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Does E-cigarette Use at Baseline Influence Smoking Cessation Rates among 2-Year College Students?

Published online by Cambridge University Press:  28 June 2017

Erika Snow ,
Tye Johnson ,
Deborah J. Ossip ,
Geofrey C. Williams ,
Duncan Ververs ,
Irfan Rahman  and
Scott McIntosh
Erika Snow
Affiliation:
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York
Tye Johnson
Affiliation:
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York
Deborah J. Ossip
Affiliation:
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York
Geofrey C. Williams
Affiliation:
Department of Medicine, University of Rochester Medical Center, Rochester, New York
Duncan Ververs
Affiliation:
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York
Irfan Rahman
Affiliation:
Department of Environmental Medicine, University of Rochester Medical Center, Rochester, New York
Scott McIntosh*
Affiliation:
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York
*
Address for correspondence: Scott McIntosh, Department of Public Health Sciences, University of Rochester Medical Center 265 Crittenden Blvd. CU 420644, Rochester, NY 14642. Email: scott_mcintosh@urmc.rochester.edu.
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Abstract

Introduction: This study evaluates the association of baseline e-cigarette use with smoking cessation in a sample of 2-year college student smokers.

Methods: Participants were 1,400 students from over 60 2-year colleges across 25 states who were current smokers enrolled in a web-assisted tobacco intervention (WATI) trial. Survey data at baseline, 1-, and 6-months, were evaluated.

Results: At 6-months, baseline e-cigarette users were more likely to report cessation of traditional cigarettes compared to non-users (OR 1.39, 95% CI 1.002–1.92). Cessation was also associated with higher baseline confidence in quitting and greater time to first cigarette after awakening. Baseline e-cigarette use was not associated with self-reported cessation of all nicotine/tobacco products (OR 1.09, 95% CI 0.75–1.58) nor biochemically verified cessation of all nicotine/tobacco products (OR 0.83, 95% CI 0.47–1.47). Higher confidence was again associated with both self-reported and biochemically verified cessation of all nicotines.

Type
Original Articles
Information
Journal of Smoking Cessation , Volume 13 , Issue 2 , June 2018 , pp. 110 - 120
Copyright
Copyright © The Author(s) 2017 

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References

Action on Smoking and Health (2016). ASH Briefing on Electronic cigarettes (also known as vapourisers). 2016 (February). Retrieved from http://ash.org.uk/stopping-smoking/ash-briefing-on-electronic-cigarettes-2/ (accessed 12 May 2017).Google Scholar
Adkison, S. E. et al. (2013). Electronic nicotine delivery systems. American Journal of Preventive Medicine, 44 (3), 207–215. doi:10.1016/j.amepre.2012.10.018.Google Scholar
Adriaens, K., Van Gucth, D., Declerck, P., & Baeyens, F. (2014). Effectiveness of the electronic cigarette: An eight-week Flemish study with six-month follow-up on smoking reduction, craving and experienced benefits and complaints. International Journal of Environmental Research and Public Health, 11, 11220–11248. doi:10.3390/ijerph111111220.CrossRefGoogle ScholarPubMed
Allen, J. et al. (2015). Flavoring chemicals in e-cigarettes: Diacetyl, 2, 3-Pentanedione, and acetoin in a sample of 51 products, including fruit-, candy-, and cocktail-flavored e-cigarettes. Environmental Health Perspectives. doi:10.1289/ehp.1510185.Google Scholar
Bahl, V., Lin, S., Xu, N., Davis, B., Wang, Y., & Talbot, P. (2012). Comparison of electronic cigarette refill fluid cytotoxicity using embryonic and adult models. Reproductive Toxicology, 34 (4), 529–537. doi:10.1016/j.reprotox.2012.08.001.CrossRefGoogle ScholarPubMed
Bullen, C. et al. (2013). Study protocol for a randomised controlled trial of electronic cigarettes versus nicotine patch for smoking cessation. BMC Public Health, 13 (1), 210. doi:10.1186/1471-2458-13-210.Google Scholar
Burstyn, I. (2014). Peering through the mist: Systematic review of what the chemistry of contaminants in electronic cigarettes tells us about health risks. BMC Public Health, 14, 18. doi:10.1186/1471-2458-14-18.Google Scholar
Caponnetto, P. et al. (2014). Efficiency and safety of an eLectronic cigAreTte (ECLAT) as tobacco cigarettes substitute: A prospective 12-month randomized control design study. PLoS One, 9 (1), 10.1371. doi:10.1371/annotation/e12c22d3-a42b-455d-9100-6c7ee45d58d0.Google Scholar
CBS News Staff. (2012). Electronic cigarette explodes in man's mouth, causes serious injuries. CBS News, February 16. Retrieved from http://www.cbsnews.com/news/electronic-cigarette-explodes-in-mans-mouth-causes-serious-injuries/. Accessed February 22, 2016.Google Scholar
Chapman, S & Wu, L. (2014). E-cigarette prevalence and correlates of use among adolescents versus adults: A review and comparison. Journal of Psychiatric Research, 54, 43–54. doi:10.1016/j.jpsychires.2014.03.005.Google Scholar
Chen, I. (2013). FDA summary of adverse events on electronic cigarettes. Nicotine & Tobacco Research, 15 (2), 615–616. doi:10.1093/ntr/nts145.Google Scholar
Corey, C. et al. (2013). Notes from the field: Electronic cigarette use among middle and high school students—United States, 2011–2012. Morbidity and Mortality Weekly Report, 62 (35), 729–730. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6235a6.htm.Google Scholar
Dockrell, M., Morrison, R., Bauld, L., & Mcneill, A. (2013). E-cigarettes: Prevalence and attitudes in Great Britain. Nicotine & Tobacco Research, 15 (10), 1737–1744. doi:10.1093/ntr/ntt057.Google Scholar
Dutra, L. M., & Glantz, S. A. (2014). Electronic cigarettes and conventional cigarette use among US adolescents. JAMA Pediatrics, 168 (7), 610–617. doi:10.1001/jamapediatrics.2013.5488.Google Scholar
Farsalinos, K. E. & Polosa, R. (2014). Safety evaluation and risk assessment of electronic cigarettes as tobacco cigarette substitutes: A systematic review. Therapeutic Advances in Drug Safety, 5 (2), 67–86. doi: 10.1177/2042098614524430v.CrossRefGoogle ScholarPubMed
Fidler, J. A et al. (Jun. 2011). ‘The smoking toolkit study’: A national study of smoking and smoking cessation in England. BMC Public Health, 11, 479. doi: 10.1186/1471-2458-11-479.Google Scholar
Foulds, J., Veldheer, S., & Berg, A. (2011). Electronic cigarettes (e-cigs): Views of aficionados and clinical/public health perspectives. International Journal of Clinical Practice, 65 (10), 1037–1042. doi:10.1111/j.1742-1241.2011.02751.xCrossRefGoogle ScholarPubMed
Fuoco, F, Buonanno, G, Stabile, L, & Vigo, P. (2014). Influential parameters on particle concentration and size distribution in the mainstream of e-cigarettes. Environmental Pollution, 184, 523–529. doi:10.1016/j.envpol.2013.10.010.CrossRefGoogle ScholarPubMed
Goniewicz, M. L. et al. (2014). Levels of selected carcinogens and toxicants in vapour from electronic cigarettes. Tobacco Control, 23 (2), 133–139. doi: 10.1136/tobaccocontrol-2012-050859.Google Scholar
Grana, R. A., Popova, L., & Ling, P. M. (2014). A longitudinal analysis of electronic cigarette use and smoking cessation. JAMA Internal Medicine, 174 (5), 812–813. doi:10.1001/jamainternmed.2014.187.CrossRefGoogle ScholarPubMed
Grana, R., Benowitz, N., & Glantz, S. A. (2014). E-cigarettes: A scientific review. Circulation, 129 (19), 1972–1986. doi:10.1161/CIRCULATIONAHA.114.007667.Google Scholar
Hajek, P., Etter, J. F., Benowitz, N., Eissenberg, T., & McRobbie, H. (2014). Electronic cigarettes: Review of use, content, safety, effects on smokers and potential for harm and benefit. Addiction, 109 (11), 1801–1810. doi: 10.1111/add. 12659.Google Scholar
Harris, P.A., Taylor, R., Thielke, R., PAyne, J., Gonzalez, N., & Conde, J.G. Research electronic data capture (REDCap) – A metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009 Apr;42 (2):377–81. doi:10.1016/j.jbi.2008.08.010.Google Scholar
Hartmann-Boyce, J., McRobbie, H., Bullen, C., Begh, R., Stead, L. F., & Hajek, P. (2016). Electronic cigarettes for smoking cessation. Cochrane Database of Systematic Reviews, (9), Art. no. CD010216. doi: 10.1002/14651858.CD010216.pub3.Google Scholar
Hasman, L., Berryman, D., & McIntosh, S. (2013). NLM informationist grant—Web assisted tobacco intervention for community college students. Journal of eScience Librarianship, 2 (1), e1034. doi: 10.7191/jeslib.2013.1034.CrossRefGoogle Scholar
Haung, L. L., Kowitt, S. D., Stufin, E. L., Patel, T., Ranney, L. M., & Golstein, A. O. (2016). Electronic cigarette use among high school students and its association with cigarette use and smoking cessation, North Carolina youth tobacco surveys, 2011 and 2013. Preventing Chronic Disease, 13, 150564. doi: 10.5888/ped13.1 50564.Google Scholar
Hua, M., Alfi, M., & Talbot, P. (2013). Health-related effects reported by electronic cigarette users in online forums. Journal of Medical Internet Research, 15 (4). doi:10.2196/jmir.2324.Google Scholar
Ingebrethsen, B. J., Cole, S. K., & Alderman, S. L. (2012). Electronic cigarette aerosol particle size distribution measurements. Inhalation Toxicology, 24, 976–984. doi:10.3109/08958378.2012.744781.CrossRefGoogle ScholarPubMed
Kadowaki, J., Vuolo, M., & Kelly, B. C. (2015). A review of the current geographic distribution of and debate surrounding electronic cigarette clean air regulations in the United States. Health & Place, 31, 75–82. doi:10.1016/j.healthplace.2014.11.003.Google Scholar
King, B. A., Alam, S., Promoff, G., Arrazola, R., & Dube, S. R. (2013). Awareness and ever-use of electronic cigarettes among U.S. adults, 2010–2011. Nicotine & Tobacco Research, 15 (9), 1623–1627. doi:10.1093/ntr/ntt013.Google Scholar
Konstantinos, E. & Polosa, R. (2014). Safety evaluation and risk assessment of electronic cigarettes as tobacco cigarette substitutes: A systematic review. Therapeutic Advances in Drug Safety, 5 (2), 67–86. doi:10.1177/2042098614524430.Google Scholar
Laino, T., Tuma, C., Moor, P., Martin, E., Stolz, S., & Curioni, A. (2012). Mechanisms of propylene glycol and triacetin pyrolysis. Journal of Physical Chemistry A, 116 (18), 4602–4609. doi: 10.1021/jp300997d.Google Scholar
Laska, M. N., Pasch, K. E., Lust, K., Story, M., & Ehlinger, E. (2011). The differential prevalence of obesity and related behaviors in two- vs. four-year colleges. Obesity, 19 (2), 453–456. doi:10.1038/oby.2010.262.CrossRefGoogle Scholar
Lee, S., Grana, R. A., & Glantz, S. A. (2014). Electronic cigarette use among Korean adolescents: A cross-sectional study of market penetration, dual use, and relationship to quit attempts and former smoking. Journal of Adolescent Health, 54 (6), 684–690. doi:10.1016/j.jadohealth.2013.11.003.Google Scholar
Lee, Y. O., Hebert, C. J., Nonnemaker, J. M., & Kim, A. E. (2015). Youth tobacco product use in the United States. Pediatrics, 135 (3), 409–415. doi:10.1093/ntr/ntv176.Google Scholar
Lerner, CA., Sundar, IK., Watson, RM., Elder, A., Jones, R., Done, D. et al. (2015). Environmental Health Hazards of e-Cigarettes and their Components: Oxidants and Copper in e-Cigarette Aerosols. Environmental Pollution (198):100–107. doi:10.1016/j.envpol.2014.12.033.CrossRefGoogle Scholar
Lerner, CA., Sundar, IK., Yao, H., Gerloff, J., Ossip, DJ., McIntosh, S. et al. (2015). Vapors Produced by Electronic Cigarettes and E-Juices Induce Toxicity, Oxidative Stress, and Inflammatory Response in Lung Epithelial Cells and in Mouse Lung. PLoS ONE. 2015 Feb 6;10 (2):e0116732. doi: 10.1371/journal.pone. 0116732.Google Scholar
Ling, P. M. & Glantz, S. A. (2002). Why and how the tobacco industry sells cigarettes to young adults: Evidence from industry documents. American Journal of Public Health, 92 (6), 908–916. doi:10.2105/AJPH.92.6.908.CrossRefGoogle ScholarPubMed
Loukas, A., Batanova, M., Fernandez, A., & Agarwal, D. (2015). Changes in use of cigarettes and non-cigarette alternative products among college students. Addictive Behaviors, 49, 46–51. doi: 0.1016/j.addbeh.2015.05.005.Google Scholar
Malas, M. et al. (2016). Electronic cigarettes for smoking cessation: A systematic review. Nicotine & Tobacco Research, 18 (10), 1926–1936. doi:10.1093/ntr/ntw119Google Scholar
Marynak, K., Holmes, C. B., King, B. A., Promoff, G., Bunnell, R., & McAfee, T. (November 2014). Centers for Disease Control and prevention (CDC). State laws prohibiting sales to minors and indoor use of electronic nicotine delivery systems—United States. Morbidity and Mortality Weekly Report, 63 (49), 1145–1150. Retrieved from http://search.proquest.com/docview/1639862933?pq-origsite=360link.Google Scholar
McIntosh, S., Johnson, T., Wall, A., Prokhorov, A., Calabro, KS., Ververs, D. et al. (2017). Recruitment of community college students into a Web Assisted Tobacco Intervention study. JMIR Research Protocols,8;6(5):e79.Google Scholar
McIntosh, S., Wall, A., Johnson, T., Done, D. H., Kurtzman, J. H., Ververs, D. et al. (2016). Tobacco control at community colleges: Context and opportunities. Tobacco Prevention and Cessation, 2016, December, 72 doi:10.18332/tpc/66949Google Scholar
McMillen, R. C., Gottlieb, M. A., Shaefer, R. M. W., Winickoff, J., & Klein, J. D. (2014). Trends in electronic cigarette use among U.S. adults: Use is increasing in both smokers and nonsmokers. Nicotine & Tobacco Research, 17 (10), 1195–1202. doi:10.1093/ntr/ntu213.Google Scholar
O'Leary, R., MacDonald, M., Stockwell, T., & Reist, D. (2017). Clearing the air: A systematic review on the harms and benefits of e-cigarettes and vapour devices. Victoria, BC: Centre for Addictions Research of BC.Google Scholar
Ossip, DJ., Johnson, T., Assibey-Mensah, V., McLaren, D., Calabro, KS., Prokhorov, A. et al. (In Press). Effect of Home and Car Tobacco Policies on Cessation Outcomes in Community College Students. Health Education and Behavior.Google Scholar
Pearson, J. L., Richardson, A., Niaura, R. S., Vallone, D. M., & Abrams, D. B. (2012). E-cigarette awareness, use, and harm perceptions in US adults. American Public Health Association, 102 (9), 1758–1766. doi:10.2105/AJPH.2011.300526.Google Scholar
Pellegrino, R. M. et al. (2012). Electronic cigarettes: An evaluation of exposure to chemicals and fine particulate matter (PM). Ann Ig, 24, 279–288. Retrieved from https://www.researchgate.net/profile/Matteo_Vitali/publication/230721126_Electronic_cigarettes_an_evaluation_of_exposure_to_chemicals_and_fine_particulate_matter_PM/links/543b76a10cf204cab1dafeb3.pdf.Google Scholar
Prokhorov, A. et al. (2003). Self-reported health status, health vulnerability, and smoking behavior in college students: Implications for intervention. Nicotine & Tobacco Research, 5 (4), 545–552. doi:10.1080/1462220031000118649.Google Scholar
Ramo, D. E., Young-Wolff, K. C., & Prochaska, J. J. (2015). Prevalence and correlates of electronic-cigarette use in young adults: Findings from three studies over five years. Addictive Behaviors, 41, 142–147. doi:10.1016/j.addbeh.2014.10.019.Google Scholar
Regan, A. K., Promoff, G., Dube, S. R., & Arrazola, R. (2013). Electronic nicotine delivery systems: Adult use and awareness of the ‘e-cigarette’ in the USA. Tobacco Control, 22 (1), 19–23. doi:10.1136/tobaccocontrol-2011-050044.Google Scholar
Romagna, G., Allifranchini, E., Bocchietto, E., Todeschi, S., Esposito, M., & Farsalinos, K. E. (2013). Cytotoxicity evaluation of electronic cigarette vapor extract on cultured mammalian fibroblasts (ClearStream-LIFE): Comparison with tobacco cigarette smoke extract. Inhalation Toxicology, 25 (6), 354–361. doi:10.3109/08958378.2013.793439.Google Scholar
Rosenbaum, J. (2012). Degrees of health disparities: Health status disparities between young adults with high school diplomas, sub-baccalaureate degrees and baccalaureate degrees. Health Services and Outcomes Research Methodology, 12 (2-3), 156–168. doi:10.1007/s10742-012-0094-x.Google Scholar
Rostron, B., Schroeder, M., & Ambrose, B. (2016). Dependence symptoms and cessation intentions among US adult daily cigarette, cigar and e-cigarette users, 2012–2013. BMC Public Health, 16, 814. doi:10.1186/s12889-016- 3510-2.Google Scholar
Royal College of Physicians. (2016). Nicotine without smoke: Tobacco harm reduction. London: RCP.Google Scholar
Saddleson, M. L. et al. (2016). Addictive Behaviors, 54, 33–39. doi:0.1016/j.addbeh.2015.11.012.Google Scholar
Schober, W. et al. (2014). Use of electronic cigarettes (e-cigarettes) impairs indoor air quality and increases FeNO levels of e-cigarette consumers. International Journal of Hygiene and Environmental Health, 217 (6), 628–637. doi:10.1016/j.ijheh.2013.11.003.Google Scholar
Schripp, T., Markewitz, D., Uhde, E., & Salthammer, T. (2013). Does e-cigarette consumption cause passive vaping?. Indoor Air, 23 (1), 25–31. doi:10.1111/j.1600-0668.2012. 00792.x.Google Scholar
Snyder, T. D. & Dillow, S. A. (2011). Digest of education statistics 2010 (NCES 2011–015). Washington, DC: National Center for Education Statistics, Institute of Education Sciences, U.S. Department of Education. Retrieved from https://nces.ed.gov/pubs2011/2011015.pdf.Google Scholar
Soneji, S, Sargent, J., & Tanski, S. (2016). Multiple tobacco product use among US adolescents and young adults. Tobacco Control, 25, 174–800. doi: 10.1136/tobaccocontrol-2014-051638.Google Scholar
Strickland, J. (September 3, 2013). Woman says E-cigarette exploded, shot flames 4 feet across living room. WSB-TV Atlanta. Retrieved from http://www.wsbtv.com/news/news/local/woman-says-e-cigarette-exploded-shot-flames-4-feet/nZkCX/.Google Scholar
Tabachnick, B. G. & Fidell, L. S. (1989). Using multivariate statistics. New York: Harper & Row.Google Scholar
Tseng, T. et al. (2016). A randomized trial comparing the effect of nicotine versus placebo electronic cigarettes on smoking reduction among young adult smokers. Nicotine & Tobacco Research. doi:10.1093/ntr/ntw017.Google Scholar
Vardavas, C. I., Anagnostopoulos, N., Kougias, M., Evangelopoulou, V., Connolly, G. N., & Behrakis, P. K. (2012). Short-term pulmonary effects of using an electronic cigarette. Chest, 141 (6), 1400–1406. doi:10.1378/chest.11-2443.Google Scholar
Villanti, A., Rath, J., & Williams, V. (2015). Impact of exposure to electronic cigarette advertising on susceptibility and trial of electronic cigarettes and cigarettes in adults: A randomized controlled trial. Nicotine & Tobacco Research. doi:10.1093/ntr/ntv235.Google Scholar
Wall, A, BaileyShea, C., & McIntosh, S. (2012). Community college student alcohol use: Developing context-specific evidence and prevention approaches. Community College Review, 40 (1), 25–45. doi:10.1177/0091552112437757.Google Scholar
Williams, M., Villarreal, A., Bozhilov, K., Lin, S., & Talbot, P. (2013). Metal and silicate particles including nanoparticles are present in electronic cigarette cartomizer fluid and aerosol. PLoS ONE, 8 (3). doi:10.1371/journal.pone.0057987.Google Scholar
Yamin, C. K., Bitton, A., & Bates, D. W. (2010). E-cigarettes: A rapidly growing internet phenomenon. Annals of Internal Medicine, 153 (9), 607–609. doi:10.7326/0003-4819-153-9-201011020-00011Google Scholar
Zhang, Y., Sumner, W., & Chen, D.-R. (2013). In vitro particle size distributions in electronic and conventional cigarette aerosols suggest comparable deposition patterns. Nicotine & Tobacco Research, 15 (2), 501–508. doi:10.1093/ntr/nts165.CrossRefGoogle ScholarPubMed