Daily users compared to less frequent users find vape as or more satisfying and less dangerous than cigarettes, and are likelier to use non-cig-alike vaping products

We assessed the roles of perceived satisfaction and perceived danger and vaping-product-type as correlates of more frequent use of vaping products. In a baseline assessment of a longitudinal study of US Army Reserve/National Guard Soldiers and their partners (New York State, USA, 2014–2016), participants were asked about current use of vaping products (e-cigarettes) and perceived satisfaction and danger in comparison to cigarettes as well as type of product used. Fisher-exact tests and multiple ordinal logistic regressions were used. In multivariable and univariate models, more perceived satisfaction, less perceived danger, and use of non-cig-alike products were associated with more frequent use of vaping products (ps < 0.05, two-tailed). For self-selected, more frequent adult users, e-cigs can be at least as satisfying as cigarettes and often more satisfying and are perceived as less dangerous than cigarettes. Non-cig-alike products were more likely in daily users. Some concern that e-cigs are a gateway to cigarettes arises from assuming that e-cigs may not be as reinforcing and pleasurable as cigarettes. These results indicate that accurate perception of comparative risk and use of more effective-nicotine delivery product can produce for some users a highly-satisfying alternative to cigarettes.