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E-Cigarette Use in the Past and Quitting Behavior in the Future (2015-04-29)

Researchers examined whether smokers who used e-cigarettes are more likely to quit after 1 year than smokers who had never used e-cigarettes.

They surveyed 1000 California smokers at 2 time points 1 year apart. They conducted logistic regression analyses to determine whether history of e-cigarette use at baseline predicted quitting behavior at follow-up, adjusting for demographics and smoking behavior at baseline and limited analyses to smokers who reported consistent e-cigarette behavior at baseline and follow-up.

Compared with smokers who never used e-cigarettes, smokers who ever used e-cigarettes were significantly less likely to decrease cigarette consumption (odds ratio [OR]=0.51; 95% confidence interval [CI]=0.30, 0.87), and significantly less likely to quit for 30 days or more at follow-up (OR=0.41; 95% CI=0.18, 0.93).
Ever-users of e-cigarettes were more likely to report a quit attempt, although this was not statistically significant (OR=1.15; 95% CI=0.67, 1.97).

Smokers who have used e-cigarettes may be at increased risk for not being able to quit smoking. These findings, which need to be confirmed by longer-term cohort studies, have important policy and regulation implications regarding the use of e-cigarettes among smokers.

For more information
E-Cigarette Use in the Past and Quitting Behavior in the Future: A Population-Based Study
Published online ahead of print April 16, 2015: e1-e7. doi:10.2105/AJPH.2014.302482.

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