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Differences in cigarette smoking quit attempts and cessation between adults who did and did not take up nicotine vaping: Findings from the ITC four country smoking and vaping surveys.
Addict Behav. 2022 09; 132:107339.AB

Abstract

INTRODUCTION

There is mixed evidence as to whether nicotine vaping products (NVPs) can help adults who smoke transition away from cigarettes. This study investigated if self-reported attempts to quit smoking and smoking cessation, over a period of either 18 or 24 months, differed between respondents who initiated nicotine vaping versus those who did not. Outcome comparisons were made between those who: (1) initiated vaping vs. those who did not; (2) initiated daily or non-daily vaping vs. those who did not; and (3) initiated daily or non-daily vaping between surveys and continued to vape at follow-up (daily or non-daily) vs. those who did not initiate vaping.

METHODS

This cohort study included 3516 respondents from the ITC Four Country Smoking and Vaping Surveys (Australia, Canada, England, United Sates), recruited at Wave 1 (2016) or 2 (2018) and followed up at Wave 2 (18 months) and/or 3 (2020, 24 months). Adults who smoked daily at baseline and did not have a history of regular vaping were included. Initiation of vaping was defined as beginning to vape at least monthly between surveys. Respondents indicated whether they made an attempt to quit smoking between surveys. Smoking cessation was defined as those who self-reported no longer smoking cigarettes at follow-up.

RESULTS

Relative to those who did not initiate vaping, initiation of any daily vaping between surveys was associated with a greater likelihood of smokers making a cigarette quit attempt (p < 0.001) and quitting smoking (p < 0.001). Among smokers who attempted to quit smoking, initiation of daily vaping was associated with a greater likelihood of being abstinent from smoking at follow-up (p = 0.001). Respondents who initiated vaping between surveys and were vaping daily at follow up were significantly more likely to have attempted to quit smoking (p < 0.001) and to have quit smoking (p < 0.001) than those who did not initiate vaping. Respondents who initiated non-daily vaping did not differ significantly from those who did not initiate vaping on any of the outcome measures.

CONCLUSIONS

Daily NVP use was associated with increased attempts to quit smoking and abstinence from smoking cigarettes. These findings are consistent with the concept that complete cigarette substitution may be more likely to be achieved when smokers vape nicotine daily.

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Authors+Show Affiliations

Gravely S
Department of Psychology, University of Waterloo, Canada. Electronic address: shannon.gravely@uwaterloo.ca.
Meng G
Department of Psychology, University of Waterloo, Canada.
Hammond D
School of Public Health Sciences, University of Waterloo, Canada.
Hyland A
Department of Health Behavior, Division of Cancer Prevention & Population Sciences, Roswell Park Comprehensive Cancer Center, USA.
Michael Cummings K
Department of Psychiatry & Behavioral Sciences, Medical University of South Carolina, USA.
Borland R
Melbourne Centre for Behaviour Change, School of Psychological Sciences, University of Melbourne, Australia.
Kasza KA
Department of Health Behavior, Division of Cancer Prevention & Population Sciences, Roswell Park Comprehensive Cancer Center, USA.
Yong HH
School of Psychology, Deakin University, Australia.
Thompson ME
Department of Statistics and Actuarial Science, University of Waterloo, Canada.
Quah ACK
Department of Psychology, University of Waterloo, Canada.
Ouimet J
Department of Psychology, University of Waterloo, Canada.
Martin N
Department of Psychology, University of Waterloo, Canada.
O'Connor RJ
Department of Health Behavior, Division of Cancer Prevention & Population Sciences, Roswell Park Comprehensive Cancer Center, USA.
East KA
School of Public Health Sciences, University of Waterloo, Canada; Department of Addictions, Institute of Psychiatry, Psychology & Neuroscience, King's College London, England.
McNeill A
Department of Addictions, Institute of Psychiatry, Psychology & Neuroscience, King's College London, England; Shaping Public Health Policies to Reduce Inequalities & Harm (SPECTRUM), UK.
Boudreau C
Department of Statistics and Actuarial Science, University of Waterloo, Canada.
Levy DT
Department of Oncology, Lombardi Comprehensive Cancer Center, Georgetown University, USA.
Sweanor DT
Faculty of Law, University of Ottawa, Canada.
Fong GT
Department of Psychology, University of Waterloo, Canada; School of Public Health Sciences, University of Waterloo, Canada; Ontario Institute for Cancer Research, Canada.

MeSH

AdultCigarette SmokingCohort StudiesElectronic Nicotine Delivery SystemsHumansNicotineSurveys and QuestionnairesTobaccoVaping

Pub Type(s)

Journal Article

Language

eng

PubMed ID

35605409

Citation

Gravely, Shannon, et al. "Differences in Cigarette Smoking Quit Attempts and Cessation Between Adults Who Did and Did Not Take Up Nicotine Vaping: Findings From the ITC Four Country Smoking and Vaping Surveys." Addictive Behaviors, vol. 132, 2022, p. 107339.
Gravely S, Meng G, Hammond D, et al. Differences in cigarette smoking quit attempts and cessation between adults who did and did not take up nicotine vaping: Findings from the ITC four country smoking and vaping surveys. Addict Behav. 2022;132:107339.
Gravely, S., Meng, G., Hammond, D., Hyland, A., Michael Cummings, K., Borland, R., Kasza, K. A., Yong, H. H., Thompson, M. E., Quah, A. C. K., Ouimet, J., Martin, N., O'Connor, R. J., East, K. A., McNeill, A., Boudreau, C., Levy, D. T., Sweanor, D. T., & Fong, G. T. (2022). Differences in cigarette smoking quit attempts and cessation between adults who did and did not take up nicotine vaping: Findings from the ITC four country smoking and vaping surveys. Addictive Behaviors, 132, 107339. https://doi.org/10.1016/j.addbeh.2022.107339
Gravely S, et al. Differences in Cigarette Smoking Quit Attempts and Cessation Between Adults Who Did and Did Not Take Up Nicotine Vaping: Findings From the ITC Four Country Smoking and Vaping Surveys. Addict Behav. 2022;132:107339. PubMed PMID: 35605409.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Differences in cigarette smoking quit attempts and cessation between adults who did and did not take up nicotine vaping: Findings from the ITC four country smoking and vaping surveys. AU - Gravely,Shannon, AU - Meng,Gang, AU - Hammond,David, AU - Hyland,Andrew, AU - Michael Cummings,K, AU - Borland,Ron, AU - Kasza,Karin A, AU - Yong,Hua-Hie, AU - Thompson,Mary E, AU - Quah,Anne C K, AU - Ouimet,Janine, AU - Martin,Nadia, AU - O'Connor,Richard J, AU - East,Katherine A, AU - McNeill,Ann, AU - Boudreau,Christian, AU - Levy,David T, AU - Sweanor,David T, AU - Fong,Geoffrey T, Y1 - 2022/04/28/ PY - 2021/10/19/received PY - 2022/03/10/revised PY - 2022/04/17/accepted PY - 2022/5/24/pubmed PY - 2022/6/10/medline PY - 2022/5/23/entrez KW - E-cigarettes KW - Nicotine vaping products KW - Smoking cessation KW - Tobacco SP - 107339 EP - 107339 JF - Addictive behaviors JO - Addict Behav VL - 132 N2 - INTRODUCTION: There is mixed evidence as to whether nicotine vaping products (NVPs) can help adults who smoke transition away from cigarettes. This study investigated if self-reported attempts to quit smoking and smoking cessation, over a period of either 18 or 24 months, differed between respondents who initiated nicotine vaping versus those who did not. Outcome comparisons were made between those who: (1) initiated vaping vs. those who did not; (2) initiated daily or non-daily vaping vs. those who did not; and (3) initiated daily or non-daily vaping between surveys and continued to vape at follow-up (daily or non-daily) vs. those who did not initiate vaping. METHODS: This cohort study included 3516 respondents from the ITC Four Country Smoking and Vaping Surveys (Australia, Canada, England, United Sates), recruited at Wave 1 (2016) or 2 (2018) and followed up at Wave 2 (18 months) and/or 3 (2020, 24 months). Adults who smoked daily at baseline and did not have a history of regular vaping were included. Initiation of vaping was defined as beginning to vape at least monthly between surveys. Respondents indicated whether they made an attempt to quit smoking between surveys. Smoking cessation was defined as those who self-reported no longer smoking cigarettes at follow-up. RESULTS: Relative to those who did not initiate vaping, initiation of any daily vaping between surveys was associated with a greater likelihood of smokers making a cigarette quit attempt (p < 0.001) and quitting smoking (p < 0.001). Among smokers who attempted to quit smoking, initiation of daily vaping was associated with a greater likelihood of being abstinent from smoking at follow-up (p = 0.001). Respondents who initiated vaping between surveys and were vaping daily at follow up were significantly more likely to have attempted to quit smoking (p < 0.001) and to have quit smoking (p < 0.001) than those who did not initiate vaping. Respondents who initiated non-daily vaping did not differ significantly from those who did not initiate vaping on any of the outcome measures. CONCLUSIONS: Daily NVP use was associated with increased attempts to quit smoking and abstinence from smoking cigarettes. These findings are consistent with the concept that complete cigarette substitution may be more likely to be achieved when smokers vape nicotine daily. SN - 1873-6327 UR - https://www.unboundmedicine.com/medline/citation/35605409/Differences_in_cigarette_smoking_quit_attempts_and_cessation_between_adults_who_did_and_did_not_take_up_nicotine_vaping:_Findings_from_the_ITC_four_country_smoking_and_vaping_surveys_ DB - PRIME DP - Unbound Medicine ER -
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