“It's not smoke. It's not tar. It's not 4000 chemicals. Case closed”: Exploring attitudes, beliefs, and perceived social norms of e-cigarette use among adult users

Coleman, Blair; Johnson, Sarah E.; Tessman, Greta K.; Tworek, Cindy; Alexander, Jennifer; Dickinson, Denise M.; Rath, Jessica M.; Green, Kerry M.

doi:10.1016/j.drugalcdep.2015.11.028

Cited by 87 publications

(101 citation statements)

References 20 publications

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“…All accounts in these focus groups of first-time use of e-cigarettes included specific individuals, friends or family who influenced the initial trial. Consistent with previous research, 5,21 this study underscores the rule of social acceptability, “social opportunity,” and perceived improved social image in e-cigarette use. Given the importance of social influence on e-cigarette initiation, 14 continuous monitoring of social climate surrounding e-cigarette use and marketing will inform regulation policy, enforcement, and health communication.…”

Section: Discussionsupporting

confidence: 89%

Electronic Cigarette Use among Current Smokers: A Pilot Qualitative Study

Majeed

Stanton

Dube

et al. 2016

Health Behavior and Policy Review

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Objective This pilot study explored psychosocial influences of e-cigarette use among dual users. Methods Two focus groups among adult current smokers who had ever used e-cigarettes were conducted in Georgia. Discussions were audio-recorded. Principles of grounded theory and thematic analysis were employed. Results Reasons for initial use included curiosity and social influence. Themes related to regular use included enjoyment of sensory experiences and perception of reduced harm. Nicotine craving, social image, and convenience were reasons for initial and regular dual use. Two patterns of use emerged – (1) using e-cigarettes to supplement combustible cigarettes; and (2) to replace combustible cigarettes. Conclusions Reasons for dual use were related to nicotine dependence, social influence, product appeal, and perception of reduced harm. Understanding contextual nuances of dual use can inform policy and communication.

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Section: Discussionsupporting

confidence: 89%

Electronic Cigarette Use among Current Smokers: A Pilot Qualitative Study

Majeed

Stanton

Dube

et al. 2016

Health Behavior and Policy Review

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“…192–194,214,288,325–327,332,335,336,338,353,354,361,369,372,374,382,384,389,390,446,448,449,453–457,461–464,467,471–474,476,477,484,485,488,490,492,493,495,502,503 In the U.S. and Great Britain, this belief has eroded over time with more individuals mistakenly believing ENDS are as harmful or more harmful that cigarettes. 391,414 Studies suggest that ENDS are also perceived as less addictive than cigarettes, 367,375,403,446 tools that may help users reduce or quit smoking, 320,327,330,338,357,374,448,453,455,458,461,464,467,481,483,485,486,488,493,495,499 less expensive than cigarettes, 335,338,447,455,456,472,499 and more convenient or easier to use than cigarettes. 335,338,357,400,499 …”

Section: Evidence Synthesismentioning

confidence: 99%

Overview of Electronic Nicotine Delivery Systems: A Systematic Review

Glasser

Collins

Pearson

et al. 2017

American Journal of Preventive Medicine

418

332

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Context Rapid developments in e-cigarettes, or electronic nicotine delivery systems (ENDS), and the evolution of the overall tobacco product marketplace warrant frequent evaluation of the published literature. The purpose of this article is to report updated findings from a comprehensive review of the published scientific literature on ENDS. Evidence acquisition The authors conducted a systematic review of published empirical research literature on ENDS through May 31, 2016, using a detailed search strategy in the PubMed electronic database, expert review, and additional targeted searches. Included studies presented empirical findings and were coded to at least one of nine topics: (1) Product Features; (2) Health Effects; (3) Consumer Perceptions; (4) Patterns of Use; (5) Potential to Induce Dependence; (6) Smoking Cessation; (7) Marketing and Communication; (8) Sales; and (9) Policies; reviews and commentaries were excluded. Data from included studies were extracted by multiple coders (October 2015 to August 2016) into a standardized form and synthesized qualitatively by topic. Evidence synthesis There were 686 articles included in this systematic review. The majority of studies assessed patterns of ENDS use and consumer perceptions of ENDS, followed by studies examining health effects of vaping and product features. Conclusions Studies indicate that ENDS are increasing in use, particularly among current smokers, pose substantially less harm to smokers than cigarettes, are being used to reduce/quit smoking, and are widely available. More longitudinal studies and controlled trials are needed to evaluate the impact of ENDS on population-level tobacco use and determine the health effects of longer-term vaping.

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“…Our findings support other studies that indicate confusion and a general and pervasive lack of knowledge around e-cigarettes, including among exclusive users. 17–19 …”

Section: Discussionmentioning

confidence: 99%

Smoke and Vapor: Exploring the Terminology Landscape among Electronic Cigarette Users

et al. 2016

Self Cite

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Objective We explored the terminology of adult e-cigarette users in describing e-cigarette products and their use. We report how users discuss and differentiate these products and the language and culture surrounding them. Methods Focus groups (N = 12) were held in 5 locations in the United States between March and May, 2014. Participants (N = 99) included young adults or adults who were either exclusive or nonexclusive e-cigarette users. We gathered data on how users identify various types of e-cigarettes and how users understand and describe specific terms. Results Participants were familiar with the attributes of e-cigarettes in general but confused by the variety of products and unable to describe differences between product types. They were familiar with the term “vaping” even when they used “smoking” more frequently, and were clear that e-cigarettes do not produce traditional cigarette smoke. They had varied opinions about what to call regular users of e-cigarettes. Conclusions Findings highlight that conceptual clarity, including using specific and familiar terminology and product descriptions for users and nonusers alike, is challenging and crucial. It is important that surveillance efforts, policy development, messaging, and future research reflect the language understood and used by consumers to enable widespread comprehension.

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“It's not smoke. It's not tar. It's not 4000 chemicals. Case closed”: Exploring attitudes, beliefs, and perceived social norms of e-cigarette use among adult users

Cited by 87 publications

References 20 publications

Electronic Cigarette Use among Current Smokers: A Pilot Qualitative Study

Electronic Cigarette Use among Current Smokers: A Pilot Qualitative Study

Overview of Electronic Nicotine Delivery Systems: A Systematic Review

Smoke and Vapor: Exploring the Terminology Landscape among Electronic Cigarette Users

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