Introduction

E-cigarettes may have the potential to be an effective cessation aid for some cigarette smokers. However, the extent to which smokers’ experiences using e-cigarettes (vaping) to quit smoking impact their cessation outcomes is unclear. In this cross-sectional survey study, we develop a multidimensional measure of vaping experiences in adults who quit smoking by vaping and test its association with perceived success in smoking cessation.

Methods

In 2019, recruitment invitations were emailed to adult past-year smokers who had accessed cessation services across Ontario, Canada. Respondents who tried vaping to quit smoking in the past year completed a detailed online survey. Factor analysis was performed on ratings of 45 vaping experiences items to identify dimensions of vaping experiences. Factor scores were entered into logistic regressions to test if vaping experiences dimensions had differential impact on perceived success in smoking cessation.

Results

Of the 889 participants, 56.0% were female, 81.1% were Caucasian, and the mean age was 37.7 ± 11.9 years. Twenty percent (19.6%) reported having successfully quit smoking by vaping in the past year. Among the six vaping experiences factors, better experiences in five factors–Relationships, Flexibility of Vaping, Side Effects, Vaping Devices, and Sensory Functions–were each independently and positively associated with improved odds of successful quitting. Notably, Relationships [OR = 2.01, 95% CI: 1.61–2.64] and Side Effects [OR = 1.95; 95% CI 1.54–2.29] were the strongest correlates of perceived success in smoking cessation.

Conclusions

These findings indicate an opportunity to increase cessation rates by improving the experiences of smokers who vape to quit smoking.

中文翻译：

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吸烟成年人的真实电子烟体验和戒烟

介绍

电子烟可能会成为某些吸烟者的有效戒烟辅助工具。但是，吸烟者使用电子烟（吸烟）戒烟的经历影响戒烟效果的程度尚不清楚。在这项横断面调查研究中，我们开发了通过吸烟来戒烟的成年人的吸烟体验的多维方法，并测试了其与感知到的戒烟成功的关联。

方法

在2019年，招聘邀请已通过电子邮件发送给过去一年的成年吸烟者，他们已经在加拿大安大略省使用戒烟服务。过去一年中尝试使用电子烟戒烟的受访者完成了详细的在线调查。对45个vaping体验项目的等级进行了因子分析，以确定vaping体验的维度。将因子得分输入到逻辑回归中，以测试电子烟体验维度是否对感知到的戒烟成功有不同的影响。

结果

在889名参与者中，女性为56.0％，白种人为81.1％，平均年龄为37.7±11.9岁。百分之二十（19.6％）的人表示，在过去的一年中通过抽烟成功戒烟。在这六个vaping体验因素中，与关系，vaping的灵活性，副作用，vaping装置和感觉功能等五个因素中的更好体验各自独立且与成功戒烟几率呈正相关。值得注意的是，关系[OR = 2.01，95％CI：1.61-2.64]和副作用[OR = 1.95；95％CI [1.54–2.29]与戒烟成功相关性最强。

结论

这些发现表明，有机会通过改善吸烟者的戒烟经验来提高戒烟率。