Association between Intention to Quit Cigarette Smoking and Use of Heated Tobacco Products: Application of Smoking Intensity Perspective on Heated Tobacco Product Users

Abstract

Tobacco companies have designed sophisticated marketing strategies for heated tobacco products (HTPs), and many smokers are exposed to advertisements purporting that HTPs can replace combustible cigarettes. The present study evaluates the relationship between poly-use of tobacco products and intention to quit cigarette smoking in association with smoking intensity, a meaningful indication of one’s interest in quitting cigarette smoking. A total of 36,397 current cigarette smokers who participated in the 2019 Korea Community Health Survey were evaluated. A multivariable logistic regression model was designed. Additionally, smoking-intensity-stratified analyses were conducted. A total of 4.7% of the participants reported planning to quit cigarette smoking within one month. Current dual users of combustible cigarettes and HTPs presented no significantly increased likelihood of intention to quit cigarette smoking regardless of cigarette-smoking intensity. By contrast, light and heavy daily smokers who accompanied e-cigarette use presented significant adjusted odds ratios (aORs) of 1.81 (95% confidence interval (CI): 1.04–3.14) and 1.97 (95% CI: 1.14–3.42), respectively. Occasional and daily smokers who reported using both HTPs and e-cigarettes presented no significance. The results of the present study suggested that a complete replacement of combustible cigarettes with HTPs was unlikely.

Heated tobacco products and a telemedicine smoking cessation programme: A retrospective study

“…This result might be reasonable because dual users needed to quit both cigarette smoking and HTPs, which could be more difficult than quitting individually. Moreover, this result was consistent with the report from Ryu et al that dual users of cigarettes and HTPs had a lower intention to quit smoking within one month than exclusively cigarette smokers 21 . Furthermore, dual users might have a different clinical profile that could attenuate smoking cessation success compared to exclusively cigarette or exclusively HTP users.…”

Outcomes of a telemedicine smoking cessation programme for heated tobacco product users in Japan: a retrospective cohort study

“…This result might be reasonable because dual users needed to quit both cigarette smoking and HTPs, which could be more difficult than quitting individually. Moreover, this result was consistent with the report from Ryu et al that dual users of cigarettes and HTPs had a lower intention to quit smoking within 1 month than exclusively cigarette smokers 22. Furthermore, dual users might have a different clinical profile that could attenuate smoking cessation success compared with exclusively cigarette or exclusively HTP users.…”

“…Moreover, this result was consistent with the report from Ryu et al that dual users of cigarettes and HTPs had a lower intention to quit smoking within 1 month than exclusively cigarette smokers. 22 Furthermore, dual users might have a different clinical profile that could attenuate smoking cessation success compared with exclusively cigarette or exclusively HTP users. Our study indicated that dual users were younger and had shorter smoking duration than exclusively cigarette smokers.…”

Comparison of the Smoking Cessation of Heated Tobacco Product Users and Conventional Cigarette Smokers in Korea

“…In one study, more HTP smokers reported that HTPs were helpful in quitting smoking than nonsmokers; this trend was greater in dual users of HTPs and CCs and triple users or HTPs, liquid e-cigarettes, and CCs [ 12 ]. However, in several other studies, no significant difference in smoking cessation intentions or success rates were noted between HTP use and non-use [ 3 , 13 , 14 ]. A recent study examining all smoking cessation attempts using CCs, HTPs, and liquid e-cigarettes among Korean adults showed that the rates of future cessation intention and experience attempting smoking cessation were significantly lower in HTP versus CC smokers [ 15 ].…”