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A comparison of daily versus weekly electronic cigarette users in treatment for substance abuse
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Noah R. Gubner, PhD1,2; Anna Pagano, PhD3; Barbara Tajima, EdM1; Joseph Guydish, PhD1,2
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Prevention Research Center, Pacific Institute for Research and Evaluation (PIRE), Oakland, CA, USA
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Department of Psychiatry and Weill Institute for Neurosciences, University of California, San Francisco, CA, USA
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Philip R. Lee Institute for Health Policy Studies, University of California, San Francisco, CA, USA
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Correspondence:
Noah R. Gubner, Ph.D. University of California, San Francisco 3333 California Street, Suite 265 San Francisco, CA 94118 Phone +1 (415) 514-2952 Email:
[email protected] © The Author 2017. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail:
[email protected].
Abstract Objective: This research examined electronic cigarette (e-cigarette) use by individuals in treatment for substance abuse, a population with a high prevalence of tobacco use and poor smoking cessation outcomes.
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Methods: We surveyed 1127 individuals from 24 substance abuse treatment centers across the United States. Bivariate analyses and logistic regression were used to examine factors associated with daily (N=87) versus weekly (N=81) e-cigarette use.
Results: Among the full sample, 59.8% reported any lifetime use of e-cigarettes, with 23.6% reporting past 30-day use. Daily e-cigarette users were more likely to have used 2nd generation N=165)=11.54,
p=0.001), used more flavors overall (t(168)=2.15,
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tank-type e-cigarettes (Χ2(1,
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p=0.03), and were more likely to report using their e-cigarette continuously throughout the day (Χ2(4,N=168)=16.7, p=0.002) compared to weekly e-cigarette users. Over half (57.7%) of the daily
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and weekly e-cigarette users reported having an e-cigarette device that broke. The logistic
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regression model adjusting for clinic type and days with poor mental health found that daily e-
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cigarette users were significantly more likely than weekly e-cigarette users to be from methadone clinics (AOR=2.40, p=0.04), and former smokers (AOR=6.37, p