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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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