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Predictors of Discontinued E-Cigarette Use at One-Year Follow-Up in a Sample of Young Adults

Author

Listed:
  • Pallav Pokhrel

    (Population Sciences in the Pacific Program, University of Hawai‘i Cancer Center, University of Hawai‘i at Mānoa, 701 Ilalo St., Honolulu, HI 96813, USA)

  • Crissy T. Kawamoto

    (Population Sciences in the Pacific Program, University of Hawai‘i Cancer Center, University of Hawai‘i at Mānoa, 701 Ilalo St., Honolulu, HI 96813, USA)

  • Hannah Mettias

    (Population Sciences in the Pacific Program, University of Hawai‘i Cancer Center, University of Hawai‘i at Mānoa, 701 Ilalo St., Honolulu, HI 96813, USA)

  • Taha Elwir

    (Population Sciences in the Pacific Program, University of Hawai‘i Cancer Center, University of Hawai‘i at Mānoa, 701 Ilalo St., Honolulu, HI 96813, USA)

  • Thaddeus Herzog

    (Population Sciences in the Pacific Program, University of Hawai‘i Cancer Center, University of Hawai‘i at Mānoa, 701 Ilalo St., Honolulu, HI 96813, USA)

Abstract

Background: Currently, the research on factors associated with young adults’ discontinuation of e-cigarette use behavior is limited. This study tested the predictors of self-reported e-cigarette abstinence at one-year follow-up among young adult baseline current e-cigarette users. The following variables were tested as predictors: demographics, cigarette smoking, e-cigarette use dependence, e-cigarette use duration, harm perceptions, and preferred aspects of e-cigarette use, including sensations, flavor, and device characteristics. Methods: Data were provided at two time-points one year apart by 435 ethnically diverse young adults (M age = 22.3, SD = 3.1; 63% women) who reported current e-cigarette use at baseline. Results: Approximately 42% of those who reported current e-cigarette use at baseline (i.e., 184 out of 435 participants) reported discontinuation of e-cigarette use at one-year follow-up. Results indicated that higher e-cigarette dependence, longer history of e-cigarette use, lower e-cigarette harm perceptions, greater preference for both menthol and sweet flavors, for open-pod-based devices, and for e-cigarette use sensations such as buzz, taste and smell of flavors, and throat hit at baseline were associated with lower likelihood of e-cigarette use discontinuation at one-year follow-up. Conclusions: Characteristics associated with nicotine (e.g., dependence) and flavors (e.g., taste and smell) appear to drive the continuation/discontinuation of e-cigarette use among young adults. Thus, cessation strategies may need to be developed with a focus on dependence and harm perceptions related to nicotine and flavors. Furthermore, better regulating open-pod-based devices and sweet–menthol flavors may help e-cigarette use prevention.

Suggested Citation

  • Pallav Pokhrel & Crissy T. Kawamoto & Hannah Mettias & Taha Elwir & Thaddeus Herzog, 2023. "Predictors of Discontinued E-Cigarette Use at One-Year Follow-Up in a Sample of Young Adults," IJERPH, MDPI, vol. 20(6), pages 1-12, March.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:6:p:4770-:d:1091136
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    References listed on IDEAS

    as
    1. Mahmood A. Alalwan & Jill M. Singer & Megan E. Roberts, 2022. "Factors Associated with Quit Interest and Quit Attempts among Young Adult JUUL Users," IJERPH, MDPI, vol. 19(3), pages 1-12, January.
    2. Pallav Pokhrel & Taha Elwir & Hannah Mettias & Crissy T. Kawamoto & Nabin Oli & Scott K. Okamoto, 2021. "The Effects of E-Cigarette Use on Alcohol and Marijuana Abuse Symptoms in an Ethnically Diverse Sample of Young Adults," IJERPH, MDPI, vol. 18(24), pages 1-12, December.
    3. Lois Biener & Eunyoung Song & Erin L. Sutfin & John Spangler & Mark Wolfson, 2015. "Electronic Cigarette Trial and Use among Young Adults: Reasons for Trial and Cessation of Vaping," IJERPH, MDPI, vol. 12(12), pages 1-8, December.
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