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01.12.2015 | Research article | Ausgabe 1/2015 Open Access

BMC Public Health 1/2015

Contexts of cigarette and e-cigarette use among dual users: a qualitative study

Zeitschrift:
BMC Public Health > Ausgabe 1/2015
Autoren:
Pallav Pokhrel, Thaddeus A. Herzog, Nicholas Muranaka, Sakshi Regmi, Pebbles Fagan
Wichtige Hinweise

Competing interests

All authors declare that they have no competing interests.

Authors’ contributions

PP conceived of the study, and participated in its design and coordination and led the drafting of the manuscript. PF and TH participated in study design, data analysis, interpretation, and manuscript preparation. NM assisted in data collection and manuscript preparation. SR helped revise the manuscript. All authors read and approved the final manuscript.

Abstract

Background

Not much is currently understood regarding the contexts of cigarette and e-cigarette use among dual users. Proper application of e-cigarettes to smoking cessation or tobacco harm reduction would require an understanding of when and why dual users use cigarettes versus e-cigarettes. This study sought to elucidate the contexts of cigarette versus e-cigarette use among dual users.

Methods

Twelve focus group discussions were conducted with 62 young adult current daily e-cigarette users [63 % men; mean age = 25.1 (Standard Deviation = 5.5)]. Almost all participants either concurrently smoked cigarettes or had been recent dual users. Data were analyzed following principles of inductive deduction.

Results

Results indicated that dual users’ use of cigarettes is influenced by particular activities (e.g., before/after eating), strong craving or need for stimulation (e.g., in response to stress), places/situations (e.g., when cigarette smokers are nearby; outdoors), use of other substances (alcohol, coffee), and unavailability of an e-cigarette when needed. In addition to particular activities and places/situations that are conducive to e-cigarette use, use of e-cigarette when cigarette is not available or where cigarette smoking is not permitted emerged as contexts specific to e-cigarette use.

Conclusions

For habitual cigarette smokers wanting to quit tobacco smoking, switching over completely to e-cigarettes may require skills of cognitive-behavioral management. Future research needs to ascertain the characteristics of dual users who use e-cigarettes as cessation aids versus as cigarette alternative when cigarette is unavailable or smoking is not permitted.
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