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Open Access Transitions in Smoking among Adults Newly Purchasing the JUUL System

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

Objectives: In this study, we prospectively assessed changes in smoking a year after US adults' first-time purchase of a JUUL Starter Kit (JSK). Methods: Descriptive analyses assessed transitions in smoking status at 12 months among adult (age ≥21) JSK purchasers providing baseline and 12-month follow-up data (N = 27,164 [49.0% of baseline]), stratified by baseline smoking status. Baseline regular use of other ENDS was also considered. Results: Purchasers included baseline past 30-day smokers (65.2%), former smokers (12.0%), and never smokers (9.7%); over 90% were ever-smokers. One year later, the majority (58%) of those smoking at baseline reported no longer smoking. Former smokers or never smokers who were smoking at 12 months represented less than 2% of respondents. Former and current smokers who were regularly using other ENDS at baseline were less likely to report smoking at 12 months. Conclusions: Past 30-day smoking prevalence in a large longitudinal study of first-time JSK purchasers fell by more than half over 12 months. Analyzing the sample composition at purchase and transitions within subgroups defined by smoking status allows for a detailed understanding to help inform assessments of the population health impact of ENDS.
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Keywords: ELECTRONIC NICOTINE DELIVERY SYSTEM; JUUL; LONGITUDINAL STUDY; POPULATION HEALTH IMPACT; SMOKING

Document Type: Research Article

Affiliations: 1: Director of Health Economics and Policy Research, Juul Labs Inc, Washington, DC, United States 2: Research Economist, Juul Labs Inc, Washington, DC, United States 3: Behavioral Scientist, Juul Labs Inc, Washington, DC, United States 4: Vice President Data, Juul Labs Inc, Washington, DC, United States 5: Director, Health Policy and Regulatory Strategy, PinneyAssociates Inc, Bethesda, MD, United States 6: Senior Scientific Advisor, PinneyAssociates Inc, Pittsburgh, PA, 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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