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Flavored E-cigarette Use and Cigarette Smoking Reduction and Cessation-A Large National Study among Young Adult Smokers.
Subst Use Misuse. 2018 10 15; 53(12):2017-2031.SU

Abstract

BACKGROUND

E-cigarette use prevalence has increased drastically among young adult cigarette smokers in recent years.

OBJECTIVES

This study seeks to understand which e-cigarette flavors-sweet and fruity or tobacco and menthol/mint-are more likely to be associated with smoking reduction and cessation among young adults.

METHODS

Longitudinal data (waves 1 and 2) of the Population Assessment of Tobacco and Health (PATH) Study from young adult (aged 18-34) cigarette smokers (n = 4,645) at wave 1 and current e-cigarette users (n = 844) at wave 2 were used. Univariate and multivariate regressions were conducted to examine the associations between past-year smoking reduction and cessation and current e-cigarette flavor use at wave 2.

RESULTS

At wave 2, 25.9% of respondents either reduced or quit smoking, and 6.7%, 5.2%, and 6.3% of them reported currently using e-cigarettes with tobacco/menthol (TM) flavors, one non-tobacco/non-menthol (NTM) flavor, and multiple NTM flavors, respectively. E-cigarette users with one (AOR = 2.5, p < 0.001) and multiple NTM flavors (AOR = 3.0, p < 0.001) were more likely to have reduced or quit smoking over the past year compared to non-e-cigarette users. NTM flavor use was positively associated with e-cigarette use of a higher frequency and larger amount.

CONCLUSIONS

The positive association between past-year smoking reduction and cessation and current NTM flavored e-cigarette use may be explained by young adults' escalated e-cigarette use with NTM flavors. Public health professionals should prevent and reduce multiple tobacco use through enhanced education about the harm of vaping NTM flavors and by advising young adult smokers to quit tobacco altogether using evidence-based methods.

Authors+Show Affiliations

a Department of Behavioral and Community Health , School of Public Health, University of Maryland , College Park , Maryland , USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29624135

Citation

Chen, Julia Cen. "Flavored E-cigarette Use and Cigarette Smoking Reduction and Cessation-A Large National Study Among Young Adult Smokers." Substance Use & Misuse, vol. 53, no. 12, 2018, pp. 2017-2031.
Chen JC. Flavored E-cigarette Use and Cigarette Smoking Reduction and Cessation-A Large National Study among Young Adult Smokers. Subst Use Misuse. 2018;53(12):2017-2031.
Chen, J. C. (2018). Flavored E-cigarette Use and Cigarette Smoking Reduction and Cessation-A Large National Study among Young Adult Smokers. Substance Use & Misuse, 53(12), 2017-2031. https://doi.org/10.1080/10826084.2018.1455704
Chen JC. Flavored E-cigarette Use and Cigarette Smoking Reduction and Cessation-A Large National Study Among Young Adult Smokers. Subst Use Misuse. 2018 10 15;53(12):2017-2031. PubMed PMID: 29624135.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Flavored E-cigarette Use and Cigarette Smoking Reduction and Cessation-A Large National Study among Young Adult Smokers. A1 - Chen,Julia Cen, Y1 - 2018/04/06/ PY - 2018/4/7/pubmed PY - 2019/11/8/medline PY - 2018/4/7/entrez KW - Cigarette smoking reduction and cessation KW - flavored e-cigarettes KW - the PATH study KW - young adult smokers SP - 2017 EP - 2031 JF - Substance use & misuse JO - Subst Use Misuse VL - 53 IS - 12 N2 - BACKGROUND: E-cigarette use prevalence has increased drastically among young adult cigarette smokers in recent years. OBJECTIVES: This study seeks to understand which e-cigarette flavors-sweet and fruity or tobacco and menthol/mint-are more likely to be associated with smoking reduction and cessation among young adults. METHODS: Longitudinal data (waves 1 and 2) of the Population Assessment of Tobacco and Health (PATH) Study from young adult (aged 18-34) cigarette smokers (n = 4,645) at wave 1 and current e-cigarette users (n = 844) at wave 2 were used. Univariate and multivariate regressions were conducted to examine the associations between past-year smoking reduction and cessation and current e-cigarette flavor use at wave 2. RESULTS: At wave 2, 25.9% of respondents either reduced or quit smoking, and 6.7%, 5.2%, and 6.3% of them reported currently using e-cigarettes with tobacco/menthol (TM) flavors, one non-tobacco/non-menthol (NTM) flavor, and multiple NTM flavors, respectively. E-cigarette users with one (AOR = 2.5, p < 0.001) and multiple NTM flavors (AOR = 3.0, p < 0.001) were more likely to have reduced or quit smoking over the past year compared to non-e-cigarette users. NTM flavor use was positively associated with e-cigarette use of a higher frequency and larger amount. CONCLUSIONS: The positive association between past-year smoking reduction and cessation and current NTM flavored e-cigarette use may be explained by young adults' escalated e-cigarette use with NTM flavors. Public health professionals should prevent and reduce multiple tobacco use through enhanced education about the harm of vaping NTM flavors and by advising young adult smokers to quit tobacco altogether using evidence-based methods. SN - 1532-2491 UR - https://www.unboundmedicine.com/medline/citation/29624135/Flavored_E_cigarette_Use_and_Cigarette_Smoking_Reduction_and_Cessation_A_Large_National_Study_among_Young_Adult_Smokers_ L2 - https://www.tandfonline.com/doi/full/10.1080/10826084.2018.1455704 DB - PRIME DP - Unbound Medicine ER -