Do people who smoke and vape experience different cravings for each product? Insights from a dual cessation intervention
Abstract
INTRODUCTION
Many people who smoke and start using e-cigarettes continue both (dual use). Nicotine dependence symptoms, such as cravings, may sustain this behavior. Prior research shows cue-specific factors influence cravings, suggesting product-specific cravings may emerge. This secondary analysis examined whether cravings differ between cigarettes and e-cigarettes for those who dual use, and whether product-specific cravings predict abstinence.
METHODS
Data were derived from a pilot dual use cessation trial (N=46) capturing daily reports of cigarette, e-cigarette, and Nicotine Replacement Therapy (NRT) use, cigarette craving (Questionnaire of Smoking Urges [QSU]), and e-cigarette craving (Questionnaire of Vaping Craving [QVC]). Correlations between QSU and QVC were calculated daily. Generalized estimating equations modeled log-odds of abstinence as a function of product-specific cravings, with subsequent models accounting for dependence and NRT use. Additional models tested the association of craving for one product with abstinence from the opposing product.
RESULTS
QSU and QVC scores were weakly correlated (mean correlation coefficient=0.18, SD=0.19). Higher QSU scores were associated with lower odds of combustible tobacco cigarette abstinence (OR=0.85 [95% CI=0.79-0.92], p<.001), and higher QVC scores were associated with lower odds of e-cigarette abstinence (OR=0.86 [95% CI=0.80-0.92], p<.001). Adjusting for product-specific dependence and NRT use did not meaningfully…
Read the paper
Related studies
- Tobacco and COPD: presenting the World Health Organization (WHO) Tobacco Knowledge Summary
- Comparative effects of e-cigarette smoking on periodontal status, salivary pH, and cotinine levels
- Association between exposure to environmental pollutants and increased oral health risks, a comprehensive review
- Influence of gestational window on offspring vascular health in rodents with in utero exposure to electronic cigarettes
- Natural products as kinase inhibitors in lung cancer: molecular mechanisms, therapeutic potential, and clinical trials
- Nicotine in electronic cigarettes
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.