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A Comparison of E-Cigarette Use Patterns and Smoking Cessation Behavior among Vapers by Primary Place of Purchase

Author

Listed:
  • Greta Hsu

    (Graduate School of Management, University of California, Davis, Davis, CA 95616, USA)

  • Anthony C. Gamst

    (Department of Mathematics, University of California San Diego, La Jolla, CA 92093-0112, USA
    San Diego Supercomputer Center, University of California San Diego, La Jolla, CA 92093-0505, USA)

  • Yue-Lin Zhuang

    (Moores Cancer Center, University of California San Diego, La Jolla, CA 92093-0905, USA)

  • Tanya Wolfson

    (San Diego Supercomputer Center, University of California San Diego, La Jolla, CA 92093-0505, USA
    Moores Cancer Center, University of California San Diego, La Jolla, CA 92093-0905, USA)

  • Shu-Hong Zhu

    (Moores Cancer Center, University of California San Diego, La Jolla, CA 92093-0905, USA
    Department of Family Medicine and Public Health, University of California San Diego, La Jolla, CA 92093-0905, USA)

Abstract

Background: E-cigarettes are purchased through multiple channels, including general retail, online, and specialty smoke and vape shops. We examine how e-cigarette users’ primary purchase place relates to e-cigarette use and smoking cessation behaviors. Methods: Probability-based samples of the U.S. population who were current e-cigarette users were surveyed in 2014 (N = 879) and 2016 (N = 743), with responses combined for most analyses. E-cigarette use and smoking cessation behaviors were compared across users’ primary purchase place. Results: Higher percentages of vape shop (59.1%) and internet (42.9%) customers were current daily users of e-cigarettes compared to retail (19.7%) and smoke shop (23.2%) customers ( p -values < 0.001). Higher percentages of vape shop (40.2%) and internet (35.1%) customers were also former smokers, compared to 17.7% of retail and 19.3% of smoke shop customers ( p ’s < 0.001). Among those smoking 12 months prior to survey, smoking cessation rates were higher for vape shop (22.2%) and internet customers (22.5%) than for retail customers (10.7%, p = 0.010 and p = 0.022, respectively), even though retail customers were more likely to use FDA-approved smoking cessation aids. The percentage of customers purchasing from vape shops increased from 20.4% in 2014 to 37.6% in 2016, surpassing general retail (27.7%) as the most likely channel in 2016. Conclusions: E-cigarette customers differed in significant ways by channels of purchase, most notably in their smoking cessation behaviors. Previous population studies have relied mostly on retail channel data, which accounted for less than 30% of all products sold by 2016. Future studies of e-cigarette use should consider a broader set of channels.

Suggested Citation

  • Greta Hsu & Anthony C. Gamst & Yue-Lin Zhuang & Tanya Wolfson & Shu-Hong Zhu, 2019. "A Comparison of E-Cigarette Use Patterns and Smoking Cessation Behavior among Vapers by Primary Place of Purchase," IJERPH, MDPI, vol. 16(5), pages 1-13, February.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:5:p:724-:d:209737
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    References listed on IDEAS

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    1. David C. Braak & K. Michael Cummings & Georges J. Nahhas & Bryan W. Heckman & Ron Borland & Geoffrey T. Fong & David Hammond & Christian Boudreau & Ann McNeill & David T. Levy & Ce Shang, 2019. "Where Do Vapers Buy Their Vaping Supplies? Findings from the International Tobacco Control (ITC) 4 Country Smoking and Vaping Survey," IJERPH, MDPI, vol. 16(3), pages 1-13, January.
    2. Karolien Adriaens & Dinska Van Gucht & Frank Baeyens, 2018. "About One in Five Novice Vapers Buying Their First E-Cigarette in a Vape Shop Are Smoking Abstinent after Six Months," IJERPH, MDPI, vol. 15(9), pages 1-21, August.
    3. Dinska Van Gucht & Karolien Adriaens & Frank Baeyens, 2017. "Online Vape Shop Customers Who Use E-Cigarettes Report Abstinence from Smoking and Improved Quality of Life, But a Substantial Minority Still Have Vaping-Related Health Concerns," IJERPH, MDPI, vol. 14(7), pages 1-11, July.
    4. 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.
    5. Emma Ward & Sharon Cox & Lynne Dawkins & Sarah Jakes & Richard Holland & Caitlin Notley, 2018. "A Qualitative Exploration of the Role of Vape Shop Environments in Supporting Smoking Abstinence," IJERPH, MDPI, vol. 15(2), pages 1-14, February.
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    1. Carla J. Berg & Albert Melena & Friedner D. Wittman & Tomas Robles & Lisa Henriksen, 2022. "The Reshaping of the E-Cigarette Retail Environment: Its Evolution and Public Health Concerns," IJERPH, MDPI, vol. 19(14), pages 1-13, July.

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