TY - JOUR
T1 - Reasons for Transition From Electronic Cigarette Use to Cigarette Smoking Among Young Adult College Students
AU - Hiler, Marzena
AU - Spindle, Tory R.
AU - Dick, Danielle
AU - Eissenberg, Thomas
AU - Breland, Alison
AU - Soule, Eric
N1 - Funding Information:
This research was supported by the National Institute on Drug Abuse of the National Institutes of Health under Award Numbers P50/U54DA036105 and F31DA044707 and the Center for Tobacco Products of the U.S. Food and Drug Administration. Spit for Science has been supported by Virginia Commonwealth University , P20 AA017828 , R37AA011408 , K02AA018755 , and P50 AA022537 from the National Institute on Alcohol Abuse and Alcoholism and UL1RR031990 from the National Center for Research Resources and National Institutes of Health Roadmap for Medical Research. The content is solely the responsibility of the authors and does not necessarily represent the views of the National Institutes of Health or the Food and Drug Administration.
Publisher Copyright:
© 2019 Society for Adolescent Health and Medicine
PY - 2020/1
Y1 - 2020/1
N2 - Purpose: Longitudinal studies indicate that e-cigarette use among youth and young adults is associated with cigarette smoking initiation. The purpose of this study was to identify reasons why nonsmoking young adults transition from e-cigarette use to cigarette smoking. Methods: The study used concept mapping (CM), a mixed-method participatory approach. Fifty-five college students who endorsed initiation of e-cigarettes before cigarettes (lifetime e-cigarette uses ≥ 100 and ≥ 100 cigarettes in lifetime) completed at least one part of the study. In an online program, participants brainstormed (n = 54) statements describing reasons for transition from e-cigarette use to cigarette smoking, sorted statements (n = 46) into conceptually similar categories, and rated (n = 47) how true each statement was for them. Results: Participants generated 60 unique statements, and multidimensional scaling analysis generated eight thematic clusters characterizing reasons for transition which included the following: “Sharing with Others,” “Psychological Coping,” “Cigarette Appeal,” “Reinforcing Effects of Cigarettes,” “Accessibility,” “Social Influence,” “Vaping Stigma,” and “Vaping Deficiencies.” Participants rated “Sharing with Others” and “Psychological Coping” highest (most true) and “Vaping Deficiencies” lowest (least true). For college students, the ability to share cigarettes with peers and access cigarettes from peers and smoking for stress/anxiety management were among the top reasons for transition. Conclusions: Results suggest that tailored prevention efforts aimed at reducing cigarette smoking uptake among college students who use tobacco as a means for psychological coping or social facilitation may be warranted. Furthermore, regulatory decisions aimed at limiting cigarette appeal, reinforcing effects, and accessibility may be relevant to reducing transition.
AB - Purpose: Longitudinal studies indicate that e-cigarette use among youth and young adults is associated with cigarette smoking initiation. The purpose of this study was to identify reasons why nonsmoking young adults transition from e-cigarette use to cigarette smoking. Methods: The study used concept mapping (CM), a mixed-method participatory approach. Fifty-five college students who endorsed initiation of e-cigarettes before cigarettes (lifetime e-cigarette uses ≥ 100 and ≥ 100 cigarettes in lifetime) completed at least one part of the study. In an online program, participants brainstormed (n = 54) statements describing reasons for transition from e-cigarette use to cigarette smoking, sorted statements (n = 46) into conceptually similar categories, and rated (n = 47) how true each statement was for them. Results: Participants generated 60 unique statements, and multidimensional scaling analysis generated eight thematic clusters characterizing reasons for transition which included the following: “Sharing with Others,” “Psychological Coping,” “Cigarette Appeal,” “Reinforcing Effects of Cigarettes,” “Accessibility,” “Social Influence,” “Vaping Stigma,” and “Vaping Deficiencies.” Participants rated “Sharing with Others” and “Psychological Coping” highest (most true) and “Vaping Deficiencies” lowest (least true). For college students, the ability to share cigarettes with peers and access cigarettes from peers and smoking for stress/anxiety management were among the top reasons for transition. Conclusions: Results suggest that tailored prevention efforts aimed at reducing cigarette smoking uptake among college students who use tobacco as a means for psychological coping or social facilitation may be warranted. Furthermore, regulatory decisions aimed at limiting cigarette appeal, reinforcing effects, and accessibility may be relevant to reducing transition.
KW - Cigarette smoking
KW - College students
KW - Electronic cigarette
KW - Tobacco transition
KW - Tobacco use
KW - Young adults
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U2 - 10.1016/j.jadohealth.2019.09.003
DO - 10.1016/j.jadohealth.2019.09.003
M3 - Article
C2 - 31699605
AN - SCOPUS:85075337758
SN - 1054-139X
VL - 66
SP - 56
EP - 63
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 1
ER -