A Qualitative Approach to Understanding Real-World Electronic Cigarette Use: Implications for Measurement and Regulation

Preventing Chronic Disease
Maria CooperCheryl L Perry

Abstract

An understanding of the real-world use of electronic cigarettes (e-cigarettes) is needed to inform surveillance efforts and future state and federal regulation. This study investigates the behavioral aspects of e-cigarette use. We used qualitative methods to examine salient characteristics of e-cigarette use. The lead investigator (M.C.) conducted in-depth, semistructured individual interviews to explore patterns and behaviors associated with e-cigarette use among a purposive sample of 50 current adult users. Thematic content analysis was used to analyze qualitative data and document themes. Several important themes emerged. Although most users started with "closed system" products, the majority switched from that type of e-cigarette to "open system" devices. Responses were diverse on preferred flavors, although mixing flavors was a common practice. Many users had difficulty estimating the total amount of e-liquid they used within a given period and described an iterative process in which they experimented with different nicotine levels to determine their preferred concentration. Reported frequency of use and puffing behaviors varied greatly between users and also differed from the way traditional cigarettes are smoked. Results...Continue Reading

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Citations

Jun 8, 2017·International Journal of Environmental Research and Public Health·Christine E KistlerAdam O Goldstein
Mar 24, 2017·International Journal of Environmental Research and Public Health·Sarah D KowittAdam O Goldstein
Dec 5, 2016·American Journal of Preventive Medicine·Allison M GlasserAndrea C Villanti
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Oct 27, 2018·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Jessica YingstThomas Eissenberg
Sep 11, 2016·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Hyoshin KimPamela I Clark
Dec 23, 2017·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Megan R TuckerRandolph C Grace
Apr 23, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Shirley A JamesLaura A Beebe
May 28, 2019·Nicotine & Tobacco Research : Official Journal of the Society for Research on Nicotine and Tobacco·Cheryl L PerryMary Ann Pentz
Jan 4, 2020·Journal of Medical Internet Research·My HuaPrue Talbot
May 16, 2020·Tobacco Prevention & Cessation·Jon-Patrick AllemTess Boley Cruz
Oct 30, 2020·Substance Use & Misuse·Jessica YingstAndrea L Hobkirk
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Jan 8, 2021·Current Addiction Reports·Elisa M TruccoJulie V Cristello
Jul 18, 2018·Pediatrics·Catherine B KempMichael P Eriksen

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Software Mentioned

HealthStyles
QSR NVivo

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