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Int. J. Environ. Res. Public Health 2016, 13(7), 661; doi:10.3390/ijerph13070661

How and Why Do Smokers Start Using E-Cigarettes? Qualitative Study of Vapers in London, UK

1
National Addiction Centre, King’s College London, 4 Windsor Walk, London SE5 8BB, UK
2
UK Centre for Tobacco and Alcohol Studies, Nottingham NG5 1PB, UK
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Received: 6 May 2016 / Revised: 21 June 2016 / Accepted: 27 June 2016 / Published: 30 June 2016
View Full-Text   |   Download PDF [288 KB, uploaded 30 June 2016]

Abstract

The aims of the study were to (1) describe how and why smokers start to vape and what products they use; (2) relate findings to the COM-B theory of behaviour change (three conditions are necessary for behaviour change (B): capability (C), opportunity (O), and motivation (M)); and (3) to consider implications for e-cigarette policy research. Semi-structured interviews (n = 30) were conducted in London, UK, with smokers or ex-smokers who were currently using or had used e-cigarettes. E-cigarette initiation (behaviour) was facilitated by: capability (physical capability to use an e-cigarette and psychological capability to understand that using e-cigarettes was less harmful than smoking); opportunity (physical opportunity to access e-cigarettes in shops, at a lower cost than cigarettes, and to vape in “smoke-free” environments, as well as social opportunity to vape with friends and family); and motivation (automatic motivation including curiosity, and reflective motivation, including self-conscious decision-making processes related to perceived health benefits). The application of the COM-B model identified multiple factors that may lead to e-cigarette initiation, including those that could be influenced by policy, such as price relative to cigarettes and use in smoke-free environments. The effects of these policies on initiation should be further investigated along with the possible moderating/mediating effects of social support. View Full-Text
Keywords: electronic cigarettes; smoking cessation; nicotine; cigarettes; COM-B model; behaviour change electronic cigarettes; smoking cessation; nicotine; cigarettes; COM-B model; behaviour change
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Wadsworth, E.; Neale, J.; McNeill, A.; Hitchman, S.C. How and Why Do Smokers Start Using E-Cigarettes? Qualitative Study of Vapers in London, UK. Int. J. Environ. Res. Public Health 2016, 13, 661.

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Int. J. Environ. Res. Public Health EISSN 1660-4601 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
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