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Am J Prev Med. 2017 Nov;53(5):652-660. doi: 10.1016/j.amepre.2017.06.033. Epub 2017 Aug 29.

Characteristics of Adults Who Switched From Cigarette Smoking to E-cigarettes.

Author information

1
Department of Pediatrics, New York University School of Medicine, New York, New York; Department of Population Health, New York University School of Medicine, New York, New York. Electronic address: suhyun.park@nyumc.org.
2
Department of Population Health, New York University School of Medicine, New York, New York.
3
Department of Population Health, New York University School of Medicine, New York, New York; NYU/Abu Dhabi Public Health Research Center, Abu Dhabi, United Arab Emirates.
4
Department of Pediatrics, New York University School of Medicine, New York, New York; Department of Chemistry, Brooklyn College, New York, New York.
5
Department of Population Health, New York University School of Medicine, New York, New York; NYU/Abu Dhabi Public Health Research Center, Abu Dhabi, United Arab Emirates; College of Global Public Health, New York University, New York, New York.
6
Department of Population Health, New York University School of Medicine, New York, New York; NYU/Abu Dhabi Public Health Research Center, Abu Dhabi, United Arab Emirates; College of Global Public Health, New York University, New York, New York; VA New York Harbor Healthcare System, New York, New York.
7
Department of Pediatrics, New York University School of Medicine, New York, New York; NYU/Abu Dhabi Public Health Research Center, Abu Dhabi, United Arab Emirates; College of Global Public Health, New York University, New York, New York; Department of Environmental Medicine, New York University School of Medicine, New York, New York.

Abstract

INTRODUCTION:

Because of the rapidly increasing use of electronic cigarettes (e-cigarettes), this study aimed to investigate the individual characteristics and state-level prevalence of U.S. adults who have switched to e-cigarettes from traditional cigarettes.

METHODS:

Data from the 2012-2013 and 2013-2014 National Adult Tobacco Surveys were analyzed in 2016. Relative percent change in switching was estimated, and the state-specific prevalence of adults who switched to e-cigarettes from traditional cigarettes was calculated and mapped. Multivariate logistic regression was conducted to examine how switching varied by sociodemographic subgroups and region.

RESULTS:

Overall, the number of individuals who switched from traditional cigarettes to e-cigarettes increased by approximately 100% over the 1-year interval. Significant increases were found among a number of sociodemographics and regions. Multivariate logistic regression analyses showed that young adults and those living in the South and West were more likely to switch to e-cigarettes, compared to former smokers who did not switch. Compared with current dual users, those with higher education and those who were not single were more likely to switch to e-cigarettes. The state with the highest prevalence of switching was New Mexico (7.3%), whereas Connecticut had the lowest prevalence (0.8 %) among former smokers.

CONCLUSIONS:

There is an increase in the progression from traditional cigarette use to e-cigarette use. Further research is warranted to determine whether this change continues and facilitates cigarette smoking cessation as a possible public health benefit and opportunity to save lives rather than constitutes a potential threat to public health.

PMID:
28864130
PMCID:
PMC5983046
DOI:
10.1016/j.amepre.2017.06.033
[Indexed for MEDLINE]
Free PMC Article

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