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Health Behav Policy Rev. 2016 Nov;3(6):590-596. doi: 10.14485/HBPR.3.6.8.

Electronic Cigarette Use among Current Smokers: A Pilot Qualitative Study.

Health behavior and policy review

Ban A Majeed, Cassandra A Stanton, Shanta R Dube, Kymberle L Sterling, Joy D Burns, Michael P Eriksen

Affiliations

  1. Tobacco Center of Regulatory Science, School of Public Health, Georgia State University, Atlanta, GA.
  2. Behavioral Health Group, Westat, Rockville, MD.
  3. Division of Epidemiology and Biostatistics, School of Public Health, Georgia State University, Atlanta, GA.
  4. Health Promotion and Behavior, Georgia State University, School of Public Health, Atlanta, GA.
  5. School of Public Health, Georgia State University, Atlanta, GA.

PMID: 28393082 PMCID: PMC5381658 DOI: 10.14485/HBPR.3.6.8

Abstract

OBJECTIVE: This pilot study explored psychosocial influences of e-cigarette use among dual users.

METHODS: Two focus groups among adult current smokers who had ever used e-cigarettes were conducted in Georgia. Discussions were audio-recorded. Principles of grounded theory and thematic analysis were employed.

RESULTS: Reasons for initial use included curiosity and social influence. Themes related to regular use included enjoyment of sensory experiences and perception of reduced harm. Nicotine craving, social image, and convenience were reasons for initial and regular dual use. Two patterns of use emerged - (1) using e-cigarettes to supplement combustible cigarettes; and (2) to replace combustible cigarettes.

CONCLUSIONS: Reasons for dual use were related to nicotine dependence, social influence, product appeal, and perception of reduced harm. Understanding contextual nuances of dual use can inform policy and communication.

Keywords: cigarette smoking; dual use of e-cigarettes and combustible cigarettes; e-cigarettes; nicotine addiction; nicotine craving; social image; social influence

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