The paper “Electronic Cigarette Use and Cigarette Abstinence Over 2 Years Among U.S. Smokers in the Population Assessment of Tobacco and Health Study” used information from over 8,200 adults, making it one of the most reliable to date. Each smoker provided information about health, lifestyle and tobacco use. Participants then provided updated information every twelve months for two years.
Positively, at the outset, the authors report: “National evidence reviews from England and the United States have concluded that although e-cigarette use is not harmless, cigarette smokers who switch to e-cigarettes will likely reduce their smoking-attributable health risks.”
“E-cigarettes therefore have the potential for substantial public health benefit if cigarette smokers, especially those who are unwilling or unable to quit using current treatments, switch to e-cigarettes and stop smoking combustible cigarettes.”
One of the problems vaping faces in the United States is the lie coming from many quarters that vaping doesn’t work as a cessation tool. Worse, the likes of Stanton Glantz and the American Lung Association laughably contend that vaping increases the likelihood of smoking.
The team write: “In this nationally representative longitudinal cohort study of US adult cigarette smokers, daily e-cigarette use, compared to no e-cigarette use, was associated with a 77% increased odds of prolonged cigarette smoking abstinence over the subsequent 2 years. Non-daily e-cigarette use was not associated with subsequent abstinence.”
One in the eye for Stanton Glantz, they add: “These are the first nationally representative cohort study data to show an association between e-cigarette use and sustained combustible cigarette abstinence rates over 2 years. These results are consistent with the hypothesis that when used daily, e-cigarettes may help smokers to stop smoking combustible cigarettes, but that less frequent e-cigarette use may not do so.”
Explaining why non-daily users might not find success: “They may be aiming to reduce harm from cigarettes without committing to total abstinence. Another explanation may be that non-daily e-cigarette use is unlikely to completely control symptoms of nicotine withdrawal in daily cigarette users with high levels of nicotine dependence, and therefore these smokers will continue cigarette use to manage cravings and withdrawal.”
They conclude: “Smokers in this large nationally representative longitudinal study who used e-cigarettes daily were more likely to be abstinent from combustible cigarettes after 2 years compared to smokers who did not use e-cigarettes. Further defining the potential public health benefit that e-cigarettes could offer in terms of smoking cessation will require randomized controlled trials, but these observational data suggest that frequent e-cigarette use is associated with subsequent abstinence from combustible tobacco products.”
Resources:
- Electronic Cigarette Use and Cigarette Abstinence Over 2 Years Among U.S. Smokers in the Population Assessment of Tobacco and Health Study – [link]
- Nicotine & Tobacco Research journal - [link]
Dave Cross
Journalist at POTVDave is a freelance writer; with articles on music, motorbikes, football, pop-science, vaping and tobacco harm reduction in Sounds, Melody Maker, UBG, AWoL, Bike, When Saturday Comes, Vape News Magazine, and syndicated across the Johnston Press group. He was published in an anthology of “Greatest Football Writing”, but still believes this was a mistake. Dave contributes sketches to comedy shows and used to co-host a radio sketch show. He’s worked with numerous start-ups to develop content for their websites.
Join the discussion
Harm Reduction For The Rich
The United Kingdom risks becoming a harm reduction country only for the wealthy, according to Michael Landl of the World Vapers’ Alliance
CAPHRA Highlights Tobacco Control Flaws
The Coalition of Asia Pacific Tobacco Harm Reduction Advocates highlights the flaws in tobacco control which has led to the rise of black market in Australia
A Missed Opportunity at COP10
The Smoke Free Sweden movement says that COP10 was a missed opportunity to save millions of lives
COP10: Promote Tobacco Harm Reduction
Experts with Smoke Free Sweden are emphasising the urgent need for a Tobacco Harm Reduction approach at COP10