Cigarette Users' Interest in Using or Switching to Electronic Nicotine Delivery Systems for Smokeless Tobacco for Harm Reduction, Cessation, or Novelty: A Cross-Sectional Survey of US Adults

Berg, Carla J.; Haardöerfer, Regine; Escoffery, Cam; Zheng, Pinpin; Kegler, Michelle C.

doi:10.1093/ntr/ntu103

Cited by 105 publications

(106 citation statements)

References 46 publications

(49 reference statements)

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“…7 Our analyses add to the previous research by providing an examination of the reasons for use of e-cigarettes, and the impact of stated reasons on current tobacco use and intentions to quit. 25 Similar to prior research, 4,7,[14][15][16]25,26 we observed that the vast majority of smokers endorsed reasons for e-cigarette use related to quitting and reducing, and reduction in health risks. Results of our multivariable logistic regression analyses point to use of e-cigarettes as a means to quit smoking and to reduce stress as reasons that are independently associated with both intention to quit smoking and reduced use of cigarettes.…”

Section: Discussionsupporting

confidence: 84%

Use of E-Cigarettes Among Current Smokers: Associations Among Reasons for Use, Quit Intentions, and Current Tobacco Use

Rutten

Blake

Agunwamba

et al. 2015

NICTOB

172

173

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Introduction: Research has documented growing availability and use of e-cigarettes in the United States over the last decade. Methods: We conducted a national panel survey of current adult cigarette smokers to assess attitudes, beliefs, and behaviors relating to e-cigarette use in the United States (N = 2,254). Results: Among current cigarette smokers, 20.4% reported current use of e-cigarettes on some days and 3.7% reported daily use. Reported reasons for e-cigarette use included: quit smoking (58.4%), reduce smoking (57.9%), and reduce health risks (51.9%). No significant differences in sociodemographic characteristics between e-cigarette users and nonusers were observed. Prior quit attempts were reported more frequently among e-cigarette users (82.8%) than nonusers (74.0%). Intention to quit was reported more frequently among e-cigarette users (64.7%) than nonusers (46.8%). Smokers intending to quit were more likely to be e-cigarette users than those not intending to quit (odds ratio [OR] = 1.90, CI =1.36-2.65). Those who used e-cigarettes to try to quit smoking (OR = 2.25, CI = 1.25-4.05), reduce stress (OR = 3.66, CI = 1.11-12.09), or because they cost less (OR = 3.42, CI = 1.64-7.13) were more likely to report decreases in cigarette smoking than those who did not indicate these reasons. Smokers who reported using e-cigarettes to quit smoking (OR = 16.25, or reduce stress (OR = 4.30, CI = 1.32-14.09) were significantly more likely to report an intention to quit than those who did not indicate those reasons for using e-cigarettes. Conclusions: Nearly a quarter of smokers in our study reported e-cigarettes use, primarily motivated by intentions to quit or reduce smoking. These findings identify a clinical and public health opportunity to re-engage smokers in cessation efforts.

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Section: Discussionsupporting

confidence: 84%

Use of E-Cigarettes Among Current Smokers: Associations Among Reasons for Use, Quit Intentions, and Current Tobacco Use

Rutten

Blake

Agunwamba

et al. 2015

NICTOB

172

173

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“…(Check all that apply. )” Response options were based on prior research (Berg, Barr et al 2014, Berg, Escoffery et al 2014). See Tables 3 and 4 for response options.…”

Section: Methodsmentioning

confidence: 99%

Preferred flavors and reasons for e-cigarette use and discontinued use among never, current, and former smokers

Berg

2015

Int J Public Health

144

160

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Objectives To compare e-cigarette flavors preferred and reasons for use and discontinued use across never, current, and former e-cigarette users and cigarette smokers. Methods We recruited 1,567 participants age 18–34 years through Facebook ads targeting tobacco users and nonusers in August 2014 to complete an online survey. We assessed tobacco use, preferred flavors, and reasons for e-cigarette use and discontinued use. Results Our sample was 49% male, 87% White; 56% current cigarette smokers; and 53% e-cigarette users. Current e-cigarette users used an average of 20.9 days in the past 30 (SD=11.7) and 55.2 puffs/day (SD=37.3). Compared to never and current smokers, former smokers used e-cigarettes more frequently (p’s<.001). Among users and nonusers, the most preferred was fruit flavors, and the most commonly reported reason for e-cigarette use was “they might be less harmful than cigarettes”. The most endorsed reason for discontinued e-cigarette use was “using other tobacco products instead”. Never, current, and former smokers had distinct reasons for e-cigarette use and discontinued use and differed in flavor preferences. Conclusions Regulating marketing and flavors may impact e-cigarette uptake by young adults.

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“…3 11 The most significant factor drawing smokers to e-cigarettes is their potential as a harm reduction or smoking cessation device. 8 The routes that cigarette smokers take to using ecigarettes are informal, however. A number of characteristics of e-cigarettes may be involved in smokers trying and adopting e-cigarettes.…”

Section: Introductionmentioning

confidence: 99%

Cigarette smoking and electronic cigarette vaping patterns as a function of e-cigarette flavourings

2016

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Introduction The present study examined the influence of flavouring on the smoking and vaping behaviour of cigarette smokers asked to adopt e-cigarettes for a period of 6 weeks. Methods Participants were 88 current male and female smokers with no intention to stop smoking, but who agreed to substitute e-cigarettes for their current cigarettes. On intake, participants were administered tests of taste and smell for e-cigarettes flavoured with tobacco, menthol, cherry and chocolate, and were given a refillable e-cigarette of their preferred flavour or a control flavour. Participants completed daily logs of cigarette and e-cigarette use and were followed each week. Results Analyses over days indicated that, during the 6-week e-cigarette period, cigarette smoking rates dropped from an average of about 16 to about 7 cigarettes/day. e-Cigarette flavour had a significant effect such that the largest drop in cigarette smoking occurred among those assigned menthol e-cigarettes, and the smallest drop in smoking occurred among those assigned chocolate and cherry flavours. e-Cigarette vaping rates also differed significantly by flavour assigned, with the highest vaping rates for tobacco- and cherry-flavoured e-cigarettes, and the lowest rates for those assigned to chocolate. Conclusions The findings suggest that adoption of e-cigarettes in smokers may influence smoking rates and that e-cigarette flavourings can moderate this effect. e-Cigarette vaping rates are also influenced by flavourings. These findings may have implications for the utility of e-cigarettes as a nicotine replacement device and for the regulation of flavourings in e-cigarettes for harm reduction.

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Cigarette Users' Interest in Using or Switching to Electronic Nicotine Delivery Systems for Smokeless Tobacco for Harm Reduction, Cessation, or Novelty: A Cross-Sectional Survey of US Adults

Cited by 105 publications

References 46 publications

Use of E-Cigarettes Among Current Smokers: Associations Among Reasons for Use, Quit Intentions, and Current Tobacco Use

Use of E-Cigarettes Among Current Smokers: Associations Among Reasons for Use, Quit Intentions, and Current Tobacco Use

Preferred flavors and reasons for e-cigarette use and discontinued use among never, current, and former smokers

Cigarette smoking and electronic cigarette vaping patterns as a function of e-cigarette flavourings

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