Kim Pulvers1, John B Correa2, Paul Krebs2, Omar El Shahawy3, Crystal Marez1, Neal Doran2, Mark Myers2. 1. Department of Psychology, 383559California State University San Marcos, San Marcos, CA, USA. 2. VA San Diego Healthcare System, 19979University of California, San Diego, La Jolla, CA, USA. 3. Population Health Department, 12296New York University School of Medicine, New York, NY, USA.
Abstract
PURPOSE: This study describes the frequency of JUUL e-cigarette (referred to as JUUL) quit attempts and identifies characteristics associated with confidence in quitting and perceived difficulty quitting JUUL. DESIGN: Cross-sectional study from a self-administered online survey. SETTING: Two public southern California universities. PARTICIPANTS: A total of 1,001 undergraduate students completed the survey from February to May 2019. MEASURES: Self-report measures about JUUL included use, history of quit attempts, time to first use, perceived difficulty with cessation/reduction, and confidence in quitting. ANALYSIS: Binary logistic regressions were used to identify demographic and tobacco-related behavioral correlates of JUUL cessation-related perceptions and behaviors. RESULTS: Nearly half of ever-JUUL users (47.8%) reported a JUUL quit attempt. Adjusting for demographic factors and other tobacco product use, shorter time to first JUUL use after waking was associated with lower confidence in quitting JUUL (aOR = 0.02, 0.00-0.13) and greater perceived difficulty in quitting JUUL (aOR = 8.08, 2.15-30.35). Previous JUUL quit attempt history was also associated with greater odds of perceived difficulty quitting JUUL (aOR = 5.97, 1.74-20.53). CONCLUSIONS: History of JUUL quit attempts among college students was common. Those who had previously tried quitting were more likely to perceive difficulty with cessation. Time to first JUUL use, a marker of dependence, was linked with greater perceived cessation difficulty and lower confidence in quitting. These findings suggest that there is a need for cessation and relapse prevention support for college student JUUL users.
PURPOSE: This study describes the frequency of JUUL e-cigarette (referred to as JUUL) quit attempts and identifies characteristics associated with confidence in quitting and perceived difficulty quitting JUUL. DESIGN: Cross-sectional study from a self-administered online survey. SETTING: Two public southern California universities. PARTICIPANTS: A total of 1,001 undergraduate students completed the survey from February to May 2019. MEASURES: Self-report measures about JUUL included use, history of quit attempts, time to first use, perceived difficulty with cessation/reduction, and confidence in quitting. ANALYSIS: Binary logistic regressions were used to identify demographic and tobacco-related behavioral correlates of JUUL cessation-related perceptions and behaviors. RESULTS: Nearly half of ever-JUUL users (47.8%) reported a JUUL quit attempt. Adjusting for demographic factors and other tobacco product use, shorter time to first JUUL use after waking was associated with lower confidence in quitting JUUL (aOR = 0.02, 0.00-0.13) and greater perceived difficulty in quitting JUUL (aOR = 8.08, 2.15-30.35). Previous JUUL quit attempt history was also associated with greater odds of perceived difficulty quitting JUUL (aOR = 5.97, 1.74-20.53). CONCLUSIONS: History of JUUL quit attempts among college students was common. Those who had previously tried quitting were more likely to perceive difficulty with cessation. Time to first JUUL use, a marker of dependence, was linked with greater perceived cessation difficulty and lower confidence in quitting. These findings suggest that there is a need for cessation and relapse prevention support for college student JUUL users.
Entities:
Keywords:
ENDS; e-cigarettes; electronic nicotine delivery systems; fourth generation; health policy; interventions; nicotine; opportunity; smoking control; strategies; young adults
Authors: Amanda M Palmer; Sarah N Price; Madeline G Foster; Brandon T Sanford; Lisa M Fucito; Benjamin A Toll Journal: Cancer Prev Res (Phila) Date: 2022-09-01