E-cigarette prevalence by smoking status

Bar chart showing ever use, past 30-day use, and daily use of e-cigarettes by smoking status among Canadians age 15+, in 2020. Trends described in text. Data table below with 95% confidence intervals.

As shown in Figure 11.9, use of e-cigarettes varied greatly by smoking status, including for ever, past 30-day and daily prevalence.102-104

Nearly half (47.5%a) of current smokers (including daily and non-daily smokers) had ever used e-cigarettes, compared to 13.0%b of non-smokers (including former and never smokers). Similarly, past 30-day use was 16.5%c among current smokers and just 3.3%d among non-smokers, and daily use was 5.7%e among current smokers and 1.9%f among non-smokers.

Figure 11.9 data table with 95% confidence intervals

Figure 11.9: Ever use, past 30-day use, and daily use of e-cigarettes (%) by smoking status among Canadians age 15+, 2020
Smoking status Ever use Past 30-day use Daily use
Daily smoker 43.9 [38.8-49.0] 15.1 [10.9-19.3] 4.7 [2.7-6.7]
Non-daily smoker 59.6 [50.9-68.2] 21.2 [15.0-27.5] 9.2 [5.1-13.3]
Former smoker 19.3 [17.1-21.5] 6.3 [4.9-7.6] 5.2 [3.9-6.4]
Never smoker 10.7 [9.8-11.5]

2.2 [1.8-2.5]

0.7 [0.5-0.8]

Daily smoker: responded "daily" to "During the past 30 days, how often did you smoke cigarettes?"; Non-daily smoker: responded "less than daily, but at least once a week" or "less than once a week, but at least once in the past month" to past 30-day smoking; Former smoker: responded "not at all" to past 30-day smoking but "yes" to "Have you smoked at least 100 cigarettes (about 4 packs) in your life?"; Never smoker: either responded "not at all" to past 30-day smoking and "no" to 100+ lifetime cigarettes or responded "no" to "Have you ever smoked a whole cigarette?"

Data source: Canadian Tobacco and Nicotine Survey, 2020.

Since 2013, ever use of e-cigarettes appears to have increased among all groups, with the largest increases among non-daily and former smokers in the most recent years (Figure 11.10). While prevalence among never smokers was lower than other groups, ever use increased more than three-fold between 2013 and 2020 in this group.

Line graph showing ever use of e-cigarettes by smoking status among Canadians age 15+, from 2013 to 2020. Trends described in text. Data table below with 95% confidence intervals.

Figure 11.10 data table with 95% confidence intervals

Figure 11.10: Ever use of e-cigarettes (%) by smoking status among Canadians age 15+, 2013-2020
Smoking status 2013 2015 2017 2019 2020
Daily smoker 35.6 53.1 54.0 46.0 [41.2-50.9] 43.9 [38.8-49.0]
Non-daily smoker 42.1 45.5 54.3 52.9 [45.1-60.6] 59.6 [50.9-68.2]
Former smoker 5.1 12.2 12.9 13.0 [11.2-14.7] 19.3 [17.1-21.5]
Never smoker 3.0 5.6 6.7 11.6 [10.7-12.6] 10.7 [9.8-11.5]

Data sources: Canadian Tobacco, Alcohol and Drugs Survey, 2013, 2015, 2017; Canadian Tobacco and Nicotine Survey, 2019, 2020.

Line graph showing past 30-day use of e-cigarettes by smoking status among Canadians age 15+, from 2013 to 2020. Trends described in text. Data table below with 95% confidence intervals.

Figure 11.11 data table with 95% confidence intervals

Figure 11.11: Past 30-day use of e-cigarettes (%) by smoking status among Canadians age 15+, 2013-2020
Smoking status 2013 2015 2017 2019 2020
Daily smoker 9.9 16.3 12.9 10.5 [7.8-13.1] 15.1 [10.9-19.3]
Non-daily smoker 8.8 13.6 10.8 28.3 [21.0-35.6] 21.2 [15.0-27.5]
Former smoker 0.9 2.9 2.2 4.8 [3.7-5.9] 6.3 [4.9-7.6]
Never smoker 0.3 0.7 0.7 2.7 [2.3-3.2] 2.2 [1.8-2.5]

Data sources: Canadian Tobacco, Alcohol and Drugs Survey, 2013, 2015, 2017; Canadian Tobacco and Nicotine Survey, 2019, 2020.

Line graph showing daily use of e-cigarettes by smoking status among Canadians age 15+, from 2015 to 2020. Trends described in text. Data table below with 95% confidence intervals.

From 2013 to 2020, past 30-day use of e-cigarettes also appears to have increased in all smoking status groups (Figure 11.11). Prevalence was greater among smokers throughout this time, but increases were greater among non-daily smokers in recent years.

Daily use of e-cigarettes also appeared to increase more among non-daily smokers than other groups, particularly in the most recent years (Figure 11.12).

Figure 11.12 data table with 95% confidence intervals

Figure 11.12: Daily use of e-cigarettes (%) by smoking status among Canadians age 15+, 2015-2020
Smoking status 2015 2017 2019 2020
Daily smoker 4.4 1.9 3.8 [2.2-5.3] 4.7 [2.7-6.7]
Non-daily smoker 4.7 5.8 12.3 [7.8-16.8] 9.2 [5.1-13.3]
Former smoker 1.6 1.7 4.0 [3.0-5.1] 5.2 [3.9-6.4]
Never smoker ! 0.1 0.6 [0.4-0.8] 0.7 [0.5-0.8]

! Estimate for never smokers in 2015 suppressed due to unacceptable quality.
Data Source: Canadian Tobacco, Alcohol and Drugs Survey, 2015, 2017; Canadian Tobacco and Nicotine Survey, 2019, 2020.

Prevalence among males and females, by smoking status

Among smokers, ever use of e-cigarettes (Figure 11.13) was significantly more prevalent among males than females.105 While past 30-day use followed a similar pattern (Figure 11.14), the difference in prevalence was not significantly different between male and female smokers.106 Daily use of e-cigarettes was not reportable among female smokers (Figure 11.15), but no significant difference was observed between male and female smokers (potentially due to small sample size).107

Among non-smokers, ever use, past 30-day use, and daily use of e-cigarettes were all significantly more prevalent among males.108-110

Bar chart showing ever use of e-cigarettes among males and females age 15+, by smoking status, in 2020. Trends described in text. Data table below with 95% confidence intervals.
Bar chart showing past 30-day use of e-cigarettes among males and females age 15+, by smoking status, in 2020. Trends described in text. Data table below with 95% confidence intervals.
Bar chart showing daily use of e-cigarettes among males and females age 15+, by smoking status, in 2020. Trends described in text. Data table below with 95% confidence intervals.

Figure 11.13 data table with 95% confidence intervals

Figure 11.13: Ever use of e-cigarettes (%) among males and females age 15+, by smoking status*, 2020
  Males Females
  Smokers Non-smokers Smokers Non-smokers
Ever use 51.8 [46.1-57.4] 15.1 [13.7-16.4] 41.7 [35.2-48.1] 11.1 [10.0-12.3]

*Smokers includes daily and non-daily smokers; non-smokers includes former and never smokers.
Data source: Canadian Tobacco and Nicotine Survey, 2020.

Figure 11.14 data table with 95% confidence intervals

Figure 11.14: Past 30-day use of e-cigarettes (%) among males and females age 15+, by smoking status*, 2020
  Males Females
  Smokers Non-smokers Smokers Non-smokers

Past 30-day use

18.3 [13.2-23.4] 4.0 [3.2-4.7] 14.1 [9.6-18.5] 2.6 [2.1-3.2]

*Smokers includes daily and non-daily smokers; non-smokers includes former and never smokers.
Data source: Canadian Tobacco and Nicotine Survey, 2020.

Figure 11.15 data table with 95% confidence intervals

Figure 11.15: Daily use of e-cigarettes (%) among males and females age 15+, by smoking status*, 2020
  Males Females
  Smokers Non-smokers Smokers Non-smokers
Daily use 5.3 [3.2-7.4] 2.6 [2.0-3.2] ! 1.3 [0.8-1.7]

*Smokers includes daily and non-daily smokers; non-smokers includes former and never smokers.
! Estimate suppressed due to unacceptable quality.
Data source: Canadian Tobacco and Nicotine Survey, 2020.

Prevalence by age group and smoking status

Prevalence of using e-cigarettes differed significantly by age among both smokers and non-smokers.111,112 While smokers had much higher prevalence than non-smokers, the same pattern of greater use among youth and younger adults, declining with age, was observed in both groups (Figure 11.16, Figure 11.17).

Bar chart showing ever use of e-cigarettes by age group among smokers in 2020. Trends described in text. Data table below with 95% confidence intervals.
Bar chart showing ever use of e-cigarettes by age group among non-smokers in 2020. Trends described in text. Data table below with 95% confidence intervals.

Figure 11.16 data table with 95% confidence intervals

Figure 11.16: Ever use of e-cigarettes (%) by age group among smokers, 2020
Age group 15-19 20-24 25-34 35-44 45+
Smokers 94.2 [86.8-100.0] 93.1 [87.9-98.3] 64.2 [52.0-76.5] 64.8 [54.3-75.3] 31.3 [26.2-36.4]

Smokers includes daily and non-daily smokers.
Data source: Canadian Tobacco and Nicotine Survey, 2020.

Figure 11.17 data table with 95% confidence intervals

Figure 11.17: Ever use of e-cigarettes (%) by age group among non-smokers, 2020
Age group 15-19 20-24 25-34 35-44 45+
Non-smokers 33.3 [30.4-36.2] 38.7 [35.5-41.8] 22.0 [18.2-25.8] 12.1 [9.7-14.6] 4.3 [3.6-5.0]

Non-smokers includes former and never smokers.
Data source: Canadian Tobacco and Nicotine Survey, 2020

Use of e-cigarettes in the past 30 days also varied by smoking status and age group,113,114 again with much higher use observed among smokers than non-smokers and similar patterns by age group, although at much lower prevalence levels than for ever use (Figure 11.18, Figure 11.19).

Bar chart showing past 30-day use of e-cigarettes by age group among smokers in 2020. Trends described in text. Data table below with 95% confidence intervals.
Bar chart showing past 30-day use of e-cigarettes by age group among non-smokers in 2020. Trends described in text. Data table below with 95% confidence intervals.

Figure 11.18 data table with 95% confidence intervals

Figure 11.18: Past 30-day use of e-cigarettes (%) by age group among smokers, 2020
Age group 15-19 20-24 25-44 45+
Smokers 53.2* [43.3-63.0] 13.2* [9.5-16.9]

*Age groups combined due to low numbers.
Smokers includes daily and non-daily smokers.
Data source: Canadian Tobacco and Nicotine Survey, 2020.

Figure 11.19 data table with 95% confidence intervals

Figure 11.19: Past 30-day use of e-cigarettes (%) by age group among non-smokers, 2020
Age group 15-19 20-24 25-44 45+
Non-smokers 12.2 [10.1-14.2] 10.2 [8.2-12.2] 3.3 [2.2-4.4] 1.1 [0.7-1.5]

Non-smokers includes former and never smokers.
Data source: Canadian Tobacco and Nicotine Survey, 2020.

Daily use of e-cigarettes followed a pattern similar to past 30-day use, although at lower prevalence levels. Significant differences were observed by age group among both smokers and non-smokers,115,116 with greater daily prevalence among younger age groups, although the estimate for daily use among smokers age 25 and older was not reportable (Figure 11.20; Figure 11.21).

Bar chart showing daily use of e-cigarettes by age group among smokers in 2020. Trends described in text. Data table below with 95% confidence intervals.
Bar chart showing daily use of e-cigarettes by age group among non-smokers in 2020. Trends described in text. Data table below with 95% confidence intervals.

Figure 11.20 data table with 95% confidence intervals

Figure 11.20 : Daily use of e-cigarettes (%) by age group among smokers, 2020
Age group 15-19 20-24 25-44 45+
Smokers 23.3* [15.7-30.9] *!

*Age groups combined due to low numbers.
! Estimate suppressed due to unacceptable quality.
Smokers includes daily and non-daily smokers.
Data source: Canadian Tobacco and Nicotine Survey, 2020.

Figure 11.21 data table with 95% confidence intervals

Figure 11.21: Daily use of e-cigarettes (%) by age group among non-smokers, 2020
Age group 15-19 20-24 25-44 45+
Non-smokers 4.4 [3.1-5.6] 4.2 [2.9-5.5] 2.4 [1.5-3.3] 0.9 [0.6-1.3]

Non-smokers includes former and never smokers.
Data source: Canadian Tobacco and Nicotine Survey, 2020


95% confidence intervals for in-text estimates

a: 47.5 [43.3-51.8]
b: 13.0 [12.2-13.9]