Electronic cigarettes for smoking cessation

Hartmann‐Boyce, Jamie; Lindson, Nicola; Butler, Ailsa R.; McRobbie, Hayden; Bullen, Chris; Begh, Rachna; Theodoulou, Annika; Notley, Caitlin; Rigotti, Nancy A.; Turner, Tari; Fanshawe, Thomas; Hájek, Peter

doi:10.1002/14651858.cd010216.pub7

Cited by 120 publications

(98 citation statements)

References 273 publications

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“…E-cigarettes have been the most used tobacco product among youth since 2014, and significant work is ongoing to address this concerning public health issue . Although growing evidence indicates that certain e-cigarettes may facilitate smoking cessation among adults, further high-quality research on this issue, including on short- and long-term clinical outcomes, is needed. Such research need not be mutually exclusive of ongoing efforts to rigorously prevent use of e-cigarettes by youth, increase use of effective cessation methods such as counseling and FDA-approved cessation medications, and explore other innovative approaches to assist adults to quit completely.…”

Section: Individual Levelmentioning

confidence: 99%

The Need for a Smoking Cessation “Care Package”

Califf

King

2023

JAMA

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Section: Individual Levelmentioning

confidence: 99%

The Need for a Smoking Cessation “Care Package”

Califf

King

2023

JAMA

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“…Vaping products in Great Britain can legally be sold only to those aged 18 years or older . Vaping can help some smokers to quit smoking . However, there is concern about youths’ use of vaping products, particularly with the recent increase in the use of disposable vaping products among youths younger than 18 years in Great Britain…”

Section: Introductionmentioning

confidence: 99%

Association of Fully Branded and Standardized e-Cigarette Packaging With Interest in Trying Products Among Youths and Adults in Great Britain

et al. 2023

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Importancee-Cigarette vaping among youths and adults has increased in Great Britain. The design of e-cigarette packaging may appeal to youths. Regulations that reduce the appeal of e-cigarettes to youths may deter adult smokers from trying e-cigarettes to help them quit smoking.ObjectiveTo examine the association of fully branded and standardized e-cigarette packaging with interest in trying products among youths and adults in Great Britain.Design, Setting, and ParticipantsIn this survey study comprising 2 surveys, the online Action on Smoking and Health Smokefree Great Britain survey collected data between March 25 and April 16, 2021, from a representative sample of 2469 youths (aged 11-18 years) and between February 18 and March 18, 2021, from a representative sample of 12 046 adults (aged ≥18 years).InterventionsA between-individuals experimental design was used to examine participants’ perceptions of e-cigarette packs that were digitally altered to remove brand imagery and color. Participants were randomly assigned to view a set of 3 e-cigarette packs from 1 of 3 different packaging conditions: (1) fully branded packs (control), (2) white standardized packs with brand name, or (3) green standardized packs with brand name.Main Outcomes and MeasuresYouth participants were asked which product people their age would be most interested in trying, while adult participants were asked which product they would be most interested in trying. All participants could respond “no interest” or “don’t know.” Logistic regression models tested whether reporting no interest in trying the e-cigarettes differed between the pack conditions.ResultsThis study included 2469 youths (1286 female youths [52.1%]; mean [SD] age, 15.0 [2.3] years) and 12 046 adults (6412 female [53.2%]; mean [SD] age, 49.9 [17.4] years). Youths had higher odds of reporting no interest among people their age in trying the e-cigarettes packaged in green (292 of 815 [35.8%]; adjusted odds ratio [AOR], 1.37; 95% CI, 1.10-1.71; P = .005) but not white (264 of 826 [32.0%]; AOR, 1.16; 95% CI, 0.93-1.44; P = .20) standardized packaging compared with the fully branded packaging (238 of 828 [28.7%]). Adults had lower odds of reporting no interest in trying e-cigarettes in green standardized packaging (3505 of 4040 [86.8%]; AOR, 0.85; 95% CI, 0.73-0.99; P = .046) but not white packaging (3532 of 4006 [88.2%]; AOR, 1.05; 95% CI, 0.89-1.23; P = .59) compared with branded packaging (3526 of 4000 [88.1%]). Youths who had never vaped (275 of 699 [39.3%]; AOR, 1.34; 95% CI, 1.07-1.69; P = .01) and youths who had never smoked (271 of 676 [40.1%]; AOR, 1.38; 95% CI, 1.10-1.75; P = .006) were more likely to report no interest in trying e-cigarettes in green packaging compared with branded packaging (224 of 688 [32.6%] never vaping; 216 of 662 [32.6%] never smoking). There were no significant differences by vaping or smoking status among adults.Conclusions and RelevanceThe findings of this survey study suggest that standardized packaging measures may reduce the appeal of e-cigarettes among youths without reducing their appeal among adults.

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“…This indicates a perception that e-cigarettes are effective smoking cessation tools [ 37 ] and healthier alternatives to smoking [ 18 , 38 ]. Recent meta-analyses on the efficacy of e-cigarette use in smoking cessation have provided inconclusive results [ 39 , 40 ]; however, a recent Cochrane review found there is “high-certainty evidence that ECs with nicotine increase quit rates compared to NRT and moderate-certainty evidence that they increase quit rates compared to ECs without nicotine” [ 41 ]. There are also data which suggest that tobacco smokers may substitute all or some of their cigarettes with e-cigarettes [ 42 ], supporting the perception by users that they are useful smoking cessation tools.…”

Section: Discussionmentioning

confidence: 99%

Electronic Cigarette Usage Patterns and Perceptions in Adult Australians

Larcombe

Chivers

Huxley

et al. 2023

Toxics

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Despite their increasing popularity, and Australia’s unique regulatory environment, how and why Australian adults use e-cigarettes and their perceptions of their safety, efficacy and regulation have not been extensively reported before. In this study, we screened 2217 adult Australians with the aim of assessing these questions in a sample of current or former e-cigarette users. A total of 505 out of 2217 respondents were current or former e-cigarette users, with only these respondents completing the full survey. Key findings of this survey included the high proportion of respondents who indicated they were currently using e-cigarettes (307 out of 2217 = 13.8%), and the high proportion of current e-cigarette users that were also smokers (74.6%). The majority of respondents used e-liquids containing nicotine (70.3%), despite it being illegal in Australia without a prescription, and the majority bought their devices and liquids in Australia (65.7%). Respondents reported using e-cigarettes in a variety of places, including inside the home, inside public places (where it is illegal to smoke tobacco cigarettes), and around other people—which has implications for second and third hand exposures. A significant proportion of current e-cigarette users (30.6%) thought that e-cigarettes were completely safe to use long-term, although in general, there was a large amount of uncertainty/ambivalence with respect to perceptions of e-cigarette safety and efficacy as smoking cessation tools. This study shows that e-cigarette use is common in Australia, and that appropriate dissemination of unbiased research findings on their safety and efficacy in smoking cessation is urgently required.

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Electronic cigarettes for smoking cessation

Cited by 120 publications

References 273 publications

The Need for a Smoking Cessation “Care Package”

The Need for a Smoking Cessation “Care Package”

Association of Fully Branded and Standardized e-Cigarette Packaging With Interest in Trying Products Among Youths and Adults in Great Britain

Electronic Cigarette Usage Patterns and Perceptions in Adult Australians

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