E-cigarette characteristics and cigarette smoking cessation behaviors among U.S. Adult dual users of cigarettes and e-cigarettes

It is critical to understand determinants of cigarette smoking cessation in the current tobacco product landscape. This study assesses the roles of e-cigarette flavoring, device type, and use frequency on cigarette smoking cessation behaviors among US adult dual users of cigarettes and e-cigarettes....

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Main Authors: Luis Zavala-Arciniega, Jana L. Hirschtick, Rafael Meza, Nancy L. Fleischer
Format: Article
Language:English
Published: Elsevier 2022-04-01
Series:Preventive Medicine Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211335522000559
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author Luis Zavala-Arciniega
Jana L. Hirschtick
Rafael Meza
Nancy L. Fleischer
author_facet Luis Zavala-Arciniega
Jana L. Hirschtick
Rafael Meza
Nancy L. Fleischer
author_sort Luis Zavala-Arciniega
collection DOAJ
description It is critical to understand determinants of cigarette smoking cessation in the current tobacco product landscape. This study assesses the roles of e-cigarette flavoring, device type, and use frequency on cigarette smoking cessation behaviors among US adult dual users of cigarettes and e-cigarettes. We analyzed a sample of 1,038 adult dual users of cigarettes and e-cigarettes from the 2018–2019 Tobacco Use Supplement-Current Population Survey.We defined three smoking cessation behavior stages in current smokers: pre-contemplation, contemplation, and preparation to quit smoking. Multinomial regression models (reference group = pre-contemplation to quit) regressed smoking cessation behavior stages on e-cigarette flavoring, device type, and use frequency, adjusting for sociodemographic and cigarette characteristic covariates.Dual users who used e-cigarettes with a replaceable cartridge (Adjusted Odds Ratio (AOR) 1.69, 95% CI 1.03–2.44) or tank e-cigarettes (AOR 2.03, CI 1.20–3.44) had greater odds of being in the contemplation (vs. pre-contemplation) smoking cessation stage than adults who used disposable e-cigarettes. Dual users who used e-cigarettes between 10 and 24 days in the past month had greater odds of being in the contemplation (vs. pre-contemplation) smoking cessation stage (AOR 1.79, CI 1.20–2.69), while adults who used e-cigarettes 25 + days had greater odds of being in the preparation (vs. pre-contemplation) stage (AOR 3.00, CI 1.87–4.82) compared to those who used e-cigarettes 1–9 days in the past month.Our findings suggest that the type of e-cigarette and the frequency of e-cigarette use affect smoking cessation behaviors among adult dual users of cigarettes and e-cigarettes.
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spelling doaj.art-292b685e0bc94a1a969db7881d74aa9d2022-12-21T23:33:23ZengElsevierPreventive Medicine Reports2211-33552022-04-0126101748E-cigarette characteristics and cigarette smoking cessation behaviors among U.S. Adult dual users of cigarettes and e-cigarettesLuis Zavala-Arciniega0Jana L. Hirschtick1Rafael Meza2Nancy L. Fleischer3Corresponding author.; Department of Epidemiology, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, United StatesDepartment of Epidemiology, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, United StatesDepartment of Epidemiology, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, United StatesDepartment of Epidemiology, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, United StatesIt is critical to understand determinants of cigarette smoking cessation in the current tobacco product landscape. This study assesses the roles of e-cigarette flavoring, device type, and use frequency on cigarette smoking cessation behaviors among US adult dual users of cigarettes and e-cigarettes. We analyzed a sample of 1,038 adult dual users of cigarettes and e-cigarettes from the 2018–2019 Tobacco Use Supplement-Current Population Survey.We defined three smoking cessation behavior stages in current smokers: pre-contemplation, contemplation, and preparation to quit smoking. Multinomial regression models (reference group = pre-contemplation to quit) regressed smoking cessation behavior stages on e-cigarette flavoring, device type, and use frequency, adjusting for sociodemographic and cigarette characteristic covariates.Dual users who used e-cigarettes with a replaceable cartridge (Adjusted Odds Ratio (AOR) 1.69, 95% CI 1.03–2.44) or tank e-cigarettes (AOR 2.03, CI 1.20–3.44) had greater odds of being in the contemplation (vs. pre-contemplation) smoking cessation stage than adults who used disposable e-cigarettes. Dual users who used e-cigarettes between 10 and 24 days in the past month had greater odds of being in the contemplation (vs. pre-contemplation) smoking cessation stage (AOR 1.79, CI 1.20–2.69), while adults who used e-cigarettes 25 + days had greater odds of being in the preparation (vs. pre-contemplation) stage (AOR 3.00, CI 1.87–4.82) compared to those who used e-cigarettes 1–9 days in the past month.Our findings suggest that the type of e-cigarette and the frequency of e-cigarette use affect smoking cessation behaviors among adult dual users of cigarettes and e-cigarettes.http://www.sciencedirect.com/science/article/pii/S2211335522000559E-cigarette devicesFrequency of e-cigarette useE-cigarette flavorsCessation behavior
spellingShingle Luis Zavala-Arciniega
Jana L. Hirschtick
Rafael Meza
Nancy L. Fleischer
E-cigarette characteristics and cigarette smoking cessation behaviors among U.S. Adult dual users of cigarettes and e-cigarettes
Preventive Medicine Reports
E-cigarette devices
Frequency of e-cigarette use
E-cigarette flavors
Cessation behavior
title E-cigarette characteristics and cigarette smoking cessation behaviors among U.S. Adult dual users of cigarettes and e-cigarettes
title_full E-cigarette characteristics and cigarette smoking cessation behaviors among U.S. Adult dual users of cigarettes and e-cigarettes
title_fullStr E-cigarette characteristics and cigarette smoking cessation behaviors among U.S. Adult dual users of cigarettes and e-cigarettes
title_full_unstemmed E-cigarette characteristics and cigarette smoking cessation behaviors among U.S. Adult dual users of cigarettes and e-cigarettes
title_short E-cigarette characteristics and cigarette smoking cessation behaviors among U.S. Adult dual users of cigarettes and e-cigarettes
title_sort e cigarette characteristics and cigarette smoking cessation behaviors among u s adult dual users of cigarettes and e cigarettes
topic E-cigarette devices
Frequency of e-cigarette use
E-cigarette flavors
Cessation behavior
url http://www.sciencedirect.com/science/article/pii/S2211335522000559
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