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. 2017 Nov;53(5):652-660.
doi: 10.1016/j.amepre.2017.06.033. Epub 2017 Aug 29.

Characteristics of Adults Who Switched From Cigarette Smoking to E-cigarettes

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Characteristics of Adults Who Switched From Cigarette Smoking to E-cigarettes

Su Hyun Park et al. Am J Prev Med. 2017 Nov.

Abstract

Introduction: Because of the rapidly increasing use of electronic cigarettes (e-cigarettes), this study aimed to investigate the individual characteristics and state-level prevalence of U.S. adults who have switched to e-cigarettes from traditional cigarettes.

Methods: Data from the 2012-2013 and 2013-2014 National Adult Tobacco Surveys were analyzed in 2016. Relative percent change in switching was estimated, and the state-specific prevalence of adults who switched to e-cigarettes from traditional cigarettes was calculated and mapped. Multivariate logistic regression was conducted to examine how switching varied by sociodemographic subgroups and region.

Results: Overall, the number of individuals who switched from traditional cigarettes to e-cigarettes increased by approximately 100% over the 1-year interval. Significant increases were found among a number of sociodemographics and regions. Multivariate logistic regression analyses showed that young adults and those living in the South and West were more likely to switch to e-cigarettes, compared to former smokers who did not switch. Compared with current dual users, those with higher education and those who were not single were more likely to switch to e-cigarettes. The state with the highest prevalence of switching was New Mexico (7.3%), whereas Connecticut had the lowest prevalence (0.8 %) among former smokers.

Conclusions: There is an increase in the progression from traditional cigarette use to e-cigarette use. Further research is warranted to determine whether this change continues and facilitates cigarette smoking cessation as a possible public health benefit and opportunity to save lives rather than constitutes a potential threat to public health.

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Figures

Figure 1
Figure 1
State-specific weighted prevalence of people who switched to e-cigarettes in the U.S.: National Adult Tobacco Survey, 2012–2013 and 2013–2014.

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