ENDS Public Health: Difference between revisions

(Added study)
Line 101: Line 101:
=Dependence (Addiction, Abuse) vs Harm / Harm Reduction - Ecigs and Nicotine=
=Dependence (Addiction, Abuse) vs Harm / Harm Reduction - Ecigs and Nicotine=


=== 2023: [https://pubmed.ncbi.nlm.nih.gov/37094934/ 2013-2017: a multistate Markov transition analysis] ===


* Results: Sole cigarette and SLT use were persistent, with 77% and 78% of adults continuing use after one wave. Other use states were more transient, with 29%–48% of adults reporting the same pattern after one wave. If single-product users transitioned, it was most likely to non-current use while dual or poly cigarette users were most likely to transition to exclusive cigarette use.
* It's notable that e-cigarette use was more transient (~46%), which corroborates other evidence that much of e-cigarette use was experimental in nature and did not lead to regular or long-term use. Even more notable is that this was during a period of continually rising e-cigarette use (2013-2017); since youth e-cigarette use has declined again in more recent years, I would expect later waves of data to show even less persistence of use.
* Review of PATH Waves 1-4
* Shafie Khorassani F, Brouwer AF, Hirschtick JL, Jeon J, Jimenez-Mendoza E, Meza R, Fleischer NL. Tob Control. 2023 Apr 24:tc-2022-057822. doi: 10.1136/tc-2022-057822. Online ahead of print. PMID: 37094934<br />
===2020: [https://pubmed.ncbi.nlm.nih.gov/32196810/ Dependence on e‐cigarettes and cigarettes in a cross‐sectional study of US adults]===
===2020: [https://pubmed.ncbi.nlm.nih.gov/32196810/ Dependence on e‐cigarettes and cigarettes in a cross‐sectional study of US adults]===
Among current users, dependence on e‐cigarettes was significantly lower than dependence on cigarettes, in within‐subjects comparisons among dual users of both e‐cigarettes and cigarettes, and in separate groups of e‐cigarette users and cigarette smokers, and among both daily and non‐daily users of each product.
Among current users, dependence on e‐cigarettes was significantly lower than dependence on cigarettes, in within‐subjects comparisons among dual users of both e‐cigarettes and cigarettes, and in separate groups of e‐cigarette users and cigarette smokers, and among both daily and non‐daily users of each product.