Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Nov 26;4(2):100302.
doi: 10.1016/j.focus.2024.100302. eCollection 2025 Apr.

E-Cigarette Use and Use of Evidence-Based Smoking Cessation Methods Among American Indian Cigarette Smokers: A Cross-Sectional Analysis

Ashley L Comiford  1 , Dorothy A Rhoades  2 , Justin D Dvorak  3 , Kai Ding  3 , Noah Collins  4 , Alexandra L Blair  5 , Mark P Doescher  6   7
Affiliations

E-Cigarette Use and Use of Evidence-Based Smoking Cessation Methods Among American Indian Cigarette Smokers: A Cross-Sectional Analysis

Ashley L Comiford et al. AJPM Focus. .

Abstract

Introduction: Tobacco use is the leading cause of death in the U.S., and American Indian/Alaska Native people have high rates of tobacco-related diseases. Although the U.S. Food and Drug Administration-approved products and evidence-based methods exist for smoking cessation, people who smoke might use E-cigarettes as cessation aids. Whether E-cigarette use is associated with the use of evidence-based methods is unknown, particularly among American Indian/Alaska Native individuals.

Methods: Using survey data collected in 2016 from 289 adult American Indian people who smoke and who reported a previous cessation attempt, the authors conducted multivariate logistic regression analyses to assess the associations between E-cigarette use and evidence-based cessation methods. Analyses were performed in 2023.

Results: Individuals who currently or formerly used E-cigarettes were significantly more likely to report using nicotine replacement therapy during their last quit attempt than those who did not use E-cigarettes (current versus never AOR=4.6, 95% CI=1.9, 11.9; past versus never AOR=4.6, 95% CI=2.2, 9.8; p<0.001). Current and former E-cigarette use was significantly associated with prescription use in the unadjusted analysis but lost significance in the adjusted analysis (current versus never AOR=3.1, 95% CI=1.0, 10.5; past versus never AOR=2.7, 95% CI=1.1, 7.9; p>0.05). Individuals with current or former use of E-cigarettes were significantly less likely than individuals who never used E-cigarettes to use the cold turkey method (unassisted cessation) (current versus never AOR=0.3, 95% CI=0.2, 0.6; past versus never AOR=0.3, 95% CI=0.1, 0.7; p<0.01).

Conclusions: These results suggest that persons who use E-cigarettes are more likely than individuals who do not use E-cigarettes to previously have tried nicotine replacement therapy but less likely to use the cold turkey method. A larger study is needed to determine whether individuals who use E-cigarettes are also more likely to have tried prescription medication for smoking cessation. Whether E-cigarette use impedes or encourages the use of evidence-based cessation methods is unknown.

Keywords: American Indian/Alaska Native; E-cigarettes; evidence-based methods; smoking cessation.

PubMed Disclaimer

Similar articles

See all similar articles

References

    1. Creamer MR, Wang TW, Babb S, et al. Tobacco product use and cessation indicators among adults — United States, 2018. MMWR Morb Mortal Wkly Rep. 2019;68(45):1013–1019. doi: 10.15585/mmwr.mm6845a2. - DOI - PMC - PubMed
    1. Mowery PD, Dube SR, Thorne SL, Garrett BE, Homa DM, Nez Henderson P. Disparities in smoking-related mortality among American Indians/Alaska natives. Am J Prev Med. 2015;49(5):738–744. doi: 10.1016/j.amepre.2015.05.002. - DOI - PubMed
    1. Want to quit smoking? FDA-approved and FDA-cleared cessation products can help. U.S. Food & Drug Administration.https://www.fda.gov/consumers/consumer-updates/want-quit-smoking-fda-app.... Updated July 21, 2022. Accessed October 17, 2024.
    1. U.S. Preventive Services Task Force. Krist AH, Davidson KW, et al. Interventions for tobacco Smoking Cessation in adults, including pregnant persons: U.S. Preventive Services Task Force recommendation statement. JAMA. 2021;325(3):265–279. doi: 10.1001/jama.2020.25019. - DOI - PubMed
    1. E-cigarettes, vapes, and other electronic nicotine delivery systems (ENDS). U.S. Food & Drug Administration.https://www.fda.gov/tobacco-products/products-ingredients-components/e-c.... Updated May 31, 2024. Accessed October 17, 2024.

LinkOut - more resources