E-Cigarette Quit Attempts and Experiences in a Convenience Sample of Adult Users

Author:

Bluestein Meagan A.1ORCID,Bejarano Geronimo1,Tackett Alayna P.23,Duano Jaimie C.1,Rawls Shelby Grace1,Vandewater Elizabeth A.45,Ahluwalia Jasjit S.67ORCID,Hébert Emily T.15ORCID

Affiliation:

1. Michael & Susan Dell Center for Healthy Living, Austin Campus, School of Public Health, University of Texas Health Science Center at Houston (UTHealth), Austin, TX 78701, USA

2. Center for Tobacco Research, The Ohio State University, Columbus, OH 43210, USA

3. Department of Internal Medicine, Division of Medical Oncology, The James Comprehensive Cancer Center, The Ohio State University, Columbus, OH 43210, USA

4. Population Research Center, University of Texas at Austin, Austin, TX 78701, USA

5. Department of Health Promotion and Behavioral Sciences, Austin Campus, School of Public Health, The University of Texas Health Science Center at Houston (UTHealth), Austin, TX 78701, USA

6. Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI 02912, USA

7. Legorreta Cancer Center, Brown University, Providence, RI 02912, USA

Abstract

Most e-cigarette users report planning to quit, but there is a paucity of evidence-based interventions for e-cigarette cessation. In the absence of interventions for e-cigarette cessation, we sought to understand how and why e-cigarette users attempt to quit on their own. Participants were recruited from Amazon Mechanical Turk, an online crowdsourcing platform. Those who reported they had ever used e-cigarettes regularly and had attempted to quit e-cigarette use were eligible for participation. Measures included demographic characteristics, other tobacco product use, e-cigarette device characteristics, barriers to quitting e-cigarettes, and facilitators to quitting e-cigarettes. A content analysis was conducted on twotwo open-ended questions that asked about advice respondents had for others trying to quit vaping and resources they wished they had during their quit attempt. Descriptive analyses were performed (means/standard errors; frequencies/proportions). A total of 89.0% reported using an e-cigarette with nicotine, 20.2% reported a nicotine concentration of 4–6 mg/mL%, 32.8% reported using multiple flavors, and 77.7% reported using their e-cigarette every day or some days. The primary reason reported for wanting to quit e-cigarettes was health concerns (42.2%), and 56.7% reported trying to quit “cold turkey”. During quit attempts, 41.0% reported intense cravings and 53.1% reported stress as a trigger. From the content analysis, the most commonly cited suggestion for those wanting to quit e-cigarettes was distractions/hobbies (19.9%), followed by reducing/tapering down nicotine (16.9%). Descriptive information on demographics, e-cigarette use, device characteristics, barriers, facilitators, and quit methods provides a first step in identifying factors that contribute to successful interventions designed for e-cigarette cessation.

Funder

National Institute on Drug Abuse of the National Institutes of Health

National Heart, Lung, and Blood Institute

Oklahoma Tobacco Settlement Endowment Trust

Center of Biomedical Research Excellence

Publisher

MDPI AG

Subject

Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health

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