Theodore L Wagener1, Jason A Avery2, Eleanor L S Leavens3, W Kyle Simmons4,5. 1. Department of Internal Medicine and Center for Tobacco Research, Comprehensive Cancer Center, The Ohio State University and James Cancer Hospital, Columbus, OH. 2. Laboratory of Brain and Cognition, National Institute of Mental Health, Bethesda, MD. 3. Department of Population Health, University of Kansas School of Medicine, Kansas City, KS. 4. Department of Pharmacology and Physiology, Oklahoma State University Center for Health Sciences, Tulsa, OK. 5. Center for Wellness and Recovery, Oklahoma State University Center for Health Sciences, Tulsa, OK.
Abstract
INTRODUCTION: To examine whether changes in select measures of e-cigarette puffing topography are associated with changes in smoking behavior. METHODS: Sixteen current cigarette smokers were instructed to completely switch from smoking combustible cigarettes to using e-cigarettes over a 2-week period. The study was completed in the Southern Midwestern region of the United States. Measures included demographics, smoking history, and cigarette dependence, as well as baseline and 2-week follow-up self-reported cigarettes per day, cigarette craving and urges, exhaled carbon monoxide readings, and e-cigarette usage data (puff number, puffing time, and average puff duration) collected via the e-cigarette built-in puff counter. RESULTS: Over the 2-week switching period, participants significantly reduced their cigarettes per day (~80% reduction, p < .0001). Although the number of e-cigarette puffs/day remained relatively stable (p > .05), the average total e-cigarette daily puffing time increased significantly (p = .001). Users' average puff duration increased by 91 ms/puff/d (p < .001). The percentage decrease in cigarettes smoked per day was significantly and directly related to the slope of subjects' average puff duration over time (r(13) = .62, p = .01), such that as cigarettes per day decreased, puff duration increased. Self-reported smoking urges remained relatively stable from baseline to the end of the 2-week period (p > .05). CONCLUSIONS: Among smokers switching to an e-cigarette, greater increases in e-cigarette puff duration was associated with greater reductions in cigarette smoking. IMPLICATIONS: The current study is one of the first to examine changes in smokers' e-cigarette puffing behavior and associated changes in cigarette consumption as they attempt to completely switch to e-cigarettes. During a 2-week switching period, participants reduced their cigarettes per day. Moreover, although e-cigarette puffs per day remained relatively stable, users' average puff duration increased significantly. Greater increases in e-cigarette puff duration were associated with greater reductions in cigarette smoking. Understanding how to effectively use an e-cigarette to best reduce and eventually quit smoking will be necessary as smokers increasingly turn to these products to facilitate possible cessation.
INTRODUCTION: To examine whether changes in select measures of e-cigarette puffing topography are associated with changes in smoking behavior. METHODS: Sixteen current cigarette smokers were instructed to completely switch from smoking combustible cigarettes to using e-cigarettes over a 2-week period. The study was completed in the Southern Midwestern region of the United States. Measures included demographics, smoking history, and cigarette dependence, as well as baseline and 2-week follow-up self-reported cigarettes per day, cigarette craving and urges, exhaled carbon monoxide readings, and e-cigarette usage data (puff number, puffing time, and average puff duration) collected via the e-cigarette built-in puff counter. RESULTS: Over the 2-week switching period, participants significantly reduced their cigarettes per day (~80% reduction, p < .0001). Although the number of e-cigarette puffs/day remained relatively stable (p > .05), the average total e-cigarette daily puffing time increased significantly (p = .001). Users' average puff duration increased by 91 ms/puff/d (p < .001). The percentage decrease in cigarettes smoked per day was significantly and directly related to the slope of subjects' average puff duration over time (r(13) = .62, p = .01), such that as cigarettes per day decreased, puff duration increased. Self-reported smoking urges remained relatively stable from baseline to the end of the 2-week period (p > .05). CONCLUSIONS: Among smokers switching to an e-cigarette, greater increases in e-cigarette puff duration was associated with greater reductions in cigarette smoking. IMPLICATIONS: The current study is one of the first to examine changes in smokers' e-cigarette puffing behavior and associated changes in cigarette consumption as they attempt to completely switch to e-cigarettes. During a 2-week switching period, participants reduced their cigarettes per day. Moreover, although e-cigarette puffs per day remained relatively stable, users' average puff duration increased significantly. Greater increases in e-cigarette puff duration were associated with greater reductions in cigarette smoking. Understanding how to effectively use an e-cigarette to best reduce and eventually quit smoking will be necessary as smokers increasingly turn to these products to facilitate possible cessation.
Authors: Soha Talih; Zainab Balhas; Thomas Eissenberg; Rola Salman; Nareg Karaoghlanian; Ahmad El Hellani; Rima Baalbaki; Najat Saliba; Alan Shihadeh Journal: Nicotine Tob Res Date: 2014-09-03 Impact factor: 4.244
Authors: Theodore L Wagener; Evan L Floyd; Irina Stepanov; Leslie M Driskill; Summer G Frank; Ellen Meier; Eleanor L Leavens; Alayna P Tackett; Neil Molina; Lurdes Queimado Journal: Tob Control Date: 2016-10-11 Impact factor: 7.552
Authors: Konstantinos E Farsalinos; Giorgio Romagna; Dimitris Tsiapras; Stamatis Kyrzopoulos; Vassilis Voudris Journal: Int J Environ Res Public Health Date: 2014-04-22 Impact factor: 3.390