A Qualitative Approach to Understanding Real-World Electronic Cigarette Use: Implications for Measurement and Regulation
Year: 2016
Type: article
Abstract: IntroductionAn understanding of the real-world use of electronic cigarettes (ecigarettes) is needed to inform surveillance efforts and future state and federal regulation.This study investigates the behavioral aspects of e-cigarette use. MethodsWe 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. ResultsSeveral 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.Repor-ted frequency of use and puffing behaviors varied greatly between users and also differed from the way traditional cigarettes are smoked. ConclusionResults from this study have implications for developing appropriate survey metrics for e-cigarette surveillance, the regulation of flavorings, and reporting of e-cigarette product constituents.The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions.www.cdc.gov/pcd/issues/2016/15_0502.htm• Centers for Disease Control and Prevention
Source: Preventing Chronic Disease
DOI: 10.5888/pcd13.150502
Institution: The University of Texas at Austin
Language: English
Subfield: Physiology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2232800316