Predictors of smoking reduction among African American and Latinx smokers in a randomized controlled trial of JUUL e-cigarettes

Rubenstein, Dana; Sokolovsky, Alexander W.; Aston, Elizabeth R.; Nollen, Nicole L.; Schmid, Christopher H.; Rice, Myra; Pulvers, Kim; Ahluwalia, Jasjit S.

doi:10.1016/j.addbeh.2021.107037

Cited by 9 publications

(3 citation statements)

References 30 publications

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“…[38][39][40][41][42] Studies on switching with ENDS also showed similar results: lighter and less dependent smokers at baseline were more likely to report complete abstinence [19] and reduced their cigarette consumption greatly. [43] As heavier smokers may take longer to achieve complete switching, [24] further follow-up beyond the initial rst year would be informative.…”

Section: Discussionmentioning

confidence: 99%

Adult smokers’ Complete Switching Away from Cigarettes at 6, 9, and 12 Months after Initially Purchasing a JUUL e-Cigarette

Kim,

Shiffman,

Goldenson

2024

Substance Use & Misuse

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Background: Electronic nicotine delivery systems (ENDS) have the potential to bene t public health if smokers completely switch from cigarettes to ENDS. Methods: A cohort of adult smokers (age≥21) who purchased a JUUL Starter Kit was followed for 12 months after the initial purchase. We examined factors associated with achievement and maintenance of self-reported repeated point-prevalence switching (RPPS) at three follow-ups, i.e., no past-30-day smoking at months 6, 9, and 12.Results: RPPS was reported by 21.6% of the 12,537 evaluable smokers. Smokers with lighter baseline smoking history and lower baseline cigarette dependence were more likely to report RPPS. RPPS was also associated with patterns of and responses to JUUL use: Daily use of JUUL at month 3 (OR=2.25; 95% CI=1.96-2.60) and month 6 (OR=1.81; 95% CI=1.48-2.22) was associated with higher rates of RPPS, and as were greater subjective reinforcing effects from JUUL use (assessed by the mCEQ, month-3: OR=1.70, 95% CI=1.57-1.83; month-6: OR=1.15; 95% CI=1.06-1.25). Even among smokers who did not meet the criteria of RPPS (i.e., who smoked at least once), 35.5% reported past 30-day point-prevalence switching on at least one follow-up, and their cigarette consumption was substantially reduced compared to baseline.Conclusions: Approximately one-fth of adult smokers reported 30-day point-prevalence abstinence at 6, 9, and 12 months after purchasing JUUL. Greater use of JUUL and stronger subjective reinforcing effects were associated with non-smoking, validating the potential for ENDS to substitute for smoking, with potential for positive impacts on individual and population health.

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Section: Discussionmentioning

confidence: 99%

Adult smokers’ Complete Switching Away from Cigarettes at 6, 9, and 12 Months after Initially Purchasing a JUUL e-Cigarette

Kim,

Shiffman,

Goldenson

2024

Substance Use & Misuse

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“…Multiple studies on JUUL use exist; previous studies have reported factors associated with JUUL use and predictors of smoking reduction and cessation 1,[17][18][19][20][21] . A national study that was representative of the US revealed the relationship between JUUL use and nicotine dependence 22 .…”

Section: Introductionmentioning

confidence: 99%

JUUL preference among Korean adult tobacco users and its effect on attempts to quit tobacco: A follow- up survey four months post JUUL launch

Hwang¹,

Lee²,

Kim³

et al. 2023

Tob. Induc. Dis.

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INTRODUCTION This study examined the various factors in the selection of JUUL (and/ or), a pod-mod type electronic cigarette (EC), and the changes in EC patterns before and after the JUUL debut on 24 May 2019, using follow-up survey data of adult tobacco users in South Korea. METHODS This study examined transition outcomes among tobacco users and factors associated with future JUUL use. Convenience sample data were collected from adult tobacco users in South Korea, from March-April 2019 (baseline, n=2173) to September 2019 (follow-up, n=779). Results were obtained from the 779 respondents in the follow-up survey, and user data of one or more tobacco products were analyzed. The changes in the proportion of EC and JUUL use during this period were calculated, and multivariate logistic regression analysis was conducted to investigate the selection factors of JUUL. RESULTS Four months after the JUUL launch, the proportion of current EC and JUUL users among the whole sample increased by 10.3% (42.6-52.9%, p<0.001) and 17.7 % (4.0-21.7%, p<0.001), respectively, while the proportion of triple users doubled (18.7% vs 37.5%, p<0.001). Among current EC users, the percentage of quitting EC within one month decreased from 18.7% to 8.7%; this change was more pronounced among concurrent JUUL users than non-JUUL users (p<0.001). In the multivariate logistic analysis with adjustment for possible confounders, JUUL use was significantly associated with male sex, young and middle age, and metropolitan residency status at the baseline survey. CONCLUSIONS After the launch of JUUL in South Korea, EC users, including JUUL and triple users, increased significantly, but the intention to stop EC decreased significantly. Given the serious interests of the tobacco industry in these products, additional regulation is warranted.

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“…Switching from combustible cigarettes to ECs may be a practical harm reduction strategy ( Levy et al., 2017 ), given research demonstrating that EC use is associated with fewer harmful exposures than combustible cigarettes ( Hajek et al., 2014 ; Nutt et al., 2014 ; Wagener et al., 2017 ). Preliminary research to evaluate the efficacy of using ECs to aid smoking cessation in other vulnerable populations has shown promise ( Gentry et al., 2019 ; Rubenstein et al., 2021 ). However, the extent to which AEH are interested in or could benefit from CM and ECs for smoking cessation is unclear.…”

Section: Introductionmentioning

confidence: 99%

Predictors of smoking reduction among African American and Latinx smokers in a randomized controlled trial of JUUL e-cigarettes

Cited by 9 publications

References 30 publications

Adult smokers’ Complete Switching Away from Cigarettes at 6, 9, and 12 Months after Initially Purchasing a JUUL e-Cigarette

Adult smokers’ Complete Switching Away from Cigarettes at 6, 9, and 12 Months after Initially Purchasing a JUUL e-Cigarette

JUUL preference among Korean adult tobacco users and its effect on attempts to quit tobacco: A follow- up survey four months post JUUL launch

Tobacco use characteristics, treatment preferences, and motivation to quit among adults accessing a day shelter in Oklahoma City

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