@article {Cioe:2020:2333-9748:384, title = "E-cigarette Perceptions among HIV-positive Smokers in a Switching Study", journal = "Tobacco Regulatory Science", parent_itemid = "infobike://trsg/trs", publishercode ="trsg", year = "2020", volume = "6", number = "6", publication date ="2020-11-01T00:00:00", pages = "384-391", itemtype = "ARTICLE", issn = "2333-9748", eissn = "2333-9748", url = "https://www.ingentaconnect.com/content/trsg/trs/2020/00000006/00000006/art00002", doi = "doi:10.18001/TRS.6.6.2", keyword = "HIV, e-cigarette flavors, tobacco regulation, harm reduction, electronic cigarette", author = "Cioe, Patricia A. and Tidey, Jennifer W. and Mercurio, Alana N. and Costantino, Catherine and Kahler, Christopher W.", abstract = " Objectives: Cigarette smoking is highly prevalent among persons with HIV (PWH), which is concerning due to their increased risk of developing smoking-related cancers compared to those without HIV. Smoking cessation rates are substantially lower among PWH compared to the general population and less than half report a goal of total abstinence. Given these factors, a switch to electronic cigarettes (ECs), as a form of tobacco harm reduction, may be a viable approach to decreasing tobacco-related morbidity and mortality in PWH. The US Food and Drug Administration has the authority to implement product standards for cigarettes, including ECs and favors. Methods: This qualitative study enrolled 19 HIV-positive smokers into an EC switch study. At Week 12, qualitative interviews were conducted to examine EC perceptions and favor preferences. Results: ECs were viewed as a less harmful, cost-effective method of reducing or eliminating CC smoking, and non-tobacco favors were an essential part of EC appeal and use. Conclusions: Flavored EC liquid seems to enhance the user experience and may influence the user's ability to make a complete switch. Tobacco harm reduction, as a strategy, will only be effective if current evidence guides tobacco regulatory decisions.", }