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Comparison of the Smoking Cessation Behaviors of Dual Users and Cigarette-Only Smokers
J Korean Soc Res Nicotine Tob 2019; 10(2): 80-88
Published online December 15, 2019
© 2019 The Korean Society for Research on Nicotine and Tobacco.

Sang Keun Hahm1, Eon Sook Lee2*

1Department of Family Medicine/Health Promotion Center, Hanil General Hospital, Seoul, 2Department of Family Medicine, Inje University, Ilsan-Paik Hospital, Goyang, Korea
Correspondence to: *씠뼵닕
씤젣븰援 쓽怨쇰븰 媛젙쓽븰援먯떎
E-mail: leejeny@paik.ac.kr
ORDID: https://orcid.org/0000-0002-6148-2512
Received November 12, 2019; Revised November 29, 2019; Accepted November 30, 2019.
This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, dis-tribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Background: Some previous studies have claimed that electronic cigarette (e-cigarette) use is helpful in quitting smoking. However, this role of e-cigarettes remains uncertain because several current smokers use e-cigarettes as an alternative to tobacco smoking. The present study aimed to compare the quitting behaviors of dual users and cigarette-only smokers.
Methods: Data of 5,179 current smokers from the sixth and seventh Korea National Health and Nutrition Examination Surveys (2013–2017) were analyzed. Current smokers were divided into dual users and cigarette-only smokers based on e-cigarette use in the past month. Factors influencing e-cigarette use were investigated. Differences in the quitting behaviors between both groups were assessed using multivariate logistic regression analysis with STATA 11.0.
Results: Young age (<40 years) and smoking amount (>20 cigarettes/day) were associated with e-cigarette use. Nicotine replacement therapy (NRT) use in the past 5 days was associated with e-cigarette use [odds ratio (OR), 5.328; 95% confidence interval (CI), 2.377–11.941]. Dual users demonstrated higher quit attempts in the past year (OR, 1.600; 95% CI, 1.113–2.301). There was no difference between dual users and cigarette-only smokers in choosing an evidence-based quit method such as using a quit line or visiting a smoking cessation clinic. However, dual use was associated with use of NRT over the counter NRT use.
Conclusion: There are no differences in employing an evidence-based smoking cessation method between dual users and cigarette-only smokers, despite the higher quit attempts in dual users. Further evaluation of the effect of NRT use as a quitting method on dual users is warranted.
Keywords : Dual users; Electronic cigarette; Smoking cessation; Behavior; Nicotine
References
  1. Bao W, Xu G, Lu J, Snetselaar LG, Wallace RB. Changes in Electronic Cigarette Use Among Adults in the United States, 2014-2016. Jama. 2018; 319(19): 2039-41.
    Pubmed KoreaMed CrossRef
  2. MOEF. Tobacco Market Trends for Q3 2019 [Internet] Ministry of Economy and finance. Republic of Korea Republic of Korea. [cited 2019 Oct 27].
  3. Du P, Fan T, Yingst J, Veldheer S, Hrabovsky S, Chen C, et al. Changes in E-Cigarette Use Behaviors and Dependence in Long-term E-Cigarette Users. Am J Prev Med. 2019; 57(3): 374-83.
    Pubmed CrossRef
  4. Lee C KS, Cheong Y. Issues of new types of tobacco (e-cigarette and heat not-burn tobacco): from the perspective of 쁳obacco harm reduction’. J Korean Med Assoc. 2018; 61(3): 181-90.
    CrossRef
  5. Bullen C, Howe C, Laugesen M, McRobbie H, Parag V, Williman J, et al. Electronic cigarettes for smoking cessation: a randomised controlled trial. Lancet. 2013; 382(9905): 1629-37.
    CrossRef
  6. Hartmann-Boyce J, McRobbie H, Bullen C, Begh R, Stead LF, Hajek P. Electronic cigarettes for smoking cessation. Cochrane Database Syst Rev. 2016; 9: Cd010216.
    KoreaMed CrossRef
  7. Hajek P, Phillips-Waller A, Przulj D, Pesola F, Myers Smith K, Bisal N, et al. A Randomized Trial of E-Cigarettes versus Nicotine-Replacement Therapy. N Engl J Med. 2019; 380(7): 629-37.
    Pubmed CrossRef
  8. World Health Organization Framework Convention on Tobacco Control. Electronic nicotine delivery systems [Internet]. Geneva: World Health Organization Framework Convention on Tobacco Control; 2016 [cited 2019 Oct 30].
  9. Dockrell M, Morrison R, Bauld L, McNeill A. E-cigarettes: prevalence and attitudes in Great Britain. Nicotine Tob Res. 2013; 15(10): 1737-44.
    Pubmed KoreaMed CrossRef
  10. Kalkhoran S, Grana RA, Neilands TB, Ling PM. Dual use of smokeless tobacco or e-cigarettes with cigarettes and cessation. Am J Health Behav. 2015; 39(2): 277-84.
    Pubmed KoreaMed CrossRef
  11. Bang JY GJ, Youn KH, Yoo WS. Electronic Cigarette and Conventional Cigarette Use among Korean Adults: The 6th Korean National Health and Nutrition Examination Survey, 2013-2015. JKSRNT 2017; 8(2): 80-7.
    CrossRef
  12. Lee JA, Kim SH, Cho HJ. Electronic cigarette use among Korean adults. Int J Public Health. 2016; 61(2): 151-7.
    Pubmed CrossRef
  13. Kasza KA, Ambrose BK, Conway KP, Borek N, Taylor K, Goniewicz ML, et al. Tobacco-Product Use by Adults and Youths in the United States in 2013 and 2014. N Engl J Med. 2017; 376(4): 342-53.
    Pubmed KoreaMed CrossRef
  14. Zhu SH, Zhuang YL, Wong S, Cummins SE, Tedeschi GJ. E-cigarette use and associated changes in population smoking cessation: evidence from US current population surveys. Bmj. 2017; 358: j3262.
    Pubmed KoreaMed CrossRef
  15. Na G CJ, Oh K, Yi J, Park J, Hwang S. Major findings and in-depth analysis of a fourth-wave panel study of smokers based on the Korea National Health and Nutrition Examination Survey Public Health Weekly Report, PHWR. 2019; 12(33): 1252-9.
  16. SO B. The Relationship between Smoking and Smoking Cessation Behaviors and the Use of Electronic Cigarettes among Adult Smokers. The Journal of Korean Society for School & Community Health Education. 2018; 19(1): 1-11.
    CrossRef
  17. Piercy KL, Troiano RP, Ballard RM, Carlson SA, Fulton JE, Galuska DA, et al. The Physical Activity Guidelines for Americans. Jama. 2018;320(19): 2020-8.
    Pubmed CrossRef
  18. HHS U. 2015-2020 Dietary Guidelines for Americans. 8th Edition. December 2015. [cited 2019 Oct 20]. Available from https://health.gov/dietaryguidelines/2015/guidelines/.https://health.gov/dietaryguidelines/2015/.
  19. QuickStats: Percentage* of Adults Who Ever Used an E-cigarette (dagger) and Percentage Who Currently Use E-cigarettes, (section sign) by Age Group - National Health Interview Survey, United States, 2016 (paragraph sign). MMWR Morb Mortal Wkly Rep. 2017; 66(33): 892.
    Pubmed KoreaMed CrossRef
  20. Park EC BS, Lee MS. Factors associated with electronic cigarettes use in Korean adults. Journal of the Korea Academia-Industrial Cooperation Society. 2019; 20(8): 47-55.
  21. Carroll Chapman SL, Wu LT. E-cigarette prevalence and correlates of use among adolescents versus adults: a review and comparison. J Psychiatr Res. 2014; 54: 43-54.
    Pubmed KoreaMed CrossRef
  22. Harlow AF, Stokes A, Brooks DR. Socioeconomic and Racial/Ethnic Differences in E-Cigarette Uptake Among Cigarette Smokers: Longitudinal Analysis of the Population Assessment of Tobacco and Health (PATH) Study. Nicotine Tob Res. 2019; 21(10): 1385-93.
    Pubmed KoreaMed CrossRef
  23. SS H. A Third-Wave Panel Study for Smokers based on Korean National Health and Nutrition Examination Survey (KNHANES) and its In-depth Analysis. MOHW. 2018.
  24. Sweet L, Brasky TM, Cooper S, Doogan N, Hinton A, Klein EG, et al. Quitting Behaviors Among Dual Cigarette and E-Cigarette Users and Cigarette Smokers Enrolled in the Tobacco User Adult Cohort. Nicotine Tob Res. 2019; 21(3): 278-84.
    Pubmed KoreaMed CrossRef
  25. CDC. Outbreak of Lung Injury Associated with the Use of E-Cigarette, or Vaping, Products [internet] Center for Disease Control and Prevention. [cited 2019 Nov 25]. Available from https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease.html.2019.
  26. MOHW. Recommendation about use of liquid form electronic cigarette [Internet]: Ministry of Health and Welfare. Republic of Korea. [cited 2019 Oct 27].