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Differences between Dual Users and Switchers Center around Vaping Behavior and Its Experiences Rather than Beliefs and Attitudes.
Int J Environ Res Public Health. 2017 12 23; 15(1)IJ

Abstract

(1) Background: Many smokers completely switch to vaping (switchers), whereas others use e-cigarettes (e-cigs) alongside tobacco cigarettes (dual users). To the extent that dual users substantially lower the number of cigarettes, they will reduce health risks from smoking. However, from a medical point of view, exclusive vaping is preferable to dual use; (2) Methods: Using an online questionnaire we assessed behavioral, cognitive and attitudinal aspects of e-cig use in smoking and ex-smoking vapers; (3) Results: Our sample consisted of 19% dual users and 81% switchers. Before e-cig initiation, both groups smoked on average 22 cigarettes per day (CPD). After e-cig initiation, dual users decreased tobacco consumption by 82% and were low-to-moderately cigarette dependent. Both groups had been vaping for on average 22 months, were highly e-cig dependent, used state-of-the-art e-cigs, nicotine concentrations of 4-8 mg/mL and often flavors other than tobacco. Dual users used substantially less e-liquid per week than switchers but reported a similar number of puffs/day, experienced less e-cig efficacy, more practical problems, more negative and less positive consequences, and endorsed smoking reduction (rather than quitting) as a more important reason to start vaping. For both groups, e-cig risk perception was low and little stigmatization was experienced. Dual users preferred tobacco cigarettes in stressful situations and when rapid nicotine uptake is required. E-cigs were preferred where cigarettes are prohibited and to reduce second-hand smoke; (4) Conclusions: Differences between dual users and switchers center around variables proximal to the vaping behavior and its experienced effects rather than hinging on more general vaping-related beliefs and attitudes.

Authors+Show Affiliations

Faculty of Psychology and Educational Sciences, KU Leuven-University Leuven, Tiensestraat 102, 3000 Leuven, Belgium. karolien.adriaens@kuleuven.be.Faculty of Psychology and Educational Sciences, KU Leuven-University Leuven, Tiensestraat 102, 3000 Leuven, Belgium. dinska.vangucht@thomasmore.be. Applied Psychology Unit, Thomas More University of Applied Sciences, Molenstraat 8, 2018 Antwerp, Belgium. dinska.vangucht@thomasmore.be.Faculty of Psychology and Educational Sciences, KU Leuven-University Leuven, Tiensestraat 102, 3000 Leuven, Belgium. frank.baeyens@kuleuven.be.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29295483

Citation

Adriaens, Karolien, et al. "Differences Between Dual Users and Switchers Center Around Vaping Behavior and Its Experiences Rather Than Beliefs and Attitudes." International Journal of Environmental Research and Public Health, vol. 15, no. 1, 2017.
Adriaens K, Van Gucht D, Baeyens F. Differences between Dual Users and Switchers Center around Vaping Behavior and Its Experiences Rather than Beliefs and Attitudes. Int J Environ Res Public Health. 2017;15(1).
Adriaens, K., Van Gucht, D., & Baeyens, F. (2017). Differences between Dual Users and Switchers Center around Vaping Behavior and Its Experiences Rather than Beliefs and Attitudes. International Journal of Environmental Research and Public Health, 15(1). https://doi.org/10.3390/ijerph15010012
Adriaens K, Van Gucht D, Baeyens F. Differences Between Dual Users and Switchers Center Around Vaping Behavior and Its Experiences Rather Than Beliefs and Attitudes. Int J Environ Res Public Health. 2017 12 23;15(1) PubMed PMID: 29295483.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Differences between Dual Users and Switchers Center around Vaping Behavior and Its Experiences Rather than Beliefs and Attitudes. AU - Adriaens,Karolien, AU - Van Gucht,Dinska, AU - Baeyens,Frank, Y1 - 2017/12/23/ PY - 2017/11/24/received PY - 2017/12/19/revised PY - 2017/12/21/accepted PY - 2018/1/4/entrez PY - 2018/1/4/pubmed PY - 2018/11/6/medline KW - dual use KW - electronic cigarettes KW - tobacco harm reduction JF - International journal of environmental research and public health JO - Int J Environ Res Public Health VL - 15 IS - 1 N2 - (1) Background: Many smokers completely switch to vaping (switchers), whereas others use e-cigarettes (e-cigs) alongside tobacco cigarettes (dual users). To the extent that dual users substantially lower the number of cigarettes, they will reduce health risks from smoking. However, from a medical point of view, exclusive vaping is preferable to dual use; (2) Methods: Using an online questionnaire we assessed behavioral, cognitive and attitudinal aspects of e-cig use in smoking and ex-smoking vapers; (3) Results: Our sample consisted of 19% dual users and 81% switchers. Before e-cig initiation, both groups smoked on average 22 cigarettes per day (CPD). After e-cig initiation, dual users decreased tobacco consumption by 82% and were low-to-moderately cigarette dependent. Both groups had been vaping for on average 22 months, were highly e-cig dependent, used state-of-the-art e-cigs, nicotine concentrations of 4-8 mg/mL and often flavors other than tobacco. Dual users used substantially less e-liquid per week than switchers but reported a similar number of puffs/day, experienced less e-cig efficacy, more practical problems, more negative and less positive consequences, and endorsed smoking reduction (rather than quitting) as a more important reason to start vaping. For both groups, e-cig risk perception was low and little stigmatization was experienced. Dual users preferred tobacco cigarettes in stressful situations and when rapid nicotine uptake is required. E-cigs were preferred where cigarettes are prohibited and to reduce second-hand smoke; (4) Conclusions: Differences between dual users and switchers center around variables proximal to the vaping behavior and its experienced effects rather than hinging on more general vaping-related beliefs and attitudes. SN - 1660-4601 UR - https://www.unboundmedicine.com/medline/citation/29295483/Differences_between_Dual_Users_and_Switchers_Center_around_Vaping_Behavior_and_Its_Experiences_Rather_than_Beliefs_and_Attitudes_ DB - PRIME DP - Unbound Medicine ER -