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Electronic cigarette use and tobacco cessation in a state-based quitline

Published online by Cambridge University Press:  20 March 2019

Benjamin R. Brady Open the ORCID record for Benjamin R. Brady [Opens in a new window] ,
Tracy E. Crane ,
Patrick A. O'Connor ,
Uma S. Nair  and
Nicole P. Yuan
Benjamin R. Brady*
Affiliation:
Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA
Tracy E. Crane
Affiliation:
College of Nursing, University of Arizona, Tucson, Arizona, USA University of Arizona Cancer Center, Tucson, Arizona, USA
Patrick A. O'Connor
Affiliation:
Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA
Uma S. Nair
Affiliation:
Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA
Nicole P. Yuan
Affiliation:
Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona, USA
*
Author for correspondence: Benjamin R. Brady, E-mail: [email protected]
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Abstract

Introduction

Evidence is mixed on e-cigarette's effectiveness as a tobacco cessation aid. Research suggests that e-cigarette users face greater barriers to quitting tobacco.

Aim

To examine the association between e-cigarette use and tobacco cessation outcomes among quitline callers.

Methods

We examined 2,204 callers who enrolled and completed 7-month follow-up surveys between April 2014 and January 2017. We examined the association between any e-cigarette use and tobacco cessation. We also evaluated these relationships by e-cigarette use patterns between enrollment and 7-month follow-up: sustained, adopted, discontinued, and non-use. We used multivariable logistic regression to control for caller characteristics, tobacco history, and program utilization.

Results

Overall, 18% of callers reported using e-cigarettes at enrollment, follow-up, or both. Compared to non-users, e-cigarette users were more likely to be younger, non-Hispanic, and report a mental health condition. The adjusted odds of tobacco cessation were not statistically different for callers who used e-cigarettes compared to those who did not (adjusted odds ratios = 1.02, 95% confidence interval 0.79–1.32). Results were similar when examining cessation by patterns of e-cigarette use.

Conclusions

E-cigarette use was not associated with tobacco cessation. This suggests that e-cigarette use may neither facilitate nor deter tobacco cessation among quitline callers. Future research should continue exploring how e-cigarette use affects quitting.

Keywords

Electronic cigarettequitlinetobacco cessation
Type
Original Articles
Information
Journal of Smoking Cessation , Volume 14 , Issue 3 , September 2019 , pp. 176 - 185
Copyright
Copyright © The Author(s) 2019 

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References

Biener, L., & Hargraves, J. L. (2015). A longitudinal study of electronic cigarette use among a population-based sample of adult smokers: association with smoking cessation and motivation to quit. Nicotine & Tobacco Research, 17(2), 127–133. https://doi.org/10.1093/ntr/ntu200Google Scholar
Brady, B. R., De La Rosa, J. S., Nair, U. S., & Leischow, S. J. (2019). Electronic cigarette policy recommendations: a scoping review. American Journal of Health Behavior, 43(1), 88–104. https://doi.org/10.5993/AJHB.43.1.8Google Scholar
Brose, L. S., Hitchman, S. C., Brown, J., West, R., & McNeill, A. (2015). Is the use of electronic cigarettes while smoking associated with smoking cessation attempts, cessation and reduced cigarette consumption? A survey with a 1-year follow-up. Addiction, 110(7), 1160–1168. https://doi.org/10.1111/add.12917Google Scholar
Burns, E. K., Levinson, A. H., & Deaton, E. A. (2012). Factors in nonadherence to quitline services: smoker characteristics explain little. Health Education & Behavior, 39(5), 596–602.Google Scholar
Caraballo, R. S., Shafer, P. R., Patel, D., Davis, K. C., & McAfee, T. A. (2017). Quit methods used by US adult cigarette smokers, 2014–2016. Preventing Chronic Disease, 14, 1–5. https://doi.org/10.5888/pcd14.160600Google Scholar
CDC's Office on Smoking and Health. (2016). Adult Cigarette Smoking in the United States. Retrieved July 26, 2017, from http://www.cdc.gov/tobacco/data_statistics/fact_sheets/adult_data/cig_smoking/Google Scholar
Coleman, B. N., Rostron, B., Johnson, S. E., Ambrose, B. K., Pearson, J., Stanton, C.A., … Hyland, A. (2017). Electronic cigarette use among US adults in the Population Assessment of Tobacco and Health (PATH) Study, 2013–2014. Tobacco Control, 26(e2), e117–e126. https://doi.org/10.1136/tobaccocontrol-2016-053462Google Scholar
Cummins, S., Leischow, S., Bailey, L., Bush, T., Wassum, K., Copeland, L., & Zhu, S.-H. (2016). Knowledge and beliefs about electronic cigarettes among quitline cessation staff. Addictive Behaviors, 60, 78–83. https://doi.org/10.1016/j.addbeh.2016.03.031Google Scholar
Desquilbet, L., & Mariotti, F. (2010). Dose-response analyses using restricted cubic spline functions in public health research. Statistics in Medicine, 29(9), 1037–1057. https://doi.org/10.1002/sim.3841Google Scholar
Farsalinos, K. E., Poulas, K., Voudris, V., & Le Houezec, J. (2016). Electronic cigarette use in the European Union: analysis of a representative sample of 27 460 Europeans from 28 countries. Addiction, 111(11), 2032–2040. https://doi.org/10.1111/add.13506Google Scholar
Fiore, M. C., Jaen, C. R., Baker, T. B., Bailey, W. C., Benowitz, N. L., Curry, S. J., … Wewers, M. E. (2008). Treating tobacco Use and dependence: 2008 update (clinical practice guideline). Rockville, MD: US Department of Health and Human Services.Google Scholar
Gelenberg, A. J., de Leon, J., Evins, A. E., Parks, J. J., & Rigotti, N. A. (2008). Smoking cessation in patients with psychiatric disorders. Primary Care Companion to the Journal of Clinical Psychiatry, 10(1), 52–58. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2249833/Google Scholar
Glasser, A. M., Collins, L., Pearson, J. L., Abudayyeh, H., Niaura, R. S., Abrams, D. B., & Villanti, A. C. (2017). Overview of electronic nicotine delivery systems: a systematic review. American Journal of Preventive Medicine, 52(2), e33–e66. https://doi.org/10.1016/j.amepre.2016.10.036Google Scholar
Gualano, M. R., Passi, S., Bert, F., La Torre, G., Scaioli, G., & Siliquini, R. (2015). Electronic cigarettes: assessing the efficacy and the adverse effects through a systematic review of published studies. Journal of Public Health (Oxford, England), 37(3), 488–497. https://doi.org/10.1093/pubmed/fdu055Google Scholar
Heatherton, T. F., Kozlowski, L. T., Frecker, R. C., & Fagerström, K. O. (1991). The Fagerström test for nicotine dependence: a revision of the Fagerström tolerance questionnaire. British Journal of Addiction, 86(9), 1119–1127.Google Scholar
Hebert, K. K., Cummins, S. E., Hernandez, S., Tedeschi, G. J., & Zhu, S.-H. (2011). Current Major depression among smokers using a state quitline. American Journal of Preventive Medicine, 40(1), 47–53. https://doi.org/10.1016/j.amepre.2010.09.030Google Scholar
Hitchman, S. C., Brose, L. S., Brown, J., Robson, D., & McNeill, A. (2015). Associations between E-cigarette type, frequency of use, and quitting smoking: findings from a longitudinal online panel survey in Great Britain. Nicotine & Tobacco Research, 17(10), 1187–1194. https://doi.org/10.1093/ntr/ntv078Google Scholar
John, U., Meyer, C., Hapke, U., Rumpf, H.-J., & Schumann, A. (2004). Nicotine dependence, quit attempts, and quitting among smokers in a regional population sample from a country with a high prevalence of tobacco smoking. Preventive Medicine, 38(3), 350–358. https://doi.org/10.1016/j.ypmed.2003.11.003Google Scholar
Jung, A. M., Schweers, N., Bell, M. L., Nair, U., & Yuan, N. P. (2017). Tobacco Use cessation among quitline callers who implemented complete home smoking bans during the quitting process. Preventing Chronic Disease, 14, 1–12. https://doi.org/10.5888/pcd14.170139Google Scholar
Khoudigian, S., Devji, T., Lytvyn, L., Campbell, K., Hopkins, R., & O'Reilly, D. (2016). The efficacy and short-term effects of electronic cigarettes as a method for smoking cessation: a systematic review and a meta-analysis. International Journal of Public Health, 61(2), 257–267. https://doi.org/10.1007/s00038-016-0786-zGoogle Scholar
King, B. A., Patel, R., Nguyen, K. H., & Dube, S. R. (2015). Trends in awareness and use of electronic cigarettes among US adults, 2010–2013. Nicotine & Tobacco Research, 17(2), 219–227. https://doi.org/10.1093/ntr/ntu191Google Scholar
Levy, D. T., Yuan, Z., & Li, Y. (2017). The prevalence and characteristics of E-cigarette users in the U.S. International Journal of Environmental Research and Public Health, 14(10), E1200. https://doi.org/10.3390/ijerph14101200Google Scholar
Linde, B. D., Ebbert, J. O., Talcott, G. W., & Klesges, R. C. (2015). Quit_line treatment protocols for users of non-cigarette tobacco and nicotine containing products. Addictive Behaviors, 45, 259–262. https://doi.org/10.1016/j.addbeh.2015.02.015Google Scholar
Lukowski, A. V., Morris, C. D., Young, S. E., & Tinkelman, D. (2015). Quitline outcomes for smokers in 6 states: rates of successful quitting vary by mental health Status. Nicotine & Tobacco Research, 17(8), 924–930. https://doi.org/10.1093/ntr/ntu252Google Scholar
Malas, M., van der Tempel, J., Schwartz, R., Minichiello, A., Lightfoot, C., Noormohamed, A., … Ferrence, R. (2016). Electronic cigarettes for smoking cessation: a systematic review. Nicotine & Tobacco Research, 18(10), 1926–1936. https://doi.org/10.1093/ntr/ntw119Google Scholar
McMillen, R. C., Gottlieb, M. A., Shaefer, R. M. W., Winickoff, J. P., & Klein, J. D. (2015). Trends in electronic cigarette use among U.S. Adults: use is increasing in both smokers and nonsmokers. Nicotine & Tobacco Research, 17(10), 1195–1202. https://doi.org/10.1093/ntr/ntu213Google Scholar
McRobbie, H., Bullen, C., Hartmann-Boyce, J., & Hajek, P. (2014). Electronic cigarettes for smoking cessation and reduction. The Cochrane Database of Systematic Reviews, (12), CD010216. https://doi.org/10.1002/14651858.CD010216.pub2Google Scholar
National Academies of Sciences, Engineering, and Medicine. (2018). Public health consequences of E-cigarettes (pp. 1–613). Washington, DC: The National Academies Press. Retrieved from http://nationalacademies.org/hmd/Reports/2018/public-health-consequences-of-e-cigarettes.aspxGoogle Scholar
North American Quitline Consortium. (2009). Measuring quit rates. Quality improvement initiative (pp. 1–32). Phoenix, AZ. Retrieved from http://c.ymcdn.com/sites/www.naquitline.org/resource/resmgr/docs/naqc_issuepaper_measuringqui.pdfGoogle Scholar
North American Quitline Consortium. (2018). Results from the NAQC annual survey of quitlines, FY17 (pp. 1–62). Phoenix, AZ. Retrieved from https://cdn.ymaws.com/www.naquitline.org/resource/resmgr/research/FULLSLIDESFY17.pdfGoogle Scholar
Patel, D., Davis, K. C., Cox, S., Bradfield, B., King, B. A., Shafer, P., … Bunnell, R. (2016). Reasons for current E-cigarette use among U.S. adults. Preventive Medicine, 93, 14–20. https://doi.org/10.1016/j.ypmed.2016.09.011Google Scholar
Rahman, M. A., Hann, N., Wilson, A., Mnatzaganian, G., & Worrall-Carter, L. (2015). E-Cigarettes and smoking cessation: evidence from a systematic review and meta-analysis. PLoS ONE, 10(3), e0122544. https://doi.org/10.1371/journal.pone.0122544Google Scholar
Schoenborn, C. A., & Gindi, R. M. (2015). Electronic cigarette Use Among adults: United States, 2014 (NCHS Data Brief No. 217) (p. 8). Hyattsville, MD: National Center for Health Statistics. Retrieved from http://www.cdc.gov/nchs/data/databriefs/db217.pdfGoogle Scholar
Schroeder, S. A., & Morris, C. D. (2010). Confronting a neglected epidemic: tobacco cessation for persons with mental illnesses and substance abuse problems. Annual Review of Public Health, 31, 297–314. 1 p following 314. https://doi.org/10.1146/annurev.publhealth.012809.103701Google Scholar
Spears, C. A., Jones, D. M., Weaver, S. R., Pechacek, T. F., & Eriksen, M. P. (2016). Use of electronic nicotine delivery systems among adults with mental health conditions, 2015. International Journal of Environmental Research and Public Health, 14(1), 10. https://doi.org/10.3390/ijerph14010010Google Scholar
Stead, L. F., Hartmann-Boyce, J., Perera, R., & Lancaster, T. (2013). Telephone counselling for smoking cessation. The Cochrane Database of Systematic Reviews, 8, CD002850. https://doi.org/10.1002/14651858.CD002850.pub3Google Scholar
Subialka Nowariak, E. N., Lien, R. K., Boyle, R. G., Amato, M. S., & Beebe, L. A. (2018). E-cigarette use among treatment-seeking smokers: moderation of abstinence by use frequency. Addictive Behaviors, 77, 137–142. https://doi.org/10.1016/j.addbeh.2017.09.023Google Scholar
Vangeli, E., Stapleton, J., Smit, E. S., Borland, R., & West, R. (2011). Predictors of attempts to stop smoking and their success in adult general population samples: a systematic review. Addiction, 106(12), 2110–2121. https://doi.org/10.1111/j.1360-0443.2011.03565.xGoogle Scholar
Vickerman, K. A., Beebe, L., Schauer, G. L., King, B., & Magnusson, B. (2015a). ENDS Users Who Call Quitlines: surveillance Data and Research Findings. Presented at the NAQC Conference, Atlanta, GA. Retrieved from https://www.naquitline.org/page/C2015Agenda?Google Scholar
Vickerman, K. A., Beebe, L. A., Schauer, G. L., Magnusson, B., & King, B. A. (2017a). Electronic nicotine delivery system (ENDS) use during smoking cessation: a qualitative study of 40 Oklahoma quitline callers. BMJ Open, 7(4), e013079. https://doi.org/10.1136/bmjopen-2016-013079Google Scholar
Vickerman, K. A., Carpenter, K. M., Altman, T., Nash, C. M., & Zbikowski, S. M. (2013). Use of electronic cigarettes among state tobacco cessation quitline callers. Nicotine & Tobacco Research, 15(10), 1787–1791. https://doi.org/10.1093/ntr/ntt061Google Scholar
Vickerman, K. A., Schauer, G. L., Malarcher, A. M., Zhang, L., Mowery, P., & Nash, C. M. (2015b). Quitline use and outcomes among callers with and without mental health conditions: a 7-month follow-up evaluation in three states. BioMed Research International, 2015, e817298. https://doi.org/10.1155/2015/817298Google Scholar
Vickerman, K. A., Schauer, G. L., Malarcher, A. M., Zhang, L., Mowery, P., & Nash, C. M. (2017b). Reasons for Electronic Nicotine Delivery System use and smoking abstinence at 6 months: a descriptive study of callers to employer and health plan-sponsored quitlines. Tobacco Control, 26(2), 126–134. https://doi.org/10.1136/tobaccocontrol-2015-052734Google Scholar
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007). The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS Medicine, 4(10), 1623–1627. https://doi.org/10.1371/journal.pmed.0040296Google Scholar
Zhu, S.-H., Gamst, A., Lee, M., Cummins, S., Yin, L., & Zoref, L. (2013). The use and perception of electronic cigarettes and snus among the U.S. population. PLoS ONE, 8(10), e79332. https://doi.org/10.1371/journal.pone.0079332Google Scholar