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Does Electronic Cigarette Use Predict Abstinence from Conventional Cigarettes among Smokers in Hong Kong?

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  • Socrates Yong-da Wu

    (School of Nursing, University of Hong Kong, Hong Kong, China)

  • Man Ping Wang

    (School of Nursing, University of Hong Kong, Hong Kong, China)

  • William H. Li

    (School of Nursing, University of Hong Kong, Hong Kong, China)

  • Antonio C. Kwong

    (Hong Kong Council on Smoking and Health, Hong Kong, China)

  • Vienna W. Lai

    (Hong Kong Council on Smoking and Health, Hong Kong, China)

  • Tai Hing Lam

    (School of Public Health, University of Hong Kong, Hong Kong, China)

Abstract

Objectives: To investigate the effects of ever use of electronic cigarettes (ECs), many of which lack nicotine, on abstinence from convention cigarettes among Hong Kong adult smokers. Methods: We collected data from 956 daily smokers in 2014–2015 regarding ever EC use and smoking behaviors at baseline, any and past 30-day EC use at the 3-month follow-up. Outcomes measured at 6 months included past 7-day point prevalence abstinence (PPA), biochemically validated quitting, smoking reduction (≥50% from baseline) and cessation attempt. Logistic regression yielded adjusted odds ratios (AOR) for quitting in relation to EC use, adjusting for socio-demographic characteristics and smoking profile. Complete case, missing observation as smoking and propensity score analyses were conducted. Results: By complete case, ever EC use at baseline did not predict self-reported PPA (AOR 0.99, 95% CI 0.57–1.73), biochemically validated quitting (AOR 1.22, 95% CI 0.64–2.34), cessation attempt (AOR 0.74, 95% CI 0.48–1.14), or smoking reduction (AOR 0.89, 95% CI 0.54–1.47). EC use during the first 3 months did not predict quitting (AOR 1.02, 95% CI 0.22–4.71). Similar results were observed for missing observations as smoking and propensity score analyses. Conclusions: Any use of ECs, many of which lack nicotine, did not predict smoking abstinence among Hong Kong adult smokers.

Suggested Citation

  • Socrates Yong-da Wu & Man Ping Wang & William H. Li & Antonio C. Kwong & Vienna W. Lai & Tai Hing Lam, 2018. "Does Electronic Cigarette Use Predict Abstinence from Conventional Cigarettes among Smokers in Hong Kong?," IJERPH, MDPI, vol. 15(3), pages 1-10, February.
  • Handle: RePEc:gam:jijerp:v:15:y:2018:i:3:p:400-:d:133420
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    References listed on IDEAS

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    1. Tamlin S. Conner & Jiaxu Zeng & Mei-Ling Blank & Vicky He & Janet Hoek, 2021. "A Descriptive Analysis of Transitions from Smoking to Electronic Nicotine Delivery System (ENDS) Use: A Daily Diary Investigation," IJERPH, MDPI, vol. 18(12), pages 1-13, June.

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