E-cigarette initiation and associated changes in smoking cessation and reduction: the Population Assessment of Tobacco and Health Study, 2013–2015
| Autor: | Jason M. Collins, Michael Siegel, Kaitlyn M. Berry, Aruni Bhatnagar, Naomi M. Hamburg, Andrew Stokes, Jessica L. Fetterman, Emelia J. Benjamin, Lindsay M. Reynolds |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Health (social science) medicine.medical_treatment Population Cigarette use Electronic Nicotine Delivery Systems e-cigarette Logistic regression Quit smoking Cigarette Smoking Odds law.invention 03 medical and health sciences 0302 clinical medicine law Surveys and Questionnaires medicine Humans vaping PATH 030212 general & internal medicine education Aged vape education.field_of_study 030505 public health business.industry Public Health Environmental and Occupational Health Middle Aged Former Smoker United States smoking cessation electronic cigarette product transitions Logistic Models ENDS Smoking cessation Female e-cigarette initiation 0305 other medical science business population assessment of tobacco and health Electronic cigarette cigarette reduction Research Paper Demography |
| Zdroj: | Tobacco Control |
| ISSN: | 1468-3318 0964-4563 |
| Popis: | Background The role of electronic cigarettes (e-cigarettes) in product transitions has been debated. Methods We used nationally representative data from the Population Assessment of Tobacco and Health Study waves 1 (2013–2014) and 2 (2014–2015) to investigate the associations between e-cigarette initiation and cigarette cessation/reduction in the USA. We limited the sample to current cigarette smokers aged 25+ years who were not current e-cigarette users at wave 1. We modelled 30-day cigarette cessation and substantial reduction in cigarette consumption as a function of e-cigarette initiation between surveys using multivariable logistic regression. Results Between waves 1 and 2, 6.9% of cigarette smokers who were not current e-cigarette users transitioned to former smokers. After adjusting for covariates, cigarette smokers who initiated e-cigarette use between waves and reported they used e-cigarettes daily at wave 2 had 7.88 (95% CI 4.45 to 13.95) times the odds of 30-day cigarette cessation compared with non-users of e-cigarettes at wave 2. Cigarette smokers who began using e-cigarettes every day and did not achieve cessation had 5.70 (95% CI 3.47 to 9.35) times the odds of reducing their average daily cigarette use by at least 50% between waves 1 and 2 compared with e-cigarette non-users. Conclusions Daily e-cigarette initiators were more likely to have quit smoking cigarettes or reduced use compared with non-users. However, less frequent e-cigarette use was not associated with cigarette cessation/reduction. These results suggest incorporating frequency of e-cigarette use is important for developing a more thorough understanding of the association between e-cigarette use and cigarette cessation. |
| Databáze: | OpenAIRE |
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