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Original Research ARTICLE Provisionally accepted The full-text will be published soon. Notify me

Front. Public Health | doi: 10.3389/fpubh.2019.00354

Stakeholders' Views on E-Cigarette Legislation: A Qualitative Study in Taiwan

 Chin-Shui SHIH1* and Jean-Francois Etter1
  • 1Institute of Global Health, Faculty of Medicine, University of Geneva, Switzerland

Objectives
Little is known about stakeholders’ opinions on e-cigarette legislation in Taiwan. Our aim is to understand the perspectives of stakeholders regarding the current legal system and measures that could be included in future e-cigarette legislation in Taiwan.

Material and Methods
We conducted in-depth interviews with 14 Taiwanese stakeholders, using semi-structured questionnaires, either face-to-face or via telephone, in 2016-2017. All interviews were transcribed.

Results
The current legal system is applied to e-cigarettes even though it does not mention them specifically, this system carries risks and faces challenges from anti-tobacco and vaper groups. Some weaknesses in the current legislative framework were noted, including the facts that e-cigarettes are sold without government approval, that there are no manufacturing standards, no inspections or monitoring, and no regulations for usage or advertising.
There was wide acceptance among stakeholders that e-cigarettes should be better regulated, particularly e-cigarettes containing nicotine. Most interviewees agreed that there is a need to restrict e-cigarette use by teenagers and in public places where tobacco smoking is prohibited. Most interviewees also would like to restrict marketing, ban sales in vending machines, via mail order, and over the internet; label content and nicotine levels; and introduce health warnings and taxation.

Conclusions
Almost all interviewees agreed that there is a need for a specific legal framework for e-cigarettes in Taiwan, and that e-cigarettes should be regulated in the same way as combustible cigarettes.

Keywords: e-Cigarette, Stakeholder, Qualitative, Smoking, legislation

Received: 23 Nov 2018; Accepted: 07 Nov 2019.

Copyright: © 2019 SHIH and Etter. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Mr. Chin-Shui SHIH, Institute of Global Health, Faculty of Medicine, University of Geneva, Geneva, Switzerland, chinsshih@gmail.com