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E-cigarettes a gateway to conventional smoking: ANU

E-cigarettes are a gateway to cigarettes for non-smokers, according to new research from the Australian National University (ANU).

Researchers from the ANU and the University of Melbourne reviewed the worldwide evidence on e-cigarettes and smoking behaviour in an Australian context and found non-smokers who used e-cigarettes were around three times as likely to take up conventional smoking.

โ€œOur findings support concerns that e-cigarettes are a gateway to smoking, especially among young people,โ€ said the University of Melbourneโ€™s Olivia Baenziger.

The research also looked at the use of e-cigarettes as a tool to quit smoking and found ex-smokers using e-cigarettes were more than twice as likely to relapse. Guidelines from The Royal Australian College of General Practitioners (RACGP) list e-cigarettes as a โ€œlast resortโ€.

โ€œMost people who give up smoking successfully donโ€™t use any products like patches or medication to do it โ€“ they do it by themselves, for example by going cold turkey,โ€ said lead researcher Emily Banks from the ANU. 

โ€œOur review found that there wasnโ€™t sufficient evidence to conclude that e-cigarettes are effective for quitting smoking compared to other approaches, but there are promising signs that they have potential to help,โ€ Professor Banks said.

โ€œThe evidence also indicates that e-cigarettes tend to lead to prolonged use of nicotine, rather than quitting the habit entirely.โ€

According to the researchers, Australiaโ€™s tobacco control is โ€œworld-leadingโ€; 11% of adults smoke daily, while 97% of young Australians aged 14 to 17 have never smoked.

โ€œThere are around 2.3 million smokers in Australia, and it is our number one cause of premature death and disability,โ€ Professor Banks said.

โ€œAvoiding e-cigarettes in non-smokers is vital to keeping progress going against smoking.โ€

โ€œAustralia is in a great position to use the best possible evidence to protect the health of future generations, while supporting smokers to quit,โ€ Professor Banks said. 

โ€œThere is a lot of pressure from companies and individuals who stand to make millions from e-cigarettes. 

โ€œWe definitely donโ€™t want something widely available that is going to increase people taking up smoking.โ€ 

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