RETRACTED ARTICLE: Population-level counterfactual trend modelling to examine the relationship between smoking prevalence and e-cigarette use among US adults

Abstract Background Studies have suggested that some US adult smokers are switching away from smoking to e-cigarette use. Nationally representative data may reflect such changes in smoking by assessing trends in cigarette and e-cigarette prevalence. The objective of this study is to assess whether a...

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Main Authors: Floe Foxon, Arielle Selya, Joe Gitchell, Saul Shiffman
Format: Article
Language:English
Published: BMC 2022-10-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-022-14341-z
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author Floe Foxon
Arielle Selya
Joe Gitchell
Saul Shiffman
author_facet Floe Foxon
Arielle Selya
Joe Gitchell
Saul Shiffman
author_sort Floe Foxon
collection DOAJ
description Abstract Background Studies have suggested that some US adult smokers are switching away from smoking to e-cigarette use. Nationally representative data may reflect such changes in smoking by assessing trends in cigarette and e-cigarette prevalence. The objective of this study is to assess whether and how much smoking prevalence differs from expectations since the introduction of e-cigarettes. Methods Annual estimates of smoking and e-cigarette use in US adults varying in age, race/ethnicity, and sex were derived from the National Health Interview Survey. Regression models were fitted to smoking prevalence trends before e-cigarettes became widely available (1999–2009) and trends were extrapolated to 2019 (counterfactual model). Smoking prevalence discrepancies, defined as the difference between projected and actual smoking prevalence from 2010 to 2019, were calculated, to evaluate whether actual smoking prevalence differed from those expected from counterfactual projections. The correlation between smoking discrepancies and e-cigarette use prevalence was investigated. Results Actual overall smoking prevalence from 2010 to 2019 was significantly lower than counterfactual predictions. The discrepancy was significantly larger as e-cigarette use prevalence increased. In subgroup analyses, discrepancies in smoking prevalence were more pronounced for cohorts with greater e-cigarette use prevalence, namely adults ages 18–34, adult males, and non-Hispanic White adults. Conclusion Population-level data suggest that smoking prevalence has dropped faster than expected, in ways correlated with increased e-cigarette use. This population movement has potential public health implications.
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spelling doaj.art-1c34d8b170a04eb9b0dbd26ee34115ad2023-10-08T11:29:05ZengBMCBMC Public Health1471-24582022-10-0122111010.1186/s12889-022-14341-zRETRACTED ARTICLE: Population-level counterfactual trend modelling to examine the relationship between smoking prevalence and e-cigarette use among US adultsFloe Foxon0Arielle Selya1Joe Gitchell2Saul Shiffman3PinneyAssociates IncPinneyAssociates IncPinneyAssociates IncPinneyAssociates IncAbstract Background Studies have suggested that some US adult smokers are switching away from smoking to e-cigarette use. Nationally representative data may reflect such changes in smoking by assessing trends in cigarette and e-cigarette prevalence. The objective of this study is to assess whether and how much smoking prevalence differs from expectations since the introduction of e-cigarettes. Methods Annual estimates of smoking and e-cigarette use in US adults varying in age, race/ethnicity, and sex were derived from the National Health Interview Survey. Regression models were fitted to smoking prevalence trends before e-cigarettes became widely available (1999–2009) and trends were extrapolated to 2019 (counterfactual model). Smoking prevalence discrepancies, defined as the difference between projected and actual smoking prevalence from 2010 to 2019, were calculated, to evaluate whether actual smoking prevalence differed from those expected from counterfactual projections. The correlation between smoking discrepancies and e-cigarette use prevalence was investigated. Results Actual overall smoking prevalence from 2010 to 2019 was significantly lower than counterfactual predictions. The discrepancy was significantly larger as e-cigarette use prevalence increased. In subgroup analyses, discrepancies in smoking prevalence were more pronounced for cohorts with greater e-cigarette use prevalence, namely adults ages 18–34, adult males, and non-Hispanic White adults. Conclusion Population-level data suggest that smoking prevalence has dropped faster than expected, in ways correlated with increased e-cigarette use. This population movement has potential public health implications.https://doi.org/10.1186/s12889-022-14341-zAdultE-CigaretteVapingCounterfactualNHISSmoking
spellingShingle Floe Foxon
Arielle Selya
Joe Gitchell
Saul Shiffman
RETRACTED ARTICLE: Population-level counterfactual trend modelling to examine the relationship between smoking prevalence and e-cigarette use among US adults
BMC Public Health
Adult
E-Cigarette
Vaping
Counterfactual
NHIS
Smoking
title RETRACTED ARTICLE: Population-level counterfactual trend modelling to examine the relationship between smoking prevalence and e-cigarette use among US adults
title_full RETRACTED ARTICLE: Population-level counterfactual trend modelling to examine the relationship between smoking prevalence and e-cigarette use among US adults
title_fullStr RETRACTED ARTICLE: Population-level counterfactual trend modelling to examine the relationship between smoking prevalence and e-cigarette use among US adults
title_full_unstemmed RETRACTED ARTICLE: Population-level counterfactual trend modelling to examine the relationship between smoking prevalence and e-cigarette use among US adults
title_short RETRACTED ARTICLE: Population-level counterfactual trend modelling to examine the relationship between smoking prevalence and e-cigarette use among US adults
title_sort retracted article population level counterfactual trend modelling to examine the relationship between smoking prevalence and e cigarette use among us adults
topic Adult
E-Cigarette
Vaping
Counterfactual
NHIS
Smoking
url https://doi.org/10.1186/s12889-022-14341-z
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