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A Combination of Factors Related to Smoking Behavior, Attractive Product Characteristics, and Socio-Cognitive Factors are Important to Distinguish a Dual User from an Exclusive E-Cigarette User.
Int J Environ Res Public Health. 2019 10 30; 16(21)IJ

Abstract

Although total cessation of nicotine and tobacco products would be most beneficial to improve public health, exclusive e-cigarette use has potential health benefits for smokers compared to cigarette smoking. This study investigated differences between dual users and exclusive e-cigarette users provide information to optimize health communication about smoking and vaping. A cross-sectional survey (n = 116) among 80 current, adult dual users and 36 current, adult-exclusive e-cigarette users was conducted in the Netherlands. The questionnaire assessed four clusters of factors: (1) Past and current smoking and vaping behavior, (2) product characteristics used, (3) attractiveness and reasons related to cigarettes and e-cigarettes, and (4) socio-cognitive factors regarding smoking, vaping, and not smoking or vaping. We used random forest-a machine learning algorithm-to identify distinguishing features between dual users and e-cigarette users. We are able to discern a dual user from an exclusive e-cigarette user with 86.2% accuracy based on seven factors: Social ties with other smokers, quantity of tobacco cigarettes smoked in the past (e-cigarette users) or currently (dual users), self-efficacy to not vape and smoke, unattractiveness of cigarettes, attitude towards e-cigarettes, barriers: accessibility of e-cigarettes, and intention to quit vaping (A). This combination of features provides information on how to improve health communication about smoking and vaping.

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Authors+Show Affiliations

Romijnders KAGJ
Centre for Health Protection, National Institute for Public Health and the Environment (RIVM), Antonie van Leeuwenhoeklaan, 9, 3721 MA Bilthoven, The Netherlands. kim.romijnders@rivm.nl. Department of Health Promotion, CAPHRI School for Public Health and Primary Care, Maastricht University, POB 616 6200 MD Maastricht, The Netherlands. kim.romijnders@rivm.nl.
Pennings JLA
Centre for Health Protection, National Institute for Public Health and the Environment (RIVM), Antonie van Leeuwenhoeklaan, 9, 3721 MA Bilthoven, The Netherlands. jeroen.pennings@rivm.nl.
van Osch L
Department of Health Promotion, CAPHRI School for Public Health and Primary Care, Maastricht University, POB 616 6200 MD Maastricht, The Netherlands. Liesbeth.vanosch@maastrichtuniversity.nl.
de Vries H
Department of Health Promotion, CAPHRI School for Public Health and Primary Care, Maastricht University, POB 616 6200 MD Maastricht, The Netherlands. hein.devries@maastrichtuniversity.nl.
Talhout R
Centre for Health Protection, National Institute for Public Health and the Environment (RIVM), Antonie van Leeuwenhoeklaan, 9, 3721 MA Bilthoven, The Netherlands. Reinskje.talhout@rivm.nl.

MeSH

AdultAgedAttitudeCigarette SmokingCognitionCross-Sectional StudiesFemaleHealth SurveysHumansIntentionMaleMarketingMiddle AgedNetherlandsSelf EfficacySmoking CessationSocial Determinants of HealthVaping

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31671505

Citation

Romijnders, Kim A G J., et al. "A Combination of Factors Related to Smoking Behavior, Attractive Product Characteristics, and Socio-Cognitive Factors Are Important to Distinguish a Dual User From an Exclusive E-Cigarette User." International Journal of Environmental Research and Public Health, vol. 16, no. 21, 2019.
Romijnders KAGJ, Pennings JLA, van Osch L, et al. A Combination of Factors Related to Smoking Behavior, Attractive Product Characteristics, and Socio-Cognitive Factors are Important to Distinguish a Dual User from an Exclusive E-Cigarette User. Int J Environ Res Public Health. 2019;16(21).
Romijnders, K. A. G. J., Pennings, J. L. A., van Osch, L., de Vries, H., & Talhout, R. (2019). A Combination of Factors Related to Smoking Behavior, Attractive Product Characteristics, and Socio-Cognitive Factors are Important to Distinguish a Dual User from an Exclusive E-Cigarette User. International Journal of Environmental Research and Public Health, 16(21). https://doi.org/10.3390/ijerph16214191
Romijnders KAGJ, et al. A Combination of Factors Related to Smoking Behavior, Attractive Product Characteristics, and Socio-Cognitive Factors Are Important to Distinguish a Dual User From an Exclusive E-Cigarette User. Int J Environ Res Public Health. 2019 10 30;16(21) PubMed PMID: 31671505.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A Combination of Factors Related to Smoking Behavior, Attractive Product Characteristics, and Socio-Cognitive Factors are Important to Distinguish a Dual User from an Exclusive E-Cigarette User. AU - Romijnders,Kim A G J, AU - Pennings,Jeroen L A, AU - van Osch,Liesbeth, AU - de Vries,Hein, AU - Talhout,Reinskje, Y1 - 2019/10/30/ PY - 2019/09/02/received PY - 2019/10/18/revised PY - 2019/10/24/accepted PY - 2019/11/2/entrez PY - 2019/11/2/pubmed PY - 2020/3/4/medline KW - attractiveness KW - dual use KW - e-cigarettes KW - machine learning KW - public health KW - random forest KW - smoking behavior KW - socio-cognitive factors JF - International journal of environmental research and public health JO - Int J Environ Res Public Health VL - 16 IS - 21 N2 - Although total cessation of nicotine and tobacco products would be most beneficial to improve public health, exclusive e-cigarette use has potential health benefits for smokers compared to cigarette smoking. This study investigated differences between dual users and exclusive e-cigarette users provide information to optimize health communication about smoking and vaping. A cross-sectional survey (n = 116) among 80 current, adult dual users and 36 current, adult-exclusive e-cigarette users was conducted in the Netherlands. The questionnaire assessed four clusters of factors: (1) Past and current smoking and vaping behavior, (2) product characteristics used, (3) attractiveness and reasons related to cigarettes and e-cigarettes, and (4) socio-cognitive factors regarding smoking, vaping, and not smoking or vaping. We used random forest-a machine learning algorithm-to identify distinguishing features between dual users and e-cigarette users. We are able to discern a dual user from an exclusive e-cigarette user with 86.2% accuracy based on seven factors: Social ties with other smokers, quantity of tobacco cigarettes smoked in the past (e-cigarette users) or currently (dual users), self-efficacy to not vape and smoke, unattractiveness of cigarettes, attitude towards e-cigarettes, barriers: accessibility of e-cigarettes, and intention to quit vaping (A). This combination of features provides information on how to improve health communication about smoking and vaping. SN - 1660-4601 UR - https://www.unboundmedicine.com/medline/citation/31671505/A_Combination_of_Factors_Related_to_Smoking_Behavior_Attractive_Product_Characteristics_and_Socio_Cognitive_Factors_are_Important_to_Distinguish_a_Dual_User_from_an_Exclusive_E_Cigarette_User_ DB - PRIME DP - Unbound Medicine ER -