Historique
Article de Périodique
The role of electronic cigarette use for quitting or reducing combustible cigarette use in the 30s: Longitudinal changes and moderated relationships (2021)
Auteur(s) :
KOSTERMAN, R. ;
EPSTEIN, M. ;
BAILEY, J. A. ;
FURLONG, M. ;
HAWKINS, J. D.
Année
2021
Page(s) :
art. 108940
Langue(s) :
Anglais
Domaine :
Tabac / Tobacco / e-cigarette
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
TABAC
;
E-CIGARETTE
;
SEVRAGE
;
REDUCTION DE CONSOMMATION
;
ADULTE
;
ETUDE LONGITUDINALE
;
EFFICACITE
Résumé :
Background: Evidence for use of electronic cigarettes (e-cigs) as a potential aid in quitting or reducing combustible cigarette (c-cig) use is mixed. This study examined the extent to which e-cig initiation among smokers in their 30s predicted quitting or reducing smoking or nicotine dependence symptoms by age 39, and whether the role of e-cigs in quitting differed by prospectively assessed moderators.
Methods: Data were from the Seattle Social Development Project (SSDP), a panel study of 808 diverse participants with high retention. A subsample of 221 smokers at age 33 was selected for analysis. Self-reports of c-cig use and dependence were assessed longitudinally at ages 33 and 39. Sixteen potential moderators were examined, including social demographics, smoking attitudes and desire to quit, other health behaviors and status, and adolescent and early adult assessments of smoking history.
Results: The use of e-cigs was consistently associated with a lower likelihood of quitting c-cigs by age 39, after accounting for frequency of prior c-cig use at age 33. This negative association persisted across all moderators examined, although it was nonsignificant among those with a definite desire to cut down. Among those who did not quit smoking, e-cig use had no association with decreases in either quantity of c-cigs used or dependence symptoms.
Conclusions: Results indicate that e-cigarette use was not helpful for quitting or reducing combustible cigarette use in the 30 s. Rather, across extensive tests of moderation, e-cig initiation consistently predicted less quitting during this important age period for successful cessation.
Highlights:
• Understanding the role of e-cigarettes in quitting smoking is important for public health.
• This longitudinal study examined potential moderators of the effects of e-cigarette use.
• The study cohort experienced the introduction and growth of e-cigarettes during their 30s.
• E-cigarette use was associated with less smoking cessation in all study analyses.
Methods: Data were from the Seattle Social Development Project (SSDP), a panel study of 808 diverse participants with high retention. A subsample of 221 smokers at age 33 was selected for analysis. Self-reports of c-cig use and dependence were assessed longitudinally at ages 33 and 39. Sixteen potential moderators were examined, including social demographics, smoking attitudes and desire to quit, other health behaviors and status, and adolescent and early adult assessments of smoking history.
Results: The use of e-cigs was consistently associated with a lower likelihood of quitting c-cigs by age 39, after accounting for frequency of prior c-cig use at age 33. This negative association persisted across all moderators examined, although it was nonsignificant among those with a definite desire to cut down. Among those who did not quit smoking, e-cig use had no association with decreases in either quantity of c-cigs used or dependence symptoms.
Conclusions: Results indicate that e-cigarette use was not helpful for quitting or reducing combustible cigarette use in the 30 s. Rather, across extensive tests of moderation, e-cig initiation consistently predicted less quitting during this important age period for successful cessation.
Highlights:
• Understanding the role of e-cigarettes in quitting smoking is important for public health.
• This longitudinal study examined potential moderators of the effects of e-cigarette use.
• The study cohort experienced the introduction and growth of e-cigarettes during their 30s.
• E-cigarette use was associated with less smoking cessation in all study analyses.
Affiliation :
Social Development Research Group, School of Social Work, University of Washington, Seattle, WA, USA