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Contexts of cigarette and e-cigarette use among dual users: a qualitative study 2015 Cancer Prevention & Control Program, University of Hawaii Cancer Center, 701 Ilalo St, Honolulu, HI, 96822, USA. ppokhrel@cc.hawaii.edu.; Cancer Prevention & Control Program, University of Hawaii Cancer Center, 701 Ilalo St, Honolulu, HI, 96822, USA. ther
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
BMC public health
Periodical, Abbrev.
BMC Public Health
Pub Date Free Form
4-Sep
Volume
15
Issue
Start Page
859
Other Pages
015-2198-z
Notes
LR: 20160429; GR: 3P30CA071789-15S3-PROJECT 2/CA/NCI NIH HHS/United States; GR: U54 MD007584/MD/NIMHD NIH HHS/United States; JID: 100968562; OID: NLM: PMC4560069; 2015/03/31 [received]; 2015/08/27 [accepted]; 2015/09/04 [aheadofprint]; epublish
Place of Publication
England
ISSN/ISBN
1471-2458; 1471-2458
Accession Number
PMID: 26341634
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.; IM
DOI
10.1186/s12889-015-2198-z [doi]
Output Language
Unknown(0)
PMID
26341634
Abstract
BACKGROUND: Not much is currently understood regarding the contexts of cigarette and e-cigarette use among dual users. Proper application of e-cigarettes to smoking cessation or tobacco harm reduction would require an understanding of when and why dual users use cigarettes versus e-cigarettes. This study sought to elucidate the contexts of cigarette versus e-cigarette use among dual users. METHODS: Twelve focus group discussions were conducted with 62 young adult current daily e-cigarette users [63% men; mean age = 25.1 (Standard Deviation = 5.5)]. Almost all participants either concurrently smoked cigarettes or had been recent dual users. Data were analyzed following principles of inductive deduction. RESULTS: Results indicated that dual users' use of cigarettes is influenced by particular activities (e.g., before/after eating), strong craving or need for stimulation (e.g., in response to stress), places/situations (e.g., when cigarette smokers are nearby; outdoors), use of other substances (alcohol, coffee), and unavailability of an e-cigarette when needed. In addition to particular activities and places/situations that are conducive to e-cigarette use, use of e-cigarette when cigarette is not available or where cigarette smoking is not permitted emerged as contexts specific to e-cigarette use. CONCLUSIONS: For habitual cigarette smokers wanting to quit tobacco smoking, switching over completely to e-cigarettes may require skills of cognitive-behavioral management. Future research needs to ascertain the characteristics of dual users who use e-cigarettes as cessation aids versus as cigarette alternative when cigarette is unavailable or smoking is not permitted.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Pokhrel,P., Herzog,T.A., Muranaka,N., Regmi,S., Fagan,P.
Original/Translated Title
URL
Date of Electronic
20150904
PMCID
PMC4560069
Editors
Predictors of quit attempts and abstinence among smokers not currently interested in quitting 2012 Cancer Prevention & Control, Hollings Cancer Center, Medical University of South Carolina, 86 Jonathan Lucas Street, Charleston, SC 29425, USA. jardin@musc.edu
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Oct
Volume
14
Issue
10
Start Page
1197
Other Pages
1204
Notes
LR: 20150225; GR: K23DA020482/DA/NIDA NIH HHS/United States; GR: R01DA021619/DA/NIDA NIH HHS/United States; JID: 9815751; OID: NLM: PMC3457712; 2012/03/01 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 22387995
Language
eng
SubFile
Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; IM
DOI
nts015 [pii]
Output Language
Unknown(0)
PMID
22387995
Abstract
INTRODUCTION: Rates of quitting smoking remain stagnant, and thus it is becoming increasingly important to identify determinants of successful quitting behavior. The primary purpose of the current study was to examine predictors of quit attempts and 7-day point prevalence abstinence in a large nationally based sample. The study population consisted exclusively of smokers with minimal interest in quitting in the immediate future, for whom the need to identify facilitating factors of cessation is highly significant. METHODS: Participants consisted of 849 smokers participating in a nationwide population-based randomized controlled trial (RCT) to promote quit attempts and cessation; all participants were not currently interested in cessation. RESULTS: After adjusting for treatment group, and using a multivariate logistic approach, a combination of motivational and self-efficacy variables consistently predicted quit attempts, regardless of how quit attempts were defined (i.e., any self-defined vs. 24 hr). Additionally, a greater number of previous quit attempts significantly predicted making future quit attempts. In terms of achieving short-term abstinence, regardless of whether analyses were restricted to individuals who made prior quit attempts or not, self-efficacy emerged as the only significant consistent predictor. CONCLUSIONS: Unlike previous studies, we did not find strong evidence suggesting unique predictors for making a quit attempt compared with achieving abstinence. Our findings demonstrate that even among smokers not currently interested in quitting, self-efficacy and motivation are key factors in the cessation process. Overall, the findings have important implications, as they highlight factors to target for future treatment.
Descriptors
Links
Book Title
Database
Publisher
Data Source
Authors
Jardin,B.F., Carpenter,M.J.
Original/Translated Title
URL
Date of Electronic
20120301
PMCID
PMC3457712
Editors
Trends in use of little cigars or cigarillos and cigarettes among U.S. smokers, 2002-2011 2015 Cancer Prevention and Control Division, Moores UCSD Cancer Center, University of California La Jolla, CA; kmesser@ucsd.edu.; Cancer Prevention and Control Division, Moores UCSD Cancer Center, University of California La Jolla, CA;; Cancer Prevention and C
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
May
Volume
17
Issue
5
Start Page
515
Other Pages
523
Notes
LR: 20160501; CI: (c) The Author 2014; GR: 1R01CA172058-01/CA/NCI NIH HHS/United States; GR: R01 CA172058/CA/NCI NIH HHS/United States; JID: 9815751; 0 (Flavoring Agents); OID: NLM: PMC4402355; 2013/12/17 [received]; 2014/08/22 [accepted]; 2014/09/19 [ahe
Place of Publication
England
ISSN/ISBN
1469-994X; 1462-2203
Accession Number
PMID: 25239955
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1093/ntr/ntu179 [doi]
Output Language
Unknown(0)
PMID
25239955
Abstract
OBJECTIVES: Little cigars and cigarillos may resemble cigarettes, but may be less expensive and can be purchased singly and in flavored varieties. We used two major U.S. surveys to investigate use of cigarillos and cigarettes. METHODS: The 2010/2011 Tobacco Use Supplement to the Current Population Survey ascertained cigar use by brand and type (little cigars/cigarillos or large/regular). The annual National Survey on Drug Use and Health (NSDUH) assessed cigar use by brand, 2002-2011. We used the available data to classify cigars by type among males in the NSDUH. RESULTS: Estimated prevalence of little cigar use among male cigar smokers was similar using the two surveys. From 2002 to 2011, past-30-day cigarette smoking declined for all age groups and genders, but among young adult men (aged 18-25) little cigar smoking remained steady at nearly 9%. "Cigarette and/or cigar" smoking was 44% among young adult men in 2011, and was consistently 6 percentage points higher than cigarette-only smoking, from 2002 to 2011. Over 60% of male and 70% of female adolescent/young adult cigar smokers also smoked cigarettes in 2011. Most male adolescents preferred little cigars to traditional cigars. Among males, most lower income or less educated cigar smokers preferred little cigars, compared to only 16% of those with higher education. CONCLUSIONS: These patterns indicate that little cigar/cigarillo use may promote initiation and maintenance of cigarette smoking, particularly among younger and less advantaged populations. Population-level data are urgently needed to better assess type of cigar smoked and reasons for use.
Descriptors
Links
Book Title
Database
Publisher
. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco
Data Source
Authors
Messer,K., White,M.M., Strong,D.R., Wang,B., Shi,Y., Conway,K.P., Pierce,J.P.
Original/Translated Title
URL
Date of Electronic
20140919
PMCID
PMC4402355
Editors
Cigarette smoking cessation attempts among current US smokers who also use smokeless tobacco 2015 Cancer Prevention and Control Division, Moores UCSD Cancer Center, University of California, 3855 Health Sciences Dr. MC 0901, La Jolla, CA 92093-0901, United States; Division of Biostatistics and Bioinformatics, UCSD, La Jolla, CA 92093, United States; D
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Addictive Behaviors
Periodical, Abbrev.
Addict.Behav.
Pub Date Free Form
Dec
Volume
51
Issue
Start Page
113
Other Pages
119
Notes
LR: 20150904; CI: Copyright (c) 2015; GR: 1R01CA172058-02/CA/NCI NIH HHS/United States; GR: HHSN271201100027C/PHS HHS/United States; GR: R01 CA172058/CA/NCI NIH HHS/United States; JID: 7603486; NIHMS713492; OID: NLM: NIHMS713492 [Available on 12/01/16]; O
Place of Publication
England
ISSN/ISBN
1873-6327; 0306-4603
Accession Number
PMID: 26253939
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.addbeh.2015.06.045 [doi]
Output Language
Unknown(0)
PMID
26253939
Abstract
INTRODUCTION: Concurrent use of cigarettes and smokeless tobacco is common, but little is known regarding the association of smokeless tobacco use with cigarette smoking cessation. Dual users may have lower cigarette consumption levels, which may also play a role in smoking cessation. METHODS: The 2010-2011 Tobacco Use Supplement to the Current Population Survey included 26,760 current cigarette smokers, of which 675 concurrently used smokeless tobacco. We compared characteristics of the most recent cigarette smoking quit attempt of the past year between dual users and exclusive smokers, using multivariate regression. RESULTS: Dual users (45%) were more likely than exclusive smokers (37%) to have made a cigarette smoking quit attempt during the previous year (p
Descriptors
Links
Book Title
Database
Publisher
. Published by Elsevier Ltd
Data Source
Authors
Messer,K., Vijayaraghavan,M., White,M.M., Shi,Y., Chang,C., Conway,K.P., Hartman,A., Schroeder,M.J., Compton,W.M., Pierce,J.P.
Original/Translated Title
URL
Date of Electronic
20150704
PMCID
PMC4558255
Editors
Concurrent use of tobacco products by California adolescents 2003 Cancer Prevention and Control Program, Cancer Center, University of California, San Diego, La Jolla, CA 92093, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Preventive medicine
Periodical, Abbrev.
Prev.Med.
Pub Date Free Form
May
Volume
36
Issue
5
Start Page
575
Other Pages
584
Notes
LR: 20061115; JID: 0322116; ppublish
Place of Publication
United States
ISSN/ISBN
0091-7435; 0091-7435
Accession Number
PMID: 12689803
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
S0091743502000646 [pii]
Output Language
Unknown(0)
PMID
12689803
Abstract
BACKGROUND: To describe patterns and correlates of tobacco product use other than cigarettes in adolescents 12-17 years of age. METHODS: Adolescent respondents (N = 6090) to the 1999 California Tobacco Survey provided estimates of ever and current use (in last 30 days) of smokeless tobacco, cigars, and bidis, which were examined by cigarette smoking experience, demographics, and known predictors of cigarette use. RESULTS: Only 3% of adolescents who never smoked cigarettes experimented with other tobacco products. Among ever smokers who were not current smokers, the rate was 35%. Nearly 60% of current cigarette experimenters had tried another tobacco product, but almost 90% of current established smokers had experimented with one. Over 40% of current established smokers used another tobacco product in the last 30 days. Factors predictive of cigarette smoking were also highly associated with other tobacco use. In ever cigarette smokers, having peers who used other tobacco products was most highly associated with other tobacco use. Problem or risky behaviors, beliefs that cigarettes are safe or beneficial, and receptivity to tobacco promotions were also independently associated with other tobacco product use. CONCLUSIONS: Adolescent smokers who use other tobacco products may be prone to risky behavior and such use may hasten the development of nicotine tolerance.
Descriptors
Adolescent, Adolescent Behavior/ethnology/psychology, California/epidemiology, Data Collection, Demography, Female, Humans, Male, Peer Group, Prevalence, Risk Factors, Smoking/epidemiology/ethnology, Tobacco Use Disorder/epidemiology/ethnology, Tobacco, Smokeless/supply & distribution
Links
Book Title
Database
Publisher
Data Source
Authors
Gilpin,E. A., Pierce,J. P.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
The California Tobacco Control Program and potential harm reduction through reduced cigarette consumption in continuing smokers 2002 Cancer Prevention and Control Program, Cancer Center, University of California, San Diego, La Jolla, California 92093, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
Periodical, Abbrev.
Nicotine Tob.Res.
Pub Date Free Form
Volume
4 Suppl 2
Issue
Start Page
S157
Other Pages
66
Notes
LR: 20061115; JID: 9815751; 0 (Tobacco Smoke Pollution); ppublish
Place of Publication
England
ISSN/ISBN
1462-2203; 1462-2203
Accession Number
PMID: 12583355
Language
eng
SubFile
Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
Output Language
Unknown(0)
PMID
12583355
Abstract
Harm reduction for continuing smokers has been suggested as a public health priority. We evaluated whether tobacco control programs might reduce cigarette consumption among current smokers through strategies aimed primarily at protecting nonsmokers from secondhand smoke (SHS). Data were from adult (18+ years) respondents to multiple (1990, 1992, 1996, 1999), large, cross-sectional, population-based surveys of smoking behavior, conducted to evaluate the California Tobacco Control Program. Adult daily smoking prevalence decreased from 15.9 +/-0.4%(+/-95% confidence interval) of the California adult population in 1990 to 13.0 +/-0.3% in 1999. Concurrently, moderate-to-heavy daily smoking (>or= 15 cigarettes/day) decreased from 10.3 +/-0.4% in 1990 to 7.4 +/-0.3% in 1999, and heavy daily smoking (>or= 25 cigarettes/day) from 3.4 +/- 0.2% in 1990 to 1.9 +/- 0.1% in 1999. Decreased daily smoking was observed in all demographic subgroups except young adults. Among college graduates, the daily smoking prevalence in 1999 was 6.4 +/- 0.4%, a level previously observed only among U.S. physicians. In 1999, nearly 30% of current smokers did not smoke daily, and more than 60% said they now smoked less than previously. In 1999, self-reported cigarette consumption was inversely related to believing SHS is harmful to nonsmokers, having a smoke-free workplace, and living in a smoke-free home. In California, tobacco control strategies that educated the population about SHS and resulted in smoking restrictions may have led continuing smokers to smoke less, which should reduce the harm from smoking to the public health in the long term.
Descriptors
Adolescent, Adult, Aged, Behavior, Addictive, California/epidemiology, Female, Harm Reduction, Health Behavior, Health Promotion, Humans, Male, Middle Aged, Prevalence, Program Evaluation, Public Health, Smoking/epidemiology/prevention & control, Smoking Cessation/methods, Tobacco Smoke Pollution/prevention & control
Links
Book Title
Database
Publisher
Data Source
Authors
Gilpin,E. A., Pierce,J. P.
Original/Translated Title
URL
Date of Electronic
PMCID
Editors
The effect of smoke-free homes on smoking behavior in the U.S 2008 Cancer Prevention and Control Program, Moores UCSD Cancer Center, University of California San Diego, La Jolla, California 92093-0901, USA.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
American Journal of Preventive Medicine
Periodical, Abbrev.
Am.J.Prev.Med.
Pub Date Free Form
Sep
Volume
35
Issue
3
Start Page
210
Other Pages
216
Notes
JID: 8704773; 2008/04/10 [received]; 2008/05/16 [revised]; 2008/05/19 [accepted]; 2008/07/11 [aheadofprint]; ppublish
Place of Publication
Netherlands
ISSN/ISBN
0749-3797; 0749-3797
Accession Number
PMID: 18620837
Language
eng
SubFile
Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.amepre.2008.05.023 [doi]
Output Language
Unknown(0)
PMID
18620837
Abstract
BACKGROUND: Evidence from longitudinal population surveys is needed to establish whether smoke-free homes might influence smoking behavior. METHODS: The Tobacco Use Supplement of the nationally representative U.S. Current Population Survey (TUS-CPS) interviewed 3292 adult recent smokers in 2002 and again 12 months later. Both surveys measured smoking status, rules on smoking in the home, and the number of cigarettes smoked per day (cpd). For the main study outcome, an early marker of successful cessation (>or=90 days quit) was used. Analysis was completed in 2008. RESULTS: In the 12 months ending February 2003, the prevalence of smoke-free homes among recent smokers increased from 33% to 39%. A smoke-free home at baseline was associated with >or=90 days cessation at follow-up (10.9% vs 6.2%, AOR=1.44; 95% CI=0.97, 2.21), and those who maintained a smoke-free home were more likely to be >or=90 days quit than those who did not (12.9% vs 5.7%, AOR=1.99; 95% CI=0.93, 4.25). However, adopting a smoke-free home during the year was associated with a nearly fivefold increase in the percentage of >or=90 days quit (AOR=4.81; 95% CI=3.06, 7.59). This increase was seen among all smokers, including moderate-to-heavy smokers (>or=90 days quit: a smoke-free home=13.0% vs no smoke-free home=2.9%, p<0.001). Among continuing smokers with a smoke-free home at baseline, maintenance of te smoke-free home was associated with a decline in consumption (micro=or-2.18; 95 CI=or-1.24; -3.10 cpd). Among continuing smokers with no smoke-free home at baseline, adoption of that status was also associated with a decline in consumption (micro=or-1.72; 95% CI=or-0.58; -2.85 cpd). CONCLUSIONS: This study provides strong evidence that the adoption of a smoke-free home is associated with successful quitting among smokers in the U.S.
Descriptors
Adolescent, Adult, Aged, Confidence Intervals, Female, Health Behavior, Health Promotion, Health Surveys, Humans, Longitudinal Studies, Male, Middle Aged, Prevalence, Risk-Taking, Smoking/epidemiology/prevention & control, Smoking Cessation, Social Marketing, United States/epidemiology, Young Adult
Links
Book Title
Database
Publisher
Data Source
Authors
Messer,K., Mills,A. L., White,M. M., Pierce,J. P.
Original/Translated Title
URL
Date of Electronic
20080711
PMCID
Editors
Comparisons of three nicotine dependence scales in a multiethnic sample of young adult menthol and non-menthol smokers 2015 Cancer Prevention and Control Program, University of Hawaii Cancer Center, University of Hawaii at Manoa, 701 Ilalo Street, Honolulu, HI 96813, USA. Electronic address: pfagan@cc.hawaii.edu.; Cancer Prevention and Control Program, University of Hawaii Can
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Drug and alcohol dependence
Periodical, Abbrev.
Drug Alcohol Depend.
Pub Date Free Form
1-Apr
Volume
149
Issue
Start Page
203
Other Pages
211
Notes
LR: 20160715; CI: Copyright (c) 2015; GR: K01 CA148789/CA/NCI NIH HHS/United States; GR: P30 CA071789/CA/NCI NIH HHS/United States; GR: R03 CA159909/CA/NCI NIH HHS/United States; GR: R21 CA180934/CA/NCI NIH HHS/United States; GR: U54 MD007584/MD/NIMHD NIH
Place of Publication
Ireland
ISSN/ISBN
1879-0046; 0376-8716
Accession Number
PMID: 25744873
Language
eng
SubFile
Comparative Study; Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.drugalcdep.2015.02.005 [doi]
Output Language
Unknown(0)
PMID
25744873
Abstract
BACKGROUND: Few studies have compared nicotine dependence among menthol and non-menthol cigarette smokers in a multiethnic sample of young adult daily cigarette smokers. This study examines differences in nicotine dependence among menthol and non-menthol daily smokers and the associations of nicotine dependence with quitting behaviors among Native Hawaiian, Filipino, and White cigarette smokers aged 18-35. METHODS: Craigslist.org, newspaper advertisements, and peer-to-peer referrals were used to recruit daily smokers (n = 186) into a lab-based study. Nicotine dependence was assessed using the Fagerstrom Test of Nicotine Dependence (FTND), the Nicotine Dependence Syndrome Scale (NDSS), and the brief Wisconsin Inventory for Smoking Dependence Motives (WISDM). Multiple regression analyses were used to examine differences in nicotine dependence between menthol and non-menthol smokers and the relationship between each nicotine dependence scale with self-efficacy to quit, quit attempt in the past 12 months, and number of attempts. RESULTS: Menthol smokers were more likely to report difficulty refraining from smoking in places where forbidden (p = .04) and had higher scores on social/environmental goads subscale of the WISDM (p = .0005). Two-way interaction models of the FTND and menthol status showed that menthol smokers with higher levels of dependence were more likely to have tried to quit smoking in the past 12 months (p = .02), but were less likely to have had multiple quit attempts (p = .01). CONCLUSIONS: Components of the FTND and WISDM distinguish levels of dependence between menthol and non-menthol smokers. Higher FTND scores were associated with having a quit attempt, but fewer quit attempts among menthol smokers.
Descriptors
Links
Book Title
Database
Publisher
Elsevier Ireland Ltd
Data Source
Authors
Fagan,P., Pohkrel,P., Herzog,T., Pagano,I., Vallone,D., Trinidad,D.R., Sakuma,K.L., Sterling,K., Fryer,C.S., Moolchan,E.
Original/Translated Title
URL
Date of Electronic
20150214
PMCID
PMC4865397
Editors
Reasons for quitting cigarette smoking and electronic cigarette use for cessation help 2015 Cancer Prevention and Control Program.; Cancer Prevention and Control Program.
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors
Periodical, Abbrev.
Psychol.Addict.Behav.
Pub Date Free Form
Mar
Volume
29
Issue
1
Start Page
114
Other Pages
121
Notes
LR: 20160415; CI: (c) 2015; GR: R01 CA120799/CA/NCI NIH HHS/United States; GR: R01-CA2079905/CA/NCI NIH HHS/United States; GR: U54 MD007584/MD/NIMHD NIH HHS/United States; JID: 8802734; NIHMS676311; OID: NLM: NIHMS676311; OID: NLM: PMC4511704; 2014/09/01
Place of Publication
United States
ISSN/ISBN
1939-1501; 0893-164X
Accession Number
PMID: 25180551
Language
eng
SubFile
Journal Article; Research Support, N.I.H., Extramural; IM
DOI
10.1037/adb0000025 [doi]
Output Language
Unknown(0)
PMID
25180551
Abstract
Despite the lack of clarity regarding their safety and efficacy as smoking cessation aids, electronic cigarettes (e-cigarettes) are commonly used to quit smoking. Currently, little is understood about why smokers may use e-cigarettes for help with smoking cessation compared with other, proven cessation aids. This study aimed to determine the reasons for wanting to quit cigarettes that are associated with the use of e-cigarettes for cessation help versus the use of conventional nicotine replacement therapy (NRT) products (e.g., gums). Cross-sectional, self-report data were obtained from 1,988 multiethnic current daily smokers (M age = 45.1, SD = 13.0; 51.3% women) who had made an average of 8.5 (SD = 18.7) lifetime quit attempts but were not currently engaged in a cessation attempt. Reasons for wanting to quit smoking were assessed by using the Reasons for Quitting scale. Path analyses suggested that among reasons for quitting cigarettes, "immediate reinforcement"-a measure of wanting to quit cigarettes for extrinsic reasons such as bad smell, costliness and untidiness-was significantly associated with having tried e-cigarettes for cessation help, and "concerns about health" was associated with having tried NRT-only use. E-cigarettes appear to provide an alternative "smoking" experience to individuals who wish to quit cigarette smoking because of the immediate, undesirable consequences of tobacco smoking (e.g., smell, ash, litter) rather than concerns about health. Provided that the safety of e-cigarette use is ensured, e-cigarettes may be effectively used to reduce tobacco exposure among smokers who may not want to quit cigarettes for intrinsic motivation.
Descriptors
Links
Book Title
Database
Publisher
APA, all rights reserved)
Data Source
Authors
Pokhrel,P., Herzog,T.A.
Original/Translated Title
URL
Date of Electronic
20140901
PMCID
PMC4511704
Editors
A pilot study of StopAdvisor: a theory-based interactive internet-based smoking cessation intervention aimed across the social spectrum 2012 Cancer Research UK Health Behaviour Research Centre, Department of Epidemiology and Public Health, University College London, London, UK. jamie.brown@ucl.ac.uk
Source Type
Print(0)
Ref Type
Journal Article
Periodical, Full
Addictive Behaviors
Periodical, Abbrev.
Addict.Behav.
Pub Date Free Form
Dec
Volume
37
Issue
12
Start Page
1365
Other Pages
1370
Notes
LR: 20141007; CI: Copyright (c) 2012; GR: 14135/Cancer Research UK/United Kingdom; GR: G0802035/Medical Research Council/United Kingdom; JID: 7603486; 2012/03/20 [received]; 2012/05/29 [revised]; 2012/05/30 [accepted]; 2012/06/09 [aheadofprint]; ppublish
Place of Publication
England
ISSN/ISBN
1873-6327; 0306-4603
Accession Number
PMID: 22795643
Language
eng
SubFile
Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't; IM
DOI
10.1016/j.addbeh.2012.05.016 [doi]
Output Language
Unknown(0)
PMID
22795643
Abstract
BACKGROUND: This article reports a pilot study of a new smoking cessation website ('StopAdvisor'), which has been developed on the basis of PRIME theory, evidence, web-design expertise and user-testing. The aims were to i) evaluate whether cessation, website usage and satisfaction were sufficiently high to warrant a randomised controlled trial (RCT) and ii) assess whether outcomes were affected by socio-economic status. METHODS: This was an uncontrolled pilot study. Two hundred and four adult daily smokers willing to make a serious quit attempt were included. All participants received support from 'StopAdvisor', which recommends a structured quit plan and a variety of evidence-based behaviour change techniques for smoking cessation. A series of tunnelled sessions and a variety of interactive menus provide tailored support for up to a month before quitting through until one-month post-quit (http://www.lifeguideonline.org/player/play/stopadvisordemonstration). The primary outcome was self-report of at least 1month of continuous abstinence collected at 2months post-enrolment and verified by saliva cotinine or anabasine. Usage was indexed by log-ins and page views. Satisfaction was assessed by dichotomous ratings of helpfulness, personal relevance, likelihood of recommendation and future use, which were collected using an online questionnaire at 2months post-enrolment. Outcomes according to socio-economic status were assessed. RESULTS: At 8weeks post-enrolment, 19.6% (40/204) of participants were abstinent according to the primary outcome criteria (95% C.I.=14.1% to 25.1%). Participants viewed a mean of 133.5 pages (median=71.5) during 6.4 log-ins (median=3). A majority of respondents rated the website positively on each of the four satisfaction `ratings (range=66.7% to 75.3%). There was no evidence of an effect of socio-economic status on abstinence (OR=1.01, C.I.=0.50-2.07), usage (page-views, t(202)=0.11, p=.91; log-ins, t(202)=0.21, p=.83), or satisfaction (helpfulness, OR=1.09, C.I.=0.41-2.88; personal relevance, OR=0.55, C.I.=0.20-1.56; recommendation, OR=0.98, C.I.=0.34-2.81; use in future, OR=1.45, C.I.=0.49-4.27). CONCLUSIONS: The systematic application of theory, evidence, web-design expertise, and user-testing has resulted in a website that shows sufficiently promising efficacy and usability to warrant evaluation in a RCT. The website appears to be similarly effective and acceptable to users across the social spectrum.
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Elsevier Ltd
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Brown,J., Michie,S., Geraghty,A.W., Miller,S., Yardley,L., Gardner,B., Shahab,L., Stapleton,J.A., West,R.
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20120609
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