‘an occasional smoker’ and ‘a regular smoker’.
Note: Base is people who had used electronic cigarettes in heir lifetime.

Source: AIHW analysis of 2019 NDSHS (unpublished).
12 Tobacco Harm ReductionSubmission 214 Table 11: Reasons for using electronic cigarettes, by e-cigarette user status and combustible smoking status, people aged 14 and over, 2016 to 2019 (per cent) Current e-cigarette user(a) Ex e-cigarette user(b) Current smokers(c) Ex-smokers(d) Never smoked(e) Persons Reason To help me quit smoking 2016 46.7 2019 2016 2019 2016 2019 2016 2019 2016 2019 2016 2019 51.2 28.0 27.1 38.9 46.4# 44.4 39.9 *4.3 *3.4 30.5 32.5 To try to cut down on the number of cigarettes I smoke/smoked To try to stop me going back to smoking regular cigarettes I think they are less harmful than regular cigarettes They are cheaper than regular cigarettes I think they taste better than regular cigarettes 36.0 38.1 16.0 18.0 28.8 37.8# 14.3 15.7 *2.2 *2.6 18.7 22.4# 31.2 42.4 29.6 28.8 33.3 11.9 13.3 18.5 25.3# 44.6 15.6 16.5 23.0 29.0# 19.4 20.5 23.3 22.2 38.7# 35.9 11.7# 15.3 27.5# 8.9 18.3# 10.4# 10.0 17.4# 10.2 18.0# *3.0 **1.0 14.5 17.8# 11.0 *2.4 9.6 12.8 *1.0 12.4 19.2 10.5 10.0 22.8# 17.7# 16.1# You can smoke in places where regular cigarettes are banned 12.7 12.5 5.6 10.1 9.9 6.0 6.7 *3.1 *2.8 7.4 7.1 They seem more acceptable than regular cigarettes Out of curiosity Other 14.1 30.5 *7.2 18.0 7.8# 7.8 13.6# *4.5 26.9 59.2 62.1 46.8 41.8 46.5 5.3 7.1 6.8 5.1 4.3 8.4 8.1# 47.8 *4.7 *3.6 78.2 10.3 5.8 80.0 11.6 6.0 10.1# 55.4 7.2 54.2 6.5 7.6 7.1 6.5 4.7 * Estimate has a relative standard error of 25% to 50% and should be used with cau ion.
** Es imate has a high level of sampling error (relative standard error of 51% to 90%), meaning that it is unsuitable for most uses.

# Statistically significant change between 2016 and 2019.

(a) Includes people who reported smoking electronic cigarettes daily, weekly, monthly or less than monthly.

(b) Includes people who reported that they used to smoke electronic cigarettes but no longer do and those that they only tried them once or twice.
(c) Includes people who reported smoking combustible cigarettes (manufactured and/or roll-your-own) daily, weekly or less than weekly.

(d) Smoked at least 100 combustible cigarettes (manufactured and/or roll-your-own) or the equivalent amount of tobacco in their life, and reported no longer smoking.

(e) Never smoked 100 combustible cigarettes (manufactured and/or roll-your-own) or the equivalent amount of combustible tobacco products.

Source: AIHW 2020; Table 2.32.
13 Tobacco Harm ReductionSubmission 214 Table 12: Current use of e-cigarettes among people who used e-cigarettes to help them quit smoking or stop going back to regular cigarettes, 2019 Frequency of e-cigarette use Daily At least weekly (but not daily) At least monthly ( but not weekly) Less than monthly I used to use them, but no longer use I only tried them once or twice 2016 11.1 5.7 *2.1 *2.2 34.6 44.2 2019 18.6# 9.7# 3.5 *3.3 33.9 31.0# * Estimate has a relative standard error of 25% to 50% and should be used with cau ion.
# Statistically significant change between 2016 and 2019.

Note: Base is people who had used e-cigarettes in their lifetime and said their main reasons for using them was to help them quit smoking or to stop them going back to smoking regular cigarettes.

Source: AIHW analysis of 2019 NDSHS (unpublished).


Table 13: Current smoking status of people who used e-cigarettes to help them quit smoking or stop them going back to regular cigarettes, 2019 (per cent) Current smoking status Daily smoker Occasional smoker(a) Ex-smoker(b) Never smoked(c) 2016 59.4 8.1 27.8 *4.7 2019 55.8 11.3 30.0 2.9 * Estimate has a relative standard error of 25% to 50% and should be used with cau ion.

(a) Includes people who reported smoking weekly or less than weekly.
(b) Smoked at least 100 cigarettes (manufactured and/or roll-your-own) or the equivalent amount of tobacco in their life, and reported no longer smoking.

(c) Never smoked 100 cigarettes (manufactured and/or roll-your-own) or the equivalent amount of tobacco.

Note: Base is people who had used e-cigarettes in their lifetime and said their main reasons for using them was to help them quit smoking or to stop them going back to smoking regular cigarettes.

Source: AIHW analysis of 2019 NDSHS (unpublished).
14 Tobacco Harm ReductionSubmission 214 Table 14: Where do people usually obtain their electronic cigarettes, by e-cigarette user status, people aged 14 and over, 2016 to 2019 (per cent) Source 2016 2019 2016 2019 2016 2019 2016 2019 2016 2019 2016 2019 Daily e-cigarette user Weekly e-cigarette user Monthly e-cigarette user or less often I use to use them but no longer do I only tried them once or twice All lifetime e- cigarette users From the Internet - Australian retailer From the Internet - Overseas retailers From the Internet - Unsure of the origin of the retailer 35.4 30.4 *16.7 28.5 *19.1 12.7 17.8 15.7 5.6 7.1 10.7 12.5 25.0 31.9 28.2 *12.5# *7.2 16.3# 22.1 18.8 6.5 4.4 11.1 11.1 *4.5 *3.8 **4.3 **4.3 *4.4 **2.3 *2.2 6.6# *1.2 2.1 1.8 3.3# Friend or family member **1.5 **1.0 *11.8 *12.4 Tobacco retail outlet *18.7 16.9 *24.9 22.9 Pharmacy/chemist Other retail outlet n.p.
— — — *14.1 16.0 *14.2 *19.3 *12.9 *16.2 * Estimate has a relative standard error of 25% to 50% and should be used with caution.

** Estimate has a high level of sampling error (relative standard error of 51% to 90%), meaning that it is unsuitable for most uses.

# Statistically significant change between 2016 and 2019. n.p.

not published because of small numbers, confidentiality or other concerns about the quality of the data.

Source: AIHW analysis of 2019 NDSHS (unpublished).


22.2 33.1 **1.1 29.4 22.6 n.p.

14.0 24.2 *2.0 17.8 13.1 30.1 n.p.
15.5 56.8 16.5 **0.2 13.3 62.8# 42.4 42.4 15.3 *0.6 7.7# 19.2 19.2 *0.6 *0.4 14.2 11.2# 15 Tobacco Harm ReductionSubmission 214 Table 15: Support(a) for measures to reduce the problems associated with tobacco, people aged 14 and over, 2016 and 2019 (per cent) Measure Stricter enforcement of law against supplying minors Increasing the tax on tobacco products to pay for health education Increasing the tax on tobacco products to contribute to treatment costs Increasing the tax on tobacco products to discourage smoking Making it harder to buy tobacco in shops Implement licensing scheme for tobacco retailers Stricter penalties for sale or supply to minors 2016 86.4 2019 85.3# 69.0 65.2# 70.2 67.1# 67.2 63.6 66.3 84.4 63.5# 60.7# 66.5 83.1# Raising the legal age for sale or supply of tobacco products to those aged 21 years and over 63.9 63.1 Banning all additives (e.g.
flavouring) in cigarettes and other tobacco products, to make them less attractive to young people Restrictions on where and when electronic cigarettes can be advertised Restricting the use of electronic cigarettes in public places Prohibiting the sale of electronic cigarettes to people under 18 years of age # Statistically significant change between 2016 and 2019.

(a) Support or strongly support.

Source: AIHW 2020; Table 2.52.
76.3 74.4# 64.9 65.4 66.8# 68.9# 76.8 79.0# 16 Tobacco Harm ReductionSubmission 214 Table 16: Support(a) and opposition for measures to reduce the problems associated with e-cigarette use, people aged 14 and over, by smoking status, 2016 to 2019 (per cent) Support or strongly support: Restrictions on where and when electronic cigarettes can be advertised Restricting the use of electronic cigarettes in public places Prohibiting the sale of electronic cigarettes to people under 18 years of age Oppose or strongly oppose: Restrictions on where and when electronic cigarettes can be advertised Restricting the use of electronic cigarettes in public places Prohibiting the sale of electronic cigarettes to people under 18 years of age Currently use e- cigarettes Used to use them, but no longer do Only tried them once or twice Never used 44.9# 40.6# 62.1 16.8 24.4# 10.6 68.0 68.8 78.7 6.0 7.5 4.1 70.7# 73.7# 81.8# 5.3# 6.1# 3.6 # Statistically significant change between 2016 and 2019.
Base is people that were informed enough to indicate their level of support (exclude people who said don't know enough to say) Source: AIHW analysis of 2019 NDSHS (unpublished).
17 Tobacco Harm ReductionSubmission 214 List of national data tables Other national data tables that may be of interest to the committee and published on the AIHW website are available in the tobacco chapter: https://www.aihw.gov.au/reports/illicit-use-of-drugs/national-drug-strategy-household-survey- 2019/data Table 2.20 Lifetime use of electronic cigarettes (e-cigarettes), current smokers by age and sex, 2016 to 2019 (per cent) Table 2.21 Frequency of electronic cigarette use by gender, people aged 14 and over who have used an electronic cigarette in their lifetime, 2016 to 2019 (per cent) Table 2.22 Frequency of electronic cigarette use by smoking status, people aged 14 and over, 2016 to 2019 (per cent) Table 2.23 Use of electronic cigarette use by age, current smokers, 2016 to 2019 (per cent) Table 2.25 Current use of electronic cigarettes (e-cigarettes), smokers, by age and sex, 2016 to 2019 (per cent) Table 2.26 Smoking status at initiation of e-cigarette use, by sex, people aged 14 and over, 2019 (per cent) Table 2.27 Smoking status at initiation of e-cigarette use, by age, 2019 (per cent) Table 2.29 Smoking status at initiation of e-cigarette use, by current smoking status, people aged 14 and over, 2019 (per cent) Table 2.30 Age of initiation of e-cigarette use, by smoker status at e-cigarette initiation, people aged 14 and over, 2019 (years) Table 2.31 Reasons for using electronic cigarettes, by age, people who had ever used electronic cigarettes, 2019 (per cent) Table 2.33 Reasons for using e-cigarettes, by smoking status at initiation of e-cigarette use, people aged 14 and over, 2019 (per cent) Table 2.34 Where people usually obtain their electronic cigarettes, by e-cigarette user status, people aged 14 and over, 2016 to 2019 (per cent) Table 2.35 Where people usually obtain their electronic cigarettes, by age, people who had ever used an e-cigarette, 2019 (per cent) Table 2.53 Support for measures to reduce the problems associated with tobacco, by age, 2019 (per cent) Table 2.54 Support for measures to reduce the problems associated with tobacco, people aged 14 and over, by smoking status, 2010 to 2019 (per cent) Tobacco Harm ReductionSubmission 214 References AIHW 2020.
National Drug Strategy Household Survey 2019.

Drug Statistics series no.

32.

PHE 270.

Canberra: AIHW.

Tobacco Harm ReductionSubmission 214