Understanding the role of e-cigarette use in smoking cessation based on the stages of change model.

<h4>Objective</h4>We explored the role of e-cigarette use in smoking cessation based on the stages of change (SOC) model, which is a framework for describing the process of smoking cessation.<h4>Methods</h4>We used nationwide, cross-sectional data on adults (19+ years) from t...

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Main Authors: Wonjeong Yoon, Inhyung Cho, Sung-Il Cho
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0274311
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author Wonjeong Yoon
Inhyung Cho
Sung-Il Cho
author_facet Wonjeong Yoon
Inhyung Cho
Sung-Il Cho
author_sort Wonjeong Yoon
collection DOAJ
description <h4>Objective</h4>We explored the role of e-cigarette use in smoking cessation based on the stages of change (SOC) model, which is a framework for describing the process of smoking cessation.<h4>Methods</h4>We used nationwide, cross-sectional data on adults (19+ years) from the seventh Korea National Health and Nutrition Examination Survey (KNHANES, 2016-2018) and restricted the participants to 3,929 recent smokers, consisting of current smokers and recent quitters (≤2 years). A multinomial logistic regression analysis was performed to reveal the relationships between e-cigarette use and cigarette quitting behaviors (e.g., current quitting status, past quit attempts, intention to quit, and duration of quitting) and all stages in smoking cessation, with adjustment for sociodemographic and smoking-related factors.<h4>Results</h4>E-cigarette use was positively related to past quit attempts, while not having quit, intention to quit, and longer duration of quitting. Based on the cessation stages, current and former e-cigarette users were significantly more likely to be in the 'Precontemplation' and 'Contemplation' stages than never users, while not to be in the 'Preparation' and 'Action' stages. Current users were particularly less likely to be in the 'Maintenance' stage compared to never users.<h4>Conclusion</h4>E-cigarette use was closely linked with early-stage behavior than late-stage behavior in the smoking cessation process. E-cigarettes might promote quit attempts and short-term quitting in some smokers, but the negative role of inducing smokers to continue cigarette smoking with no immediate quit-intention for future attempts is dominant in the real world.
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spelling doaj.art-57e73aa3f1e944368e3ddf122585d6432022-12-22T04:27:07ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01179e027431110.1371/journal.pone.0274311Understanding the role of e-cigarette use in smoking cessation based on the stages of change model.Wonjeong YoonInhyung ChoSung-Il Cho<h4>Objective</h4>We explored the role of e-cigarette use in smoking cessation based on the stages of change (SOC) model, which is a framework for describing the process of smoking cessation.<h4>Methods</h4>We used nationwide, cross-sectional data on adults (19+ years) from the seventh Korea National Health and Nutrition Examination Survey (KNHANES, 2016-2018) and restricted the participants to 3,929 recent smokers, consisting of current smokers and recent quitters (≤2 years). A multinomial logistic regression analysis was performed to reveal the relationships between e-cigarette use and cigarette quitting behaviors (e.g., current quitting status, past quit attempts, intention to quit, and duration of quitting) and all stages in smoking cessation, with adjustment for sociodemographic and smoking-related factors.<h4>Results</h4>E-cigarette use was positively related to past quit attempts, while not having quit, intention to quit, and longer duration of quitting. Based on the cessation stages, current and former e-cigarette users were significantly more likely to be in the 'Precontemplation' and 'Contemplation' stages than never users, while not to be in the 'Preparation' and 'Action' stages. Current users were particularly less likely to be in the 'Maintenance' stage compared to never users.<h4>Conclusion</h4>E-cigarette use was closely linked with early-stage behavior than late-stage behavior in the smoking cessation process. E-cigarettes might promote quit attempts and short-term quitting in some smokers, but the negative role of inducing smokers to continue cigarette smoking with no immediate quit-intention for future attempts is dominant in the real world.https://doi.org/10.1371/journal.pone.0274311
spellingShingle Wonjeong Yoon
Inhyung Cho
Sung-Il Cho
Understanding the role of e-cigarette use in smoking cessation based on the stages of change model.
PLoS ONE
title Understanding the role of e-cigarette use in smoking cessation based on the stages of change model.
title_full Understanding the role of e-cigarette use in smoking cessation based on the stages of change model.
title_fullStr Understanding the role of e-cigarette use in smoking cessation based on the stages of change model.
title_full_unstemmed Understanding the role of e-cigarette use in smoking cessation based on the stages of change model.
title_short Understanding the role of e-cigarette use in smoking cessation based on the stages of change model.
title_sort understanding the role of e cigarette use in smoking cessation based on the stages of change model
url https://doi.org/10.1371/journal.pone.0274311
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