Contexts of cigarette and e-cigarette use among dual users: a qualitative study

BMC Public Health

Research Article

Pallav Pokhrel¹  Pebbles Fagan¹  Thaddeus A. Herzog¹  Nicholas Muranaka¹  Sakshi Regmi² 

[1] Cancer Prevention & Control Program, University of Hawaii Cancer Center, 701 Ilalo St, 96822, Honolulu, HI, USA;School of Public Health and Health Sciences, University of Massachusetts Amherst, 715 North Pleasant Street, 01003, Amherst, MA, USA;

关键词: Nicotine;    Focus Group;    Cigarette Smoking;    Smoking Cessation;    Nicotine Replacement Therapy;   

DOI  :  10.1186/s12889-015-2198-z

 received in 2015-03-31, accepted in 2015-08-27,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundNot 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.MethodsTwelve 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.ResultsResults 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.ConclusionsFor 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.

【 授权许可】

CC BY   
© Pokhrel et al. 2015