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Cessation outcomes in adult dual users of e-cigarettes and cigarettes: the Population Assessment of Tobacco and Health cohort study, USA, 2013–2016

Author

Listed:
  • Olatokunbo Osibogun

    (Florida International University)

  • Zoran Bursac

    (Florida International University)

  • Martin Mckee

    (London School of Hygiene and Tropical Medicine)

  • Tan Li

    (Florida International University)

  • Wasim Maziak

    (Florida International University)

Abstract

Objectives We examined the transitions of adult dual e-cigarette/cigarette users in the USA in relation to nicotine dependence (ND) symptoms, interest in quitting, and history of cardiovascular disease (CVD). Methods We used the Population Assessment of Tobacco and Health study Waves 1 and 3 (2013–2016) in a longitudinal analysis of adults (≥ 18 years). Dual past-month users of e-cigarettes/cigarettes were identified from Wave 1 and followed for tobacco use transitions 2 years later (Wave 3). Results Among 1870 adult dual users at Wave 1, 25.7% (95% CI 23.5–28.2) were dual users 2 years later, 12.1% (95% CI 10.6–13.7) reported no past-month tobacco use, 7.0% (95% CI 5.6–8.9) e-cigarette mono-use, and 55.2% (95% CI 52.4–58.0) cigarette mono-use. In the regression analysis, greater ND severity was associated with decreased relative risk of no past-month tobacco use (RRR 0.29; 95% CI 0.12–0.71). Interest in quitting and CVD factors were not associated with no past-month tobacco or e-cigarette mono-use. Conclusions Dual users who are nicotine dependent are less likely to transition to cessation. To quit cigarette use, other cessation resources may be necessary to support the needs of cigarette smokers who use e-cigarettes, particularly those at risk of continuing cigarette smoking or those with smoking-related illnesses.

Suggested Citation

  • Olatokunbo Osibogun & Zoran Bursac & Martin Mckee & Tan Li & Wasim Maziak, 2020. "Cessation outcomes in adult dual users of e-cigarettes and cigarettes: the Population Assessment of Tobacco and Health cohort study, USA, 2013–2016," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(6), pages 923-936, July.
  • Handle: RePEc:spr:ijphth:v:65:y:2020:i:6:d:10.1007_s00038-020-01436-w
    DOI: 10.1007/s00038-020-01436-w
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    References listed on IDEAS

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    1. S. Khoudigian & T. Devji & L. Lytvyn & K. Campbell & R. Hopkins & D. O’Reilly, 2016. "The efficacy and short-term effects of electronic cigarettes as a method for smoking cessation: a systematic review and a meta-analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(2), pages 257-267, March.
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