A Comparison of E-Cigarette Use Patterns and Smoking Cessation Behavior among Vapers by Primary Place of Purchase
A Comparison of E-Cigarette Use Patterns and Smoking Cessation Behavior among Vapers by Primary Place of Purchase
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DOI：
10.3390/ijerph16050724
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发表时间：
2019-03-01
影响因子：
--
通讯作者：
Zhu, Shu-Hong
中科院分区：
文献类型：
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作者：
Hsu, Greta;Gamst, Anthony C.;Zhu, Shu-Hong
背景：电子烟可以通过多种渠道购买，包括普通零售、在线以及专业烟雾和电子烟商店。我们研究了电子烟使用者的主要购买地点与电子烟使用和戒烟行为的关系。研究方法：在2014年（N = 879）和2016年（N = 743）对目前使用电子烟的美国人口进行了基于概率的样本调查，大多数分析都结合了回答。电子烟使用和戒烟行为在用户的主要购买地点进行了比较。结果如下：与零售（19.7%）和烟店（23.2%）客户相比，vape商店（59.1%）和互联网（42.9%）客户目前每天使用电子烟的比例更高（p值< 0.001）。电子烟商店（40.2%）和互联网（35.1%）的顾客也是前吸烟者，而零售店和吸烟店的顾客分别为17.7%和19.3%（p < 0.001）。在调查前12个月吸烟的人中，电子烟商店（22.2%）和互联网客户（22.5%）的戒烟率高于零售客户（10.7%，p = 0.010和p = 0.022，分别），尽管零售客户更有可能使用FDA批准的戒烟辅助工具。从电子烟商店购买的客户比例从2014年的20.4%增加到2016年的37.6%，超过了一般零售（27.7%），成为2016年最有可能的渠道。结论：电子烟消费者在购买渠道上存在显著差异，最明显的是他们的戒烟行为。以前的人口研究主要依赖于零售渠道数据，到2016年，零售渠道占所有销售产品的比例不到30%。未来对电子烟使用的研究应该考虑更广泛的渠道。
Background: E-cigarettes are purchased through multiple channels, including general retail, online, and specialty smoke and vape shops. We examine how e-cigarette users' primary purchase place relates to e-cigarette use and smoking cessation behaviors. Methods: Probability-based samples of the U.S. population who were current e-cigarette users were surveyed in 2014 (N = 879) and 2016 (N = 743), with responses combined for most analyses. E-cigarette use and smoking cessation behaviors were compared across users' primary purchase place. Results: Higher percentages of vape shop (59.1%) and internet (42.9%) customers were current daily users of e-cigarettes compared to retail (19.7%) and smoke shop (23.2%) customers (p-values < 0.001). Higher percentages of vape shop (40.2%) and internet (35.1%) customers were also former smokers, compared to 17.7% of retail and 19.3% of smoke shop customers (p's < 0.001). Among those smoking 12 months prior to survey, smoking cessation rates were higher for vape shop (22.2%) and internet customers (22.5%) than for retail customers (10.7%, p = 0.010 and p = 0.022, respectively), even though retail customers were more likely to use FDA-approved smoking cessation aids. The percentage of customers purchasing from vape shops increased from 20.4% in 2014 to 37.6% in 2016, surpassing general retail (27.7%) as the most likely channel in 2016. Conclusions: E-cigarette customers differed in significant ways by channels of purchase, most notably in their smoking cessation behaviors. Previous population studies have relied mostly on retail channel data, which accounted for less than 30% of all products sold by 2016. Future studies of e-cigarette use should consider a broader set of channels.