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Open Access Cigarette Smoking Trajectories in Adult Former Smokers Using the JUUL System

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This article is Open Access under the terms of the Creative Commons CC BY-NC-ND licence.

Objective: In this study, we assessed cigarette smoking over 12 months among adult former smokers who newly purchased a JUUL Starter Kit (JSK). Methods: Prevalence of past 30-day smoking and factors associated with smoking were assessed among adult (age ≥ 21) former established smokers, stratified as recent (quitting ≤ 12 months) and long-term quitters (> 12 months), who purchased a JSK and completed ≥ 1 of 6 follow-up assessments (N = 4786). Results: Recent quitters had higher rates (16.6%-19.9%) of past 30-day smoking than long-term quitters (6.4%-9.2%) across the 12-month period; smoking prevalence did not significantly increase over time in either subgroup. Few participants (6.5% of recent quitters, 2.8% of long-term quitters) reported smoking at both 9 and 12 months, a pattern that might indicate persistent smoking. Past 30-day JUUL use remained high (≥ 87%) across the 12 months. Participants who used JUUL more frequently were less likely to smoke. Conclusions: Among former smokers who purchased JUUL, prevalence rates of smoking were low and stable across the 12-month period, suggesting there was not a growing cohort of former smokers resuming smoking. Smoking was more common in recent quitters than long-term quitters. Greater use of JUUL was associated with reduced odds of smoking resumption.

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Document Type: Research Article

Affiliations: 1: Director Behavioral Affairs, Juul Labs Inc, Washington, DC, United States 2: Principal Scientist and Biostatistician, Regulatory Science, Juul Labs Inc, Washington, DC, United States 3: Behavioral Scientist, Juul Labs Inc, Washington, DC, United States 4: Senior Associate, Behavioral Science Research, Juul Labs Inc, Washington, DC, United States 5: Associate, Behavioral Science Research, Juul Labs Inc, Washington, DC, United States 6: Senior Scientific Advisor, Behavioral Science, Study Design, and Analysis, PinneyAssociates Inc, Pittsburgh, PA, United States 7: Senior Director, Behavioral Affairs, Juul Labs Inc, Washington, DC, United States

Publication date: May 1, 2021

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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