Use of E-Cigarettes among current smokers: Associations among reasons for use, quit intentions, and current tobacco use

Lila J. Finney Rutten, Kelly D. Blake, Amenah A. Agunwamba, Rachel A. Grana, Patrick M. Wilson, Jon O. Ebbert, Janet Okamoto, Scott Leischow

Research output: Contribution to journalArticle

97 Citations (Scopus)

Abstract

Introduction: Research has documented growing availability and use of e-cigarettes in the United States over the last decade. Methods: We conducted a national panel survey of current adult cigarette smokers to assess attitudes, beliefs, and behaviors relating to e-cigarette use in the United States (N = 2,254). Results: Among current cigarette smokers, 20.4% reported current use of e-cigarettes on some days and 3.7% reported daily use. Reported reasons for e-cigarette use included: quit smoking (58.4%), reduce smoking (57.9%), and reduce health risks (51.9%). No significant differences in sociodemographic characteristics between e-cigarette users and nonusers were observed. Prior quit attempts were reported more frequently among e-cigarette users (82.8%) than nonusers (74.0%). Intention to quit was reported more frequently among e-cigarette users (64.7%) than nonusers (46.8%). Smokers intending to quit were more likely to be e-cigarette users than those not intending to quit (odds ratio [OR] = 1.90, CI =1.36-2.65). Those who used e-cigarettes to try to quit smoking (OR = 2.25, CI = 1.25-4.05), reduce stress (OR = 3.66, CI = 1.11- 12.09), or because they cost less (OR = 3.42, CI = 1.64-7.13) were more likely to report decreases in cigarette smoking than those who did not indicate these reasons. Smokers who reported using e-cigarettes to quit smoking (OR = 16.25, CI = 8.32-31.74) or reduce stress (OR = 4.30, CI = 1.32-14.09) were significantly more likely to report an intention to quit than those who did not indicate those reasons for using e-cigarettes. Conclusions: Nearly a quarter of smokers in our study reported e-cigarettes use, primarily motivated by intentions to quit or reduce smoking. These findings identify a clinical and public health opportunity to re-engage smokers in cessation efforts.

Original languageEnglish (US)
Pages (from-to)1228-1234
Number of pages7
JournalNicotine and Tobacco Research
Volume17
Issue number10
DOIs
StatePublished - Jan 1 2015
Externally publishedYes

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Tobacco Use
Tobacco Products
Smoking
Odds Ratio
Electronic Cigarettes
Public Health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Use of E-Cigarettes among current smokers : Associations among reasons for use, quit intentions, and current tobacco use. / Finney Rutten, Lila J.; Blake, Kelly D.; Agunwamba, Amenah A.; Grana, Rachel A.; Wilson, Patrick M.; Ebbert, Jon O.; Okamoto, Janet; Leischow, Scott.

In: Nicotine and Tobacco Research, Vol. 17, No. 10, 01.01.2015, p. 1228-1234.

Research output: Contribution to journalArticle

Finney Rutten, LJ, Blake, KD, Agunwamba, AA, Grana, RA, Wilson, PM, Ebbert, JO, Okamoto, J & Leischow, S 2015, 'Use of E-Cigarettes among current smokers: Associations among reasons for use, quit intentions, and current tobacco use', Nicotine and Tobacco Research, vol. 17, no. 10, pp. 1228-1234. https://doi.org/10.1093/ntr/ntv003
Finney Rutten, Lila J. ; Blake, Kelly D. ; Agunwamba, Amenah A. ; Grana, Rachel A. ; Wilson, Patrick M. ; Ebbert, Jon O. ; Okamoto, Janet ; Leischow, Scott. / Use of E-Cigarettes among current smokers : Associations among reasons for use, quit intentions, and current tobacco use. In: Nicotine and Tobacco Research. 2015 ; Vol. 17, No. 10. pp. 1228-1234.
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abstract = "Introduction: Research has documented growing availability and use of e-cigarettes in the United States over the last decade. Methods: We conducted a national panel survey of current adult cigarette smokers to assess attitudes, beliefs, and behaviors relating to e-cigarette use in the United States (N = 2,254). Results: Among current cigarette smokers, 20.4{\%} reported current use of e-cigarettes on some days and 3.7{\%} reported daily use. Reported reasons for e-cigarette use included: quit smoking (58.4{\%}), reduce smoking (57.9{\%}), and reduce health risks (51.9{\%}). No significant differences in sociodemographic characteristics between e-cigarette users and nonusers were observed. Prior quit attempts were reported more frequently among e-cigarette users (82.8{\%}) than nonusers (74.0{\%}). Intention to quit was reported more frequently among e-cigarette users (64.7{\%}) than nonusers (46.8{\%}). Smokers intending to quit were more likely to be e-cigarette users than those not intending to quit (odds ratio [OR] = 1.90, CI =1.36-2.65). Those who used e-cigarettes to try to quit smoking (OR = 2.25, CI = 1.25-4.05), reduce stress (OR = 3.66, CI = 1.11- 12.09), or because they cost less (OR = 3.42, CI = 1.64-7.13) were more likely to report decreases in cigarette smoking than those who did not indicate these reasons. Smokers who reported using e-cigarettes to quit smoking (OR = 16.25, CI = 8.32-31.74) or reduce stress (OR = 4.30, CI = 1.32-14.09) were significantly more likely to report an intention to quit than those who did not indicate those reasons for using e-cigarettes. Conclusions: Nearly a quarter of smokers in our study reported e-cigarettes use, primarily motivated by intentions to quit or reduce smoking. These findings identify a clinical and public health opportunity to re-engage smokers in cessation efforts.",
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T2 - Associations among reasons for use, quit intentions, and current tobacco use

AU - Finney Rutten, Lila J.

AU - Blake, Kelly D.

AU - Agunwamba, Amenah A.

AU - Grana, Rachel A.

AU - Wilson, Patrick M.

AU - Ebbert, Jon O.

AU - Okamoto, Janet

AU - Leischow, Scott

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N2 - Introduction: Research has documented growing availability and use of e-cigarettes in the United States over the last decade. Methods: We conducted a national panel survey of current adult cigarette smokers to assess attitudes, beliefs, and behaviors relating to e-cigarette use in the United States (N = 2,254). Results: Among current cigarette smokers, 20.4% reported current use of e-cigarettes on some days and 3.7% reported daily use. Reported reasons for e-cigarette use included: quit smoking (58.4%), reduce smoking (57.9%), and reduce health risks (51.9%). No significant differences in sociodemographic characteristics between e-cigarette users and nonusers were observed. Prior quit attempts were reported more frequently among e-cigarette users (82.8%) than nonusers (74.0%). Intention to quit was reported more frequently among e-cigarette users (64.7%) than nonusers (46.8%). Smokers intending to quit were more likely to be e-cigarette users than those not intending to quit (odds ratio [OR] = 1.90, CI =1.36-2.65). Those who used e-cigarettes to try to quit smoking (OR = 2.25, CI = 1.25-4.05), reduce stress (OR = 3.66, CI = 1.11- 12.09), or because they cost less (OR = 3.42, CI = 1.64-7.13) were more likely to report decreases in cigarette smoking than those who did not indicate these reasons. Smokers who reported using e-cigarettes to quit smoking (OR = 16.25, CI = 8.32-31.74) or reduce stress (OR = 4.30, CI = 1.32-14.09) were significantly more likely to report an intention to quit than those who did not indicate those reasons for using e-cigarettes. Conclusions: Nearly a quarter of smokers in our study reported e-cigarettes use, primarily motivated by intentions to quit or reduce smoking. These findings identify a clinical and public health opportunity to re-engage smokers in cessation efforts.

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