Spatial distribution of e-cigarette vending machines: a case study from Germany

Germany has the highest density of cigarette vending machines globally, and the recent proliferation of electronic cigarette (e-cigarette) vending machines raises growing public health concerns, particularly regarding youth exposure. However, limited data exist on their spatial distribution and cont...

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Vydané v:Tobacco control
Hlavní autori: Alemu, Sisay Mulugeta, Mons, Ute, Schaller, Katrin, Baltaci, Ezgi, Hoe, Connie
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: England 27.09.2025
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ISSN:1468-3318, 1468-3318
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Shrnutí:Germany has the highest density of cigarette vending machines globally, and the recent proliferation of electronic cigarette (e-cigarette) vending machines raises growing public health concerns, particularly regarding youth exposure. However, limited data exist on their spatial distribution and contextual placement. This study presents the first spatial analysis of e-cigarette vending machines in Germany, using the Berlin-based company ' ' as a case study. Geo-referenced data on e-cigarette vending machine locations were extracted from the website and cross-validated using Google Maps and Microsoft Bing Maps. Spatial analyses-including density mapping, proximity assessments and co-location analysis-were conducted using ArcGIS Pro, R and OpenRouteService. Associations with population size were examined through regression analysis. Selected sites in Cologne and Wiesbaden were visited for on-site validation. A total of 316 ( ) e-cigarette vending machines were identified in Germany, with the highest concentration in Berlin. Machine density was significantly associated with population size, with a 3.24% increase per 1000 additional residents. In Berlin, vending machines were frequently co-located with hospitality and commercial establishments and rarely placed near outdoor or public utility areas. On-site inspections revealed that machines offered disposable e-cigarettes for around €10, with basic age verification. The integration of e-cigarette vending machines into everyday environments-combined with continuous advertising and 24/7 access-normalises e-cigarette use and poses challenges to tobacco control efforts. Stronger regulations, including bans on the sale of cigarettes and e-cigarettes via vending machines, are urgently needed to protect youth from early nicotine exposure.
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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ISSN:1468-3318
1468-3318
DOI:10.1136/tc-2025-059546