Key takeaways

  • Since 2010, 28% of former smokers quit mainly with the help of vaping, compared with 18% with nicotine replacement therapy;
  • Clinical trials confirm that vaping outperforms nicotine replacement therapy for quitting smoking;
  • 43% of former vapers have stopped smoking completely, and three in four have quit or cut down on tobacco;
  • 82% of vapers use an e-liquid below 10 mg/ml of nicotine, a strength that could hold back complete smoking cessation;
  • 87% of vapers use flavours other than tobacco;
  • Neo-puffs and purchases in convenience stores are concentrated among the youngest users, outside the specialist network.

Nicotine replacement dethroned

The Cochrane systematic review has concluded for several years that nicotine vaping is more effective than nicotine replacement therapy for quitting smoking, and the OpinionWay poll for FIVAPE confirms it: since 2010, e-cigarettes have become the leading aid cited by those who quit smoking. 28% of former smokers who quit since then name vaping as their main method, compared with 18% for nicotine patches, gum and sprays. Medications (varenicline, bupropion) and the Tabac Info Service quitline remain marginal, at 3% and 2% respectively. Among those who used an aid to quit after 2010, nearly one in two did so with vaping (28% out of a total of 58%).

Vaping’s share is massive, with meteoric growth since its arrival in the 2010s. This is explained by its attributes (nicotine, flavours, sensation, and pleasure that make quitting smoking less difficult), its accessibility and the support provided by specialist professionals.Fivape

A way out of smoking

Of the 554 daily vapers surveyed, 45% say they no longer smoke cigarettes: 23% vape exclusively and 22% combine vaping with nicotine replacement therapy. The rest, dual users, continue to smoke alongside vaping. A figure that appears to confirm that vaping attracts smokers above all. According to the 2024 Santé publique France Health Barometer, almost all daily vapers have experience with tobacco: 47.7% still smoke and 49.5% are former smokers. Fewer than 3% of daily vapers have therefore never smoked, and for them vaping may well have served as a diversion from smoking.

It is also worth noting that dual use is very often just one stage on the path to quitting. Of the 333 former vapers surveyed, 43% stopped smoking completely after using e-cigarettes, 23% considerably reduced their consumption and 9% cut down while considering quitting. In total, three in four quit smoking or reduced the number of cigarettes they smoke.

The impact of vaping on the decline in smoking is indisputable and validates its usefulness in helping many smokers give up cigarettes or, at the very least, reduce their consumption.Fivape

Far from the clichés

The 1,093 current vapers surveyed also paint a picture of use far removed from the image often shown in the media. 79% say they use a refillable device, and nearly one vaper in two buys mainly from the specialist network: 31% in vape shops and 16% from specialist websites. Both are channels where users receive guidance on choosing a nicotine strength and the right type of device. Tobacconists account for 27% of main purchases.

The under-dosing trap

The poll also reveals that 82% of vapers usually choose an e-liquid with less than 10 mg/ml of nicotine, including nicotine-free liquids (10%). Only 20% say they use strengths between 10 and 20 mg/ml, the maximum allowed in the European Union.

For those who have quit smoking, lowering the strength is a logical step towards giving up nicotine. For smokers trying to quit, it is another matter. According to the same Cochrane review, nicotine-free e-cigarettes probably help only 6 people in 100 to quit smoking, compared with 8 to 10 for those containing nicotine.

With four vapers in five below the 10 mg/ml mark, some dual users may lack the nicotine they need to give up cigarettes completely.

For vapers who no longer smoke, lowering the strength is a logical step on the path to quitting nicotine. But for dual users, under-dosing can make the fight against the last cigarettes harder.Fivape

Flavours, a pillar of vaping

The poll has once again shown how important flavours are.

87% of vapers use at least one flavour other than tobacco, with fruit flavours (65%) in first place, followed by mint and its derivatives (33%). Only 12% stick to tobacco flavour. Restricting flavours would therefore deprive nine vapers in ten of the products they use, at the risk of sending some of them back to cigarettes. Yet this is what France’s health minister, Stéphanie Rist, is asking the European Commission to do.

Besides the absurdity of imposing the taste of tobacco on smokers who want to move away from it, restricting the variety of flavours would affect 87% of current vapers by forcing them to change their habits: either resign themselves to tobacco flavour, or look for flavours on parallel markets, with no control whatsoever over regulation, quality and safety.Fivape

Problems lie outside the specialist network

In France as elsewhere, the media regularly relish the misadventures of a minority of vapers. This OpinionWay/Fivape poll shows that the practices raising concerns are concentrated far from specialist shops.

Among 18-24 year olds, 44% of vapers use neo-puffs, products that copy the format of disposable puffs banned in 2025, compared with 20% of all vapers. And 20% of young vapers buy mainly from convenience stores or night shops, compared with 9% on average.

The link with sales channels appears clear: neo-puff users are twice as likely to buy mainly from non-specialist retailers (31%) as those using a refillable device with 10 ml bottles (16%). The puff ban has therefore not made the format disappear; it has simply shifted it to alternative channels.

These “easy-to-use” formats have contributed to considerably reviving the popularity of vaping, but have also attracted non-specialist retailers […] seeking to profit from these “easy-to-sell” products, but which provide no advice whatsoever on quitting smoking.Fivape

Nor are these young adults the tobacco generation some predict. According to the Santé publique France Health Barometer, daily smoking among 18-29 year olds fell from 29% in 2021 to 18.4% in 2024. Widespread vaping and plummeting smoking in the same age group: data that could suggest vaping is diverting some young adults away from cigarettes. Data that is hard to reconcile with the gateway theory put forward by some organisations and institutions, which holds that vaping encourages smoking.

Don’t break the tool

The data gathered by this poll seem clear: vaping is now the most widely used aid among French people who succeed in quitting smoking, and its users favour refillable devices and specialist shops.

Any additional tax on the most popular tool for quitting smoking would be unacceptable, unethical and contrary to the goal of fighting smoking for public health.Fivape

Taxing e-liquids, restricting flavours or treating vaping like tobacco would therefore weaken the most widely used smoking cessation tool in France, with the risk of pushing vapers towards parallel channels where problems are already concentrated.

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