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E-Cigarettes for Immediate Smoking Substitution in Women Diagnosed with Cervical Dysplasia and Associated Disorders

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  • Shirley A. James

    (Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA)

  • Ellen M. Meier

    (Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA)

  • Theodore L. Wagener

    (Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA)

  • Katherine M. Smith

    (Oklahoma University Physicians, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA)

  • Barbara R. Neas

    (Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA)

  • Laura A. Beebe

    (Department of Biostatistics and Epidemiology, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA)

Abstract

The aim of this study was to determine if 31 women with cervical dysplasia and associated conditions exacerbated by smoking would be successful substituting cigarettes with their choice of either nicotine replacement therapy (NRT) or electronic cigarettes (EC). Women received motivational interviewing and tried both NRT and ECs, choosing one method to use during a six-week intervention period. Daily cigarette consumption was measured at baseline, six, and 12 weeks, with differences analyzed by the Wilcoxon signed-rank test. Study analysis consisted only of women choosing to use ECs (29/31), as only two chose NRT. At the 12-week follow-up, the seven day point prevalence abstinence from smoking was 28.6%, and the median number of cigarettes smoked daily decreased from 18.5 to 5.5 ( p < 0.0001). The median number of e-cigarette cartridges used dropped from 21 at the six-week follow-up to 12.5 at the 12-week follow-up. After initiating EC use, women at risk for cervical cancer were able to either quit smoking or reduce the number of cigarettes smoked per day. Although a controlled trial with a larger sample size is needed to confirm these initial results, this study suggests that using ECs during quit attempts may reduce cigarette consumption.

Suggested Citation

  • Shirley A. James & Ellen M. Meier & Theodore L. Wagener & Katherine M. Smith & Barbara R. Neas & Laura A. Beebe, 2016. "E-Cigarettes for Immediate Smoking Substitution in Women Diagnosed with Cervical Dysplasia and Associated Disorders," IJERPH, MDPI, vol. 13(3), pages 1-11, March.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:3:p:288-:d:65141
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    References listed on IDEAS

    as
    1. Pasquale Caponnetto & Roberta Auditore & Cristina Russo & Giorgio Carlo Cappello & Riccardo Polosa, 2013. "Impact of an Electronic Cigarette on Smoking Reduction and Cessation in Schizophrenic Smokers: A Prospective 12-Month Pilot Study," IJERPH, MDPI, vol. 10(2), pages 1-16, January.
    2. Roberta Pacifici & Simona Pichini & Silvia Graziano & Manuela Pellegrini & Giuseppina Massaro & Fabio Beatrice, 2015. "Successful Nicotine Intake in Medical Assisted Use of E-Cigarettes: A Pilot Study," IJERPH, MDPI, vol. 12(7), pages 1-9, July.
    3. Riccardo Polosa & Pasquale Caponnetto & Fabio Cibella & Jacques Le-Houezec, 2015. "Quit and Smoking Reduction Rates in Vape Shop Consumers: A Prospective 12-Month Survey," IJERPH, MDPI, vol. 12(4), pages 1-11, March.
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