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Does E-cigarette USE predict short-term smoking cessation behaviors among adults WHO smoke in mexico? a longitudinal study

Katia Gallegos-Carrillo, Inti Barrientos-Gutiérrez, E. Arillo-Santillán, Rosibel Rodríguez-Bolaños, Lizeth Cruz-Jiménez, James W. Hardin, Y. Cho, James F. Thrasher

Addictive Behaviours, 2024

2,220 participants · 1 citation

Abstract

Introduction: This study assessed quit attempts among adults who use cigarettes either exclusively or with e-cigarettes in Mexico, where non-daily smoking predominates. Methods: An open cohort of Mexican adults who smoke was surveyed every four months from November 2018 to March 2021. Participants followed to the next survey were analyzed (n=2220 individuals, 4560 observations). Multinomial logistic models regressed smoking quit attempts reported at the followup survey (ref=no attempt; tried to quit; sustained attempt of ≥ 30 days) on e-cigarette use frequency (none=ref; 1–2 days/week; ≥3 days/week), adjusting for sociodemographics and smoking-related variables. Additional models subdivided e-cigarette users by intentions to quit smoking in the next six months (i.e., yes/no), use of nicotine (i.e., yes/no), and vaping device used (i.e., open/closed). Results: At 4-month follow-up, 32.7% had tried to quit, and 2.9% had quit for 30 days or more. Compared to those who smoke exclusively, occasional, and frequent e-cigarette users were more likely to try to quit (Adjusted Relative Risk Ratio or ARRR=1.26 and 1.66, respectively) but no more likely to sustain their quit attempt. Among those who intended to quit smoking, e-cigarette users were no more likely to either try or sustain quit attempts. Furthermore, use of e-cigarettes with nicotine (59.6%) was unassociated with cessation except that those who frequently used e-cigarettes with nicotine were more likely to try to quit than…

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