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. 2024;59(7):1126-1132.
doi: 10.1080/10826084.2024.2320395. Epub 2024 Mar 19.

Factors Associated With Successful E-Cigarette Cessation Among a Convenience Sample of Adult Users

Geronimo Bejarano  1 , Meagan A Bluestein  1 , Alayna P Tackett  2   3 , Jaimie C Duano  1 , Shelby Grace Rawls  1 , Jasjit S Ahluwalia  4   5 , Elizabeth A Vandewater  6 , Emily T Hébert  1   7
Affiliations

Factors Associated With Successful E-Cigarette Cessation Among a Convenience Sample of Adult Users

Geronimo Bejarano et al. Subst Use Misuse. 2024.

Abstract

Background: A growing body of literature suggests that many people who use e-cigarettes become dependent and have difficulty quitting. Most people who use e-cigarettes have interest in quitting, yet there is currently a lack of evidence to inform interventions for e-cigarette cessation. Objective: The purpose of this study was to identify factors associated with successful e-cigarette quit attempts among a large sample of people who use e-cigarettes. Methods: Participants (n=586) were people who use e-cigarettes who reported at least one lifetime attempt to quit their e-cigarette use. Adjusted logistic regression models were performed to examine differences in e-cigarette use characteristics and quit methods between people who currently use e-cigarettes and who quit e-cigarettes. Results: Most participants were people who currently use e-cigarettes and only 27.5% reported successfully quitting. Most participants (90.6%) used e-cigarettes that contained nicotine, and over half (54.0%) used closed-system e-cigarette devices with replaceable pre-filled pods or cartridges. The quit method most commonly used overall (63.1%) and for people who quit e-cigarettes (70.8%) was cold turkey. Past 30-day cigarette use and past 30-day other tobacco use was significantly associated with reduced odds of quitting, and there were no e-cigarette characteristics significantly associated with successful cessation. Nicotine replacement therapy was the only e-cigarette cessation method that was significantly associated with increased odds of quitting after adjusting for past 30-day cigarette and other tobacco use. Conclusions: These results suggests that cigarette use, other tobacco use, and quit method used may significantly influence the likelihood of e-cigarette cessation. Future research is needed to determine the effectiveness of interventions for e-cigarette cessation using nicotine replacement therapy.

Keywords: E-cigarettes; cessation; smoking; vaping.

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Conflict of interest statement

Disclosure of Interest: J.S.A. funded in part by P20GM130414, a NIH funded Center of Biomedical Research Excellence (COBRE). J.S.A. received sponsored funds for travel expenses as a speaker for the 2021 and 2022 annual GTNF conference. J.S.A. serves as a consultant and has equity in Qnovia, a start-up company developing a prescription nicotine replacement product for FDA approval. All other authors declare that they have no conflict of interest.

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