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

INTRODUCTION: 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. METHODS: We used qualitative methods to examine salient ch...

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Autores principales: Cooper, Maria, Harrell, Melissa B., Perry, Cheryl L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Centers for Disease Control and Prevention 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4714939/
https://www.ncbi.nlm.nih.gov/pubmed/26766848
http://dx.doi.org/10.5888/pcd13.150502
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author Cooper, Maria
Harrell, Melissa B.
Perry, Cheryl L.
author_facet Cooper, Maria
Harrell, Melissa B.
Perry, Cheryl L.
author_sort Cooper, Maria
collection PubMed
description INTRODUCTION: 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. METHODS: 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. RESULTS: 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. CONCLUSION: Results 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.
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spelling pubmed-47149392016-01-22 A Qualitative Approach to Understanding Real-World Electronic Cigarette Use: Implications for Measurement and Regulation Cooper, Maria Harrell, Melissa B. Perry, Cheryl L. Prev Chronic Dis Original Research INTRODUCTION: 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. METHODS: 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. RESULTS: 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. CONCLUSION: Results 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. Centers for Disease Control and Prevention 2016-01-14 /pmc/articles/PMC4714939/ /pubmed/26766848 http://dx.doi.org/10.5888/pcd13.150502 Text en https://creativecommons.org/licenses/by/4.0/This is a publication of the U.S. Government. This publication is in the public domain and is therefore without copyright. All text from this work may be reprinted freely. Use of these materials should be properly cited.
spellingShingle Original Research
Cooper, Maria
Harrell, Melissa B.
Perry, Cheryl L.
A Qualitative Approach to Understanding Real-World Electronic Cigarette Use: Implications for Measurement and Regulation
title A Qualitative Approach to Understanding Real-World Electronic Cigarette Use: Implications for Measurement and Regulation
title_full A Qualitative Approach to Understanding Real-World Electronic Cigarette Use: Implications for Measurement and Regulation
title_fullStr A Qualitative Approach to Understanding Real-World Electronic Cigarette Use: Implications for Measurement and Regulation
title_full_unstemmed A Qualitative Approach to Understanding Real-World Electronic Cigarette Use: Implications for Measurement and Regulation
title_short A Qualitative Approach to Understanding Real-World Electronic Cigarette Use: Implications for Measurement and Regulation
title_sort qualitative approach to understanding real-world electronic cigarette use: implications for measurement and regulation
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4714939/
https://www.ncbi.nlm.nih.gov/pubmed/26766848
http://dx.doi.org/10.5888/pcd13.150502
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