A new classification system for describing concurrent use of nicotine vaping products alongside cigarettes (so-called 'dual use'): findings from the ITC-4 Country Smoking and Vaping wave 1 Survey

被引:67
作者
Borland, Ron [1 ,2 ]
Murray, Krista [1 ]
Gravely, Shannon [3 ]
Fong, Geoffrey T. [3 ,4 ,5 ]
Thompson, Mary E. [6 ]
McNeill, Ann [7 ,8 ]
O'Connor, Richard J. [9 ]
Goniewicz, Maciej L. [9 ]
Yong, Hua-Hie [1 ,10 ]
Levy, David T. [11 ]
Heckman, Bryan W. [12 ,13 ]
Cummings, K. Michael [12 ,13 ]
机构
[1] Univ Melbourne, Sch Psychol Sci, Melbourne, Vic, Australia
[2] Canc Council Victoria, 615 St Kilda Rd, Melbourne, Vic 3004, Australia
[3] Univ Waterloo, Dept Psychol, Waterloo, ON, Canada
[4] Univ Waterloo, Dept Publ Hlth & Hlth Syst, Waterloo, ON, Canada
[5] Ontario Inst Canc Res, Toronto, ON, Canada
[6] Univ Waterloo, Dept Stat & Actuarial Sci, Waterloo, ON, Canada
[7] Kings Coll London, Addict Dept, Inst Psychiat Psychol & Neurosci, London, England
[8] UK Ctr Tobacco Alcohol Studies, Nottingham, England
[9] Roswell Pk Comprehens Canc Ctr, Dept Hlth Behav, Buffalo, NY USA
[10] Deakin Univ, Sch Psychol, Geelong, Vic, Australia
[11] Georgetown Univ, Lombardi Comprehens Canc Ctr, Dept Oncol, Washington, DC USA
[12] Med Univ South Carolina, Dept Psychiat & Behav Sci, Charleston, SC USA
[13] Med Univ South Carolina, Hollings Canc Ctr, Charleston, SC USA
基金
加拿大健康研究院; 英国医学研究理事会;
关键词
Concurrent use; dual use; electronic cigarettes; smoking; vaping; vaporized nicotine; POPULATION ASSESSMENT; TOBACCO; CESSATION; SMOKERS; ASSOCIATION; SAMPLE; ADULTS;
D O I
10.1111/add.14570
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
Aims To determine whether a simple combination of level of smoking and level of vaping results in a useful typology for characterizing smoking and vaping behaviours. Methods Cross-sectional data from adults (>= 18 years) in the 2016 wave 1 ITC Four Country Smoking and Vaping Survey in the United States (n = 2291), England (n = 3591), Australia (n = 1376) and Canada (n = 2784) were used. Participants who either smoked, vaped or concurrently used both at least monthly were included and divided into eight groups based on use frequency of each product (daily, non-daily, no current use). This resulted in four concurrent use groups (predominant smokers, dual daily users, predominant vapers and concurrent non-daily users). These groups were compared with each other and with the four exclusive use groups, on socio-demographics, nicotine dependence, beliefs and attitudes about both products, and quit-related measures using data weighted to reference population surveys in each country. Results Of the sample, 10.8% were concurrent users, with daily smokers vaping non-daily (predominant smokers), constituting 51.6% of this group. All eight categories differed from other categories on at least some measures. Concurrent daily nicotine users reported higher levels of indicators of nicotine dependence, and generally more positive attitudes toward both smoking and vaping than concurrent non-daily users. Among daily nicotine users, compared with exclusive daily smokers, reports of interest in quitting were higher in all concurrent use groups. Dual daily users had the most positive attitudes about smoking overall, and saw it as the least denormalized, and at the same time were equally interested in quitting as other concurrent users and were most likely to report intending to continue vaping. Conclusions In Australia, Canada, England and the United States in 2016, daily nicotine users differed considerably from non-daily nicotine users. Among daily nicotine users, dual daily users (those who smoke and vape concurrently) should be treated as a distinct grouping when studying relationships between smoking and vaping. The eight-level typology characterizing concurrent and exclusive use of smoking and vaping should be considered when studying both products.
引用
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页码:24 / 34
页数:11
相关论文
共 25 条
[1]   Harm Minimization and Tobacco Control: Reframing Societal Views of Nicotine Use to Rapidly Save Lives [J].
Abrams, David B. ;
Glasser, Allison M. ;
Pearson, Jennifer L. ;
Villanti, Andrea C. ;
Collins, Lauren K. ;
Niaura, Raymond S. .
ANNUAL REVIEW OF PUBLIC HEALTH, VOL 39, 2018, 39 :193-213
[2]  
[Anonymous], PUBLIC HLTH CONSEQUE
[3]   A Longitudinal Study of Electronic Cigarette Use Among a Population-Based Sample of Adult Smokers: Association With Smoking Cessation and Motivation to Quit [J].
Biener, Lois ;
Hargraves, J. Lee .
NICOTINE & TOBACCO RESEARCH, 2015, 17 (02) :127-133
[4]   Is the use of electronic cigarettes while smoking associated with smoking cessation attempts, cessation and reduced cigarette consumption? A survey with a 1-year follow-up [J].
Brose, Leonie S. ;
Hitchman, Sara C. ;
Brown, Jamie ;
West, Robert ;
McNeill, Ann .
ADDICTION, 2015, 110 (07) :1160-1168
[5]   Profile of e-cigarette use and its relationship with cigarette quit attempts and abstinence in Kansas adults [J].
Christensen, Trevor ;
Welsh, Ericka ;
Faseru, Babalola .
PREVENTIVE MEDICINE, 2014, 69 :90-94
[6]   Transitions in electronic cigarette use among adults in the Population Assessment of Tobacco and Health (PATH) Study, Waves 1 and 2 (2013-2015) [J].
Coleman, Blair ;
Rostron, Brian ;
Johnson, Sarah E. ;
Persoskie, Alexander ;
Pearson, Jennifer ;
Stanton, Cassandra ;
Choi, Kelvin ;
Anic, Gabriella ;
Goniewicz, Maciej Lukasz ;
Cummings, Kenneth Michael ;
Kasza, Karin A. ;
Silveira, Marushka L. ;
Delnevo, Cristine ;
Niaura, Raymond ;
Abrams, David B. ;
Kimmel, Heather L. ;
Borek, Nicolette ;
Compton, Wilson M. ;
Hyland, Andrew .
TOBACCO CONTROL, 2019, 28 (01) :50-59
[7]   Electronic cigarette use among US adults in the Population Assessment of Tobacco and Health (PATH) Study, 2013-2014 [J].
Coleman, Blair N. ;
Rostron, Brian ;
Johnson, Sarah E. ;
Ambrose, Bridget K. ;
Pearson, Jennifer ;
Stanton, Cassandra A. ;
Wang, Baoguang ;
Delnevo, Cristine ;
Bansal-Travers, Maansi ;
Kimmel, Heather L. ;
Goniewicz, Maciej L. ;
Niaura, Raymond ;
Abrams, David ;
Conway, Kevin P. ;
Borek, Nicolette ;
Compton, Wilson M. ;
Hyland, Andrew .
TOBACCO CONTROL, 2017, 26 (E2) :e117-e126
[8]   Prevalence of population smoking cessation by electronic cigarette use status in a national sample of recent smokers [J].
Giovenco, Daniel P. ;
Delnevo, Cristine D. .
ADDICTIVE BEHAVIORS, 2018, 76 :129-134
[9]   Overview of Electronic Nicotine Delivery Systems: A Systematic Review [J].
Glasser, Allison M. ;
Collins, Lauren ;
Pearson, Jennifer L. ;
Abudayyeh, Haneen ;
Niaura, Raymond S. ;
Abrams, David B. ;
Villanti, Andrea C. .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 2017, 52 (02) :E33-E66
[10]   Electronic cigarettes for smoking cessation [J].
Hartmann-Boyce, Jamie ;
Begh, Rachna ;
Aveyard, Paul .
BMJ-BRITISH MEDICAL JOURNAL, 2018, 360