Reasons for Transition From Electronic Cigarette Use to Cigarette Smoking Among Young Adult College Students

Abstract

Purpose: Longitudinal studies indicate that e-cigarette use among youth and young adults is associated with cigarette smoking initiation. The purpose of this study was to identify reasons why nonsmoking young adults transition from e-cigarette use to cigarette smoking. Methods: The study used concept mapping (CM), a mixed-method participatory approach. Fiftyfive college students who endorsed initiation of e-cigarettes before cigarettes (lifetime e-cigarette uses ! 100 and ! 100 cigarettes in lifetime) completed at least one part of the study. In an online program, participants brainstormed (n ¼ 54) statements describing reasons for transition from e-cigarette use to cigarette smoking, sorted statements (n ¼ 46) into conceptually similar categories, and rated (n ¼ 47) how true each statement was for them. Results: Participants generated 60 unique statements, and multidimensional scaling analysis generated eight thematic clusters characterizing reasons for transition which included the following:

Influence of Personal, Environmental, and Community Factors on Cigarette Smoking in Adolescents: A Population-Based Study from Taiwan

“…Parents or friends who smoke tend to influence adolescents’ initial smoking behavior over the developmental periods from junior high school to high school [ 23 , 25 ]. In a study that investigated the reasons for the transition from e-cigarette use to cigarette smoking among nonsmoking young adults, sharing cigarettes with and accessing cigarettes from peers were among the main reasons [ 26 ]. Taken together, family and peers are the key influential factors in the initiation or maintenance of cigarette use.…”

Current Cigarette Smoking Is Associated With a High Seizure Frequency and Anxiety Symptoms in People With Epilepsy

“…In Chinese culture, cigarette smoking is a commonly accepted social activity and has many social benefits (22). Smoking could facilitate social connectedness and integration among Chinese people (23). The smoking rate of adults with epilepsy has been previously reported to vary among different populations (10)(11)(12).…”

A national assessment of on‐premise drinking establishments near public universities: Drink prices, drink specials, indoor tobacco use, and state‐level alcohol laws

“…Fewer studies have examined electronic cigarette (e-cigarette) use (i.e., vaping) in the context of on-premise drinking establishments. Limited research indicates that while drinking alcohol, college students report greater cravings for, and pleasure from, smoking than from using e-cigarettes (Hiler et al, 2020).…”

“…Numerous studies show associations between alcohol consumption and tobacco use among college students (Dierker et al, 2006; Hiler et al, 2020; Reed et al, 2007; Rossheim et al, 2013; Samuolis et al, 2021). These associations have also been observed in on‐premise drinking locations (Jiang & Ling, 2013; Rossheim et al, 2013).…”

“…These associations have also been observed in on‐premise drinking locations (Jiang & Ling, 2013; Rossheim et al, 2013). Specifically, studies utilizing convenience samples have indicated that bar attendance and alcohol intoxication levels are associated with increased odds of same‐night smoking and lower odds of quitting smoking among young adults (Jiang & Ling, 2013; Rossheim et al, 2013), potentially due to cravings for smoking while drinking (Hiler et al, 2020). Fewer studies have examined electronic cigarette (e‐cigarette) use (i.e., vaping) in the context of on‐premise drinking establishments.…”