Transitions in electronic cigarette use among adults in the Population Assessment of Tobacco and Health (PATH) Study, Waves 1 and 2 (2013-2015)

被引:119
作者
Coleman, Blair [1 ]
Rostron, Brian [1 ]
Johnson, Sarah E. [1 ]
Persoskie, Alexander [1 ]
Pearson, Jennifer [2 ]
Stanton, Cassandra [3 ]
Choi, Kelvin [4 ]
Anic, Gabriella [1 ]
Goniewicz, Maciej Lukasz [5 ]
Cummings, Kenneth Michael [6 ]
Kasza, Karin A. [5 ]
Silveira, Marushka L. [7 ,8 ]
Delnevo, Cristine [9 ]
Niaura, Raymond
Abrams, David B. [10 ]
Kimmel, Heather L. [7 ]
Borek, Nicolette [1 ]
Compton, Wilson M. [7 ]
Hyland, Andrew [5 ]
机构
[1] US FDA, Off Sci, Ctr Tobacco Prod, Silver Spring, MD 20993 USA
[2] Univ Nevada, Sch Community Hlth Sci, Reno, NV 89557 USA
[3] Westat Corp, Rockville, MD USA
[4] Natl Inst Minor Hlth & Hlth Dispar, Div Intramural Res, Bethesda, MD USA
[5] Roswell Pk Canc Inst, Dept Hlth Behav, Div Canc Prevent & Populat Sci, Buffalo, NY 14263 USA
[6] Med Univ South Carolina, Dept Psychiat & Behav Sci, Charleston, SC 29425 USA
[7] Natl Inst Drug Abuse, Div Epidemiol Serv & Prevent Res, Bethesda, MD USA
[8] Kelly Govt Solut, Rockville, MD USA
[9] Rutgers State Univ, Ctr Tobacco Studies, Sch Publ Hlth, New Brunswick, NJ USA
[10] NYU Coll Global Publ Hlth, Dept Social & Behav Sci, New York, NY USA
基金
美国国家卫生研究院;
关键词
electronic nicotine delivery devices; non-cigarette tobacco products; surveillance and monitoring; NICOTINE DELIVERY-SYSTEMS; UNITED-STATES; SMOKING-CESSATION; REASONS;
D O I
10.1136/tobaccocontrol-2017-054174
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Introduction This study assessed patterns of e-cigarette and cigarette use from Wave 1 to Wave 2 among adult e-cigarette users at Wave 1 of the Population Assessment of Tobacco and Health (PATH) Study. Methods We examined changes in e-cigarette use frequency at Wave 2 among adult e-cigarette users at Wave 1 (unweighted n=2835). Adjusted prevalence ratios (aPR) were calculated using a predicted marginal probability approach to assess correlates of e-cigarette discontinuance and smoking abstinence at Wave 2. Results Half (48.8%) of adult e-cigarette users at Wave 1 discontinued their use of e-cigarettes at Wave 2. Among dual users of e-cigarettes and cigarettes at Wave 1, 44.3% maintained dual use, 43.5% discontinued e-cigarette use and maintained cigarette smoking and 12.1% discontinued cigarette use at Wave 2, either by abstaining from cigarette smoking only (5.1%) or discontinuing both products (7.0%). Among dual users at Wave 1, daily e-cigarette users were more likely than non-daily users to report smoking abstinence at Wave 2 (aPR=1.40, 95% CI 1.02 to 1.91). Using a customisable device (rather than a non-customisable one) was not significantly related to smoking abstinence at Wave 2 (aPR=1.14, 95% CI 0.81 to 1.60). Conclusions This study suggests that e-cigarette use patterns are highly variable over a 1-year period. This analysis provides the first nationally representative estimates of transitions among US adult e-cigarette users. Future research, including additional waves of the PATH Study, can provide further insight into long-term patterns of e-cigarette use critical to understanding the net population health impact of e-cigarettes in USA.
引用
收藏
页码:50 / 59
页数:10
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