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Tobacco Product Use in Hong Kong

A person using the IQOS device.

Background on Data

E-cigarettes entered the Hong Kong market around 2008. Heated tobacco products, like IQOS, entered the Hong Kong market around 2016 [source needed.]

Tobacco product use in Hong Kong data is collected for adults (age 15+) every two-to-three years by the Census and Statistics Department's "Thematic Household Survey." This includes information on combustible tobacco, e-cigarette, and heated tobacco (HTP.)

Data on youth tobacco use is collected via a school-based survey conducted by the Food and Health Bureau, as well as reported in the Thematic Household Survey Report for primary school students (grades P4-P6) and secondary school students grades (S1-S6.)

The latest edition is the Thematic Household Survey Report - Report No. 70 - Pattern of Smoking, published on June 8, 2020.

Definitions

The Thematic Household Survey defines: "Smoking" as "all forms of tobacco and related products, including cigarette, heated tobacco product, e-cigarette, cigar, hand rolled cigarette, water pipe, and pipe-smoking"; "Current Smokers" as "those persons who had a smoking habit (regardless of the forms of tobacco or related products)..." at the time of the survey; "Daily cigarette smokers" refers to "those persons who had a daily cigarette smoking habit" at the time of the survey"; and "Ex-daily cigarette smokers" as "those persons who previously had a daily cigarette smoking habit for a continuous period of 6 months and more but had given it up" at the time of the survey.

Rates of Combustible* Tobacco Use - Adults

As of the latest survey, in 2019 the prevalence of current cigarette smoking among adults, 15 years and over, was 11.1%.

Daily and Ex-daily smokers by form of tobacco and related products consumed daily (Table 3.2)

Year of Survey	Daily Cigarette Smokers	Ex-daily cigarette smokers
2019	10.2%	4.3%
2017	10%	4.5%
2015	10.5%	5.6%
2012	10.7%	5.8%
2010	11.1%	4.8%
2007	11.8%	5.1%
2005	14%	4.5%
2003	14.4%	2.7%
2000	12.4%	3.8%
1998	15%	3.8%

^*Due to the definition of "smoking" as including heated tobacco products and e-cigarettes, the likely prevalence of combustible smoking is lower among the adult population. While the survey does not report on exclusive use of these non-combustible forms of tobacco/nicotine, table 3.1 illuminates the use of these other products among the smoking population:

2019 Adult daily smokers /ex -daily smokers by form of tobacco product consumed daily (Table 3.1)

Form of tobacco and related products consumed daily#	Daily Smokers*	Ex-daily smokers*
Cigarettes	10.2%	4.3%
HTP	0.2%	‡
E-cigarettes	1.1%	‡
Other◎	0.5%	‡
Overall	10.5%	4.3%

_{# Multiple answers allowed}; _{* As a percentage of all persons age 15+}; _{◎Including cigar, hand rolled cigarettes, water pipe, and pipe-smoking}; _{‡ Statistics not released due to large sampling error}

Rates of Tobacco Use - Youth

According to the 2020 edition of the Thematic Household Survey, the rate of current smokers within primary school students (P4-P6) was 0.1% in 2018/2019, a significant decline from the 2.4% reported in the 2010/2011 survey.

Rate^* of ever and current smokers among primary school students (P4-P6) by sex (Table 2)

			Ever smokers				Current smokers
Survey Period (school year)	Male	Female	Overall		Male	Female	Overall
2018/19	3.2%	1.5%	2.4%		0.2%	‡	0.1%
2016/17	2.9%	1.3%	2.1%		0.2%	‡	0.1%
2014/15	3.9%	1.6%	2.8%		0.4%	‡	0.2%
2012/13	3.3%	1.7%	2.5%		0.5%	‡	0.3%
2010/11	3.7%	1.6%	2.7%		0.2%	0.2%	0.2%

_* ; _{‡ Statistics not released due to large sampling error}

Rate^* of ever and current smokers among secondary school students (S1-S6) by sex (Table 6)

			Ever smokers				Current smokers
Survey Period (school year)#	Male	Female	Overall		Male	Female	Overall
2018/19	10.5%	7.4%	9.0%		1.8%	1.2%	1.5%
2016/17	14.1%	11.3%	12.7%		2.9%	2.0%	2.5%
2014/15	14.8%	10.9%	12.9%		3.5%	1.9%	2.7%
2012/13	16.0%	13.9%	15.0%		3.7%	2.9%	3.3%
2010/11	17.0%	14.4%	15.7%		3.8%	2.6%	3.2%

_{* As a percentage of all students in the respective survey period and sex sub-groups} ; _{# The surveys conducted since 2012/13 covered students from S1-S6 while the 2010/11 survey covered students from S1-S7. Hence, findings of the survey conducted in 2012/13 and onwards relating to secondary school students are not directly comparable to findings in the 2010/11 survey.}

2018/19 Smoking status among secondary school students (S1-S6) by sex (Table 5)

Smoking Status		Male%	Female%	Overall%
Never		89.5%	92.6%	91.0%
Ever		10.5%	7.4%	9.0%
	Experimental	6.8%	4.6%	5.7%
	Ex-smoking	1.7%	2.5%	0.3%
	Occasional *	1.6%	2.7%	0.2%
	Daily #	1.6%	2.7%	0.2%
Current ◎		1.8%	1.2%	1.5%

_{* Occasional smoking was defined as smoking less than 30 days in the past 30 days for those reported that they smoked daily or smoked occasionally}; _{^# Daily smoking was defined as smoking 30 days in the past 30 days for those reported that they smoked daily or smoked occasionally ^◎ Current smoking was defined as smoking was defined as any smoking in the past 30 days for those reported that they smoked daily or smoked occasionally}

Tobacco Harm Reduction in Hong Kong

Jaberwaki

Rates of Non-combustible Tobacco and Alternatives - Adults

Jaberwaki

Rates of Non-combustible Tobacco and Alternatives - Youth

2018/19 E-cigarette use status among primary school students (P4-P6) by sex (Table 12)

E-cig use Status		Male%	Female%	Overall%
Never		98.1%	99.1%	98.6%
Ever		1.9%	0.9%	1.4%
	Experimental	1.2%	0.5%	0.9%
	Ex-smoking	0.4%	0.2%	0.3%
	Occasional*	0.2%	0.1%	0.2%
	Daily#	‡	‡	0.1%
Current◎		0.2%	0.1%	0.2%'

_{* Occasional e-cig use was defined as smoking less than 30 days in the past 30 days for those reported that they smoked daily or smoked occasionally}; _{# Daily e-cig use was defined as smoking 30 days in the past 30 days for those reported that they smoked daily or smoked occasionally ◎ Current e-cig use was defined as smoking was defined as any smoking in the past 30 days for those reported that they smoked daily or smoked occasionally}

2018/19 E-cigarette use status among secondary school students (S1-S6) by sex (Table 15)

E-cig use Status		Male%	Female%	Overall%
Never		91.3%	93.4%	92.3%
Ever		8.7%	6.6%%	7.7%
	Experimental	5.6%	4.6%	5.1%
	Ex-smoking	2.1%	1.2%	1.7%
	Occasional*	0.7%	0.5%	0.6%
	Daily#	0.3%	0.3%	0.3%
Current◎		0.9%	0.6%	0.8%'

_{* Occasional e-cig use was defined as smoking less than 30 days in the past 30 days for those reported that they smoked daily or smoked occasionally}; _{# Daily e-cig use was defined as smoking 30 days in the past 30 days for those reported that they smoked daily or smoked occasionally ◎ Current e-cig use was defined as smoking was defined as any smoking in the past 30 days for those reported that they smoked daily or smoked occasionally}

2018/19 Ever e-cigarette users among primary school students (P4-P6) by smoking status and sex (Table 14)

E-cig use Status	Smoking Status	Male%	Female%	Overall%
Ever	Never	50.4%	54%	51.5%
	Ever	49.6%	46%	48.5%
	Current	8.2%	‡	8.5%

_{Figures represent the % of ever, never, and current smokers within the population of "ever e-cigarette users ‡ Statistics not released due to large sampling error}

2018/19 Ever and Current e-cigarette users among secondary school students (S1-S6) by smoking status and sex (Table 17)

E-cig use Status	Smoking Status	Male%	Female%	Overall%
Ever	Never	39.9%%	44.1%	41.6%
	Ever	60.1%	55.9%	58.4%
	Current	18.0%	15.4%	17.0%
Current	Never	12.2%	13.0%	12.5%
	Ever	87.8%	87.0%	87.5%
	Current	72.9%	70.5%	71.9%

_{Figures represent the % of ever, never, and current smokers within the population of "ever" and "current" e-cigarette users ‡ Statistics not released due to large sampling error}