Aims:
To measure trends from 2016 to 2020 in England of: (i) use of e-cigarette device types, Juul and heated tobacco products; (ii) use of different e-liquid nicotine concentrations; and (iii) where vaping supplies are purchased.

Methods:
Data came from the Smoking Toolkit Study, a representative monthly cross-sectional survey of the population in England. 3,786 alternative nicotine delivery system (ANDS) users were asked about their use of tank, pod, mod, disposable, and Juul e-cigarettes and heated tobacco products. E-cigarette users were asked which nicotine concentration they mainly use and where they buy their vaping supplies.

Results:
Overall, e-cigarettes were used by 98.7% (95% CrI = 98.4%-99.0%) of ANDs users, Juul e-cigarettes by 5.1% (4.1%-6.1%), and HTPs by 2.2% (1.8%-2.7%). Among e-cigarette users, 53.7% (52.0%-55.1%) used tank devices, 23.7% (22.4%-25.1%) used mods, 17.3% (16.1%-18.4%) used pods, and 5.4% (4.7%-6.2%) used disposables. From 2016 to 2020, tank e-cigarettes were consistently the most commonly used device type. Mod e-cigarettes were the second most commonly used device type until 2020, when pod e-cigarettes overtook them. HTP use remains relatively rare, whereas Juul use rose year-on-year from 2018. Across all years, ≤6mg/ml was the most commonly used (41.0%; 39.4%-42.4%) nicotine concentration. Concentrations of >20mg/ml were rarely used (4.1%; 3.4%-4.9%). Specialist vape shops were the most widely used sources of vaping products from 2016-2020. Overall, 42.1% (40.4%-43.6%) of e-cigarette users bought their vaping products from specialist vape shops.

Conclusions:
Choices of e-cigarette device types have stayed relatively stable from 2016 to 2020 in England, with tank e-cigarettes the most popular. Heated tobacco product use is still uncommon, but Juul is now used by around one-in-ten ANDS users. Low (<6mg/ml) nicotine concentrations have remained most popular, and specialist vape shops remain the most widely used source of purchase of vaping supplies.

Poster link: