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E-cigarette and Combustible Tobacco Use Motivations among Exclusive and Dual E-cigarette Users

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Objectives: We examined the association between combustible tobacco product use and e-cigarette use motivations in dual-product and exclusive e-cigarette users. Methods: Adult urban and rural Ohioan exclusive (N = 131) and dual e-cigarette users (N = 114) enrolled in a cohort study rated 21 factors motivating e-cigarette use (eg, quitting combustible products) at baseline. Logistic regression stratified by user type and controlling for region (urban/rural) was used to evaluate associations between motivations for e-cigarette use and use of combustible tobacco products within 18-months. Results: Among exclusive e-cigarette users, endorsing, "using e-cigarettes helps people quit smoking cigarettes" and "using an e-cigarette feels like smoking regular cigarettes" showed lower odds of using a combustible product at least some days per week within 18 months. Among dual-users, no e-cigarette use motivations emerged statistically significant in terms of combustible product use within 18 months, though a few e-cigarette motivations were borderline statistically significant. Conclusions: Among exclusive and dual e-cigarette users, motivations related to the value of e-cigarettes as a cigarette substitute were associated with combustible product use at follow-up.
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Document Type: Research Article

Publication date: July 1, 2018

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  • Tobacco Regulatory Science (Electronic ISSN 2333-9748) is a rigorously peer-reviewed online scientific journal for the dissemination of research relevant to the regulation of tobacco products. The journal content includes a broad array of research domains, including chemistry, biology, behavior, community, and population-level surveillance and epidemiology, as well as knowledge syntheses (eg, meta-analyses or state-of-the-art reviews) and analytic modeling. All articles describe the policy relevance of the research outcomes. Given the global nature of tobacco regulation, particularly as a result of international and national policies, Tobacco Regulatory Science publishes high quality research that is relevant to global regulatory needs and requirements. Tobacco Regulatory Science is published electronically 6 times per year.
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