Andrea C King1, Emma I Brett2, Ashley Vena2, Krista Miloslavich3, Dingcai Cao4. 1. University of Chicago, Department of Psychiatry and Behavioral Neuroscience, Chicago, IL, 60637, United States. Electronic address: aking@bsd.uchicago.edu. 2. University of Chicago, Department of Psychiatry and Behavioral Neuroscience, Chicago, IL, 60637, United States. 3. The University of Illinois at Chicago, Department of Psychology, Chicago, IL, 60607, United States. 4. The University of Illinois at Chicago, Department of Visual Sciences and Opthalmology, Chicago, IL, 60607, United States.
Abstract
BACKGROUND: Cigarette smokers report increases in smoking urge in response to exposure to electronic nicotine delivery systems (ENDS) and dual users, i.e. smokers who also vape ENDS, may exhibit greater cue reactivity than exclusive smokers. The current investigation examined reactivity to a variety of ENDS cues across a large sample of cigarette smokers and dual ENDS users. METHODS: Young adult smokers (N = 345; >5 cigarettes per day) were recruited between 2013-2019 for participation in a series of within-subjects laboratory-based studies. Participants completed surveys before and after exposure to a confederate-delivered control cue (water) and an active cue, including cigarette or ENDS cues ranging from first generation "cigalikes" to a fourth generation "pod-mod". Main outcomes were post-cue changes in desire for combustible cigarettes and e-cigarettes, and smoking behavior as determined by the smoking latency portion of the Smoking Lapse Paradigm after cue exposure. RESULTS: Relative to smokers who do not use ENDS, dual users demonstrated higher baseline desire for ENDS and greater ENDS cue reactivity (across product types) in terms of post-cue increases in smoking urge and shorter latency to smoking choice. In contrast, reactivity to the cigarette cue was similar across groups. CONCLUSIONS: Dual users show heightened ENDS cue reactivity on smoking urge and behavior relative to never users of ENDS, regardless of the type of ENDS cue. Given their reactivity to both cigarette and ENDS cues, it may be difficult for dual users to transition to exclusive vaping or quit tobacco product use altogether.
BACKGROUND: Cigarette smokers report increases in smoking urge in response to exposure to electronic nicotine delivery systems (ENDS) and dual users, i.e. smokers who also vape ENDS, may exhibit greater cue reactivity than exclusive smokers. The current investigation examined reactivity to a variety of ENDS cues across a large sample of cigarette smokers and dual ENDS users. METHODS: Young adult smokers (N = 345; >5 cigarettes per day) were recruited between 2013-2019 for participation in a series of within-subjects laboratory-based studies. Participants completed surveys before and after exposure to a confederate-delivered control cue (water) and an active cue, including cigarette or ENDS cues ranging from first generation "cigalikes" to a fourth generation "pod-mod". Main outcomes were post-cue changes in desire for combustible cigarettes and e-cigarettes, and smoking behavior as determined by the smoking latency portion of the Smoking Lapse Paradigm after cue exposure. RESULTS: Relative to smokers who do not use ENDS, dual users demonstrated higher baseline desire for ENDS and greater ENDS cue reactivity (across product types) in terms of post-cue increases in smoking urge and shorter latency to smoking choice. In contrast, reactivity to the cigarette cue was similar across groups. CONCLUSIONS: Dual users show heightened ENDS cue reactivity on smoking urge and behavior relative to never users of ENDS, regardless of the type of ENDS cue. Given their reactivity to both cigarette and ENDS cues, it may be difficult for dual users to transition to exclusive vaping or quit tobacco product use altogether.
Authors: Andrea C King; Lia J Smith; Patrick J McNamara; Alicia K Matthews; Daniel J Fridberg Journal: Tob Control Date: 2014-05-21 Impact factor: 7.552
Authors: Andrea C King; Lia J Smith; Daniel J Fridberg; Alicia K Matthews; Patrick J McNamara; Dingcai Cao Journal: Psychol Addict Behav Date: 2015-11-30
Authors: Julie B Wang; Jeffrey E Olgin; Gregory Nah; Eric Vittinghoff; Janine K Cataldo; Mark J Pletcher; Gregory M Marcus Journal: PLoS One Date: 2018-07-25 Impact factor: 3.240