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Electronic Cigarettes and Other Alternative Nicotine Products: Positive and Negative...
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Electronic Cigarettes and Other Alternative Nicotine Products: Positive and Negative Impacts

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Behavior, Chronic Disease and Health Promotion".

Deadline for manuscript submissions: closed (30 April 2023) | Viewed by 8916

Special Issue Editor

Prof. Dr. Kenneth Michael Cummings

grade E-Mail Website
Guest Editor
Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA
Interests: tobacco control; smoking cessation; nicotine dependence; tobacco policy research

Special Issue Information

Dear Colleagues,

Currently, an increasing number of alternative nicotine products are becoming available to buy. These products include not only e-cigarettes, but also a new class of oral tobacco-free nicotine products, heated tobacco products, and a new generation of nicotine lozenges, gums, and sticks. Taking e-cigarettes as one example, the net public health outcome depends on who uses these products, whether the products are used to displace cigarettes, and the health risks and benefits of switching compared to cessation without switching, as highlighted in reports by Public Health England and in the National Academies of Sciences, Engineering, and Medicine (NASEM) entitled “Public Health Consequences of E-Cigarettes”.

The appeal of different alternative nicotine products for smokers and nonsmokers remains uncertain but will be a critical factor in evaluating potential net population health benefits. The basic questions to be addressed in this Special Issue of IJERPH relate to the potential of different alternative nicotine products to attract cigarette smokers to use them, the benefits gained from complete and partial substitution, and strategies to ensure these products are primarily used by smokers instead of nonsmokers. Additionally, we are seeking scholarly papers that discuss ways to structure product regulations that would potentially accelerate the decline of smokeable tobacco products.

Prof. Dr. Kenneth Michael Cummings
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • e-cigarettes
  • vaping
  • alternative nicotine products
  • oral tobacco free nicotine products
  • vaporized nicotine
  • heated tobacco products
  • lozenge, gum and stick nicotine products
  • smoking cessation
  • harm reduction
  • tobacco control

Published Papers (3 papers)

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Research

10 pages, 329 KiB  
Article
Are E-Cigarette and Tea Cigarette Gifting Behaviors Associated with Tobacco Use and Failed Quit Attempts in China?
by Huan Zhou, Connie Hoe, Weifang Zhang, Xiaozhao Yang, Mingyan Li and Dan Wu
Int. J. Environ. Res. Public Health 2022, 19(22), 15333; https://doi.org/10.3390/ijerph192215333 - 20 Nov 2022
Cited by 1 | Viewed by 1527
Abstract
This study aims to investigate e-cigarette and tea cigarette gifting in China and their influencing factors, as well as to explore whether they were associated with tobacco use and cessation. Using a multistage sampling design, 1512 household heads from Guangdong and Shaanxi provinces [...] Read more.
This study aims to investigate e-cigarette and tea cigarette gifting in China and their influencing factors, as well as to explore whether they were associated with tobacco use and cessation. Using a multistage sampling design, 1512 household heads from Guangdong and Shaanxi provinces were recruited for the study and filled out an online questionnaire about smoking status, social participation, e-cigarette, and tea cigarette gifting. Results showed that more than 30% and nearly 3% of participants had been gifted tea cigarettes and e-cigarettes, respectively. Marital status, province of residence, smoking status, and social participation were associated with gifting behaviors. Logistic regressions showed that receiving e-cigarettes (OR = 3.43, p < 0.05) and tea cigarettes (OR = 1.70, p < 0.01) were related to tobacco use. Smokers who have received e-cigarettes (OR = 9.85, p < 0.01) and tea cigarettes (OR = 1.92, p < 0.05) were also less likely to quit smoking. Full article
(This article belongs to the Special Issue Electronic Cigarettes and Other Alternative Nicotine Products: Positive and Negative Impacts)
11 pages, 346 KiB  
Article
E-Cigarette Use Is Associated with Increased Psychological Distress among Youth: A Pooled Cross-Sectional Analysis of State-Level Data from 2019 and 2021
by Christopher Cambron
Int. J. Environ. Res. Public Health 2022, 19(18), 11726; https://doi.org/10.3390/ijerph191811726 - 17 Sep 2022
Cited by 5 | Viewed by 4355
Abstract
A crisis of worsening youth mental health in recent years across the United States has created alarm among health professionals. As a result, health professionals have sought to improve methods of identifying youth in need of treatment services. Cigarette, cannabis, and alcohol use [...] Read more.
A crisis of worsening youth mental health in recent years across the United States has created alarm among health professionals. As a result, health professionals have sought to improve methods of identifying youth in need of treatment services. Cigarette, cannabis, and alcohol use each consistently serve as behavioral markers of risk for youth mental health problems. Despite the recent growth of electronic cigarette (e-cigarette) use among youth, few studies have examined whether e-cigarettes follow the same associational pattern with mental health problems in the context of other substance use. Additionally, the COVID-19 pandemic may have altered the associations between youth substance use and mental health problems due to both reduced overall use and increased mental health problems after the onset of the pandemic. The current study examined associations between youth substance use and psychological distress before and after the onset of the COVID-19 pandemic using two state-representative samples of youth in grades 8, 10, and 12 from 2019 (N = 58,689) and 2021 (N = 46,823) from Utah. Pooled cross-sectional linear and negative binomial regression models clustered by grade, stratified by school district, and weighted to represent population characteristics estimated associations between recent e-cigarette, combustible cigarette, cannabis, and heavy alcohol use and two measures of psychological distress—depressive symptoms and mental health treatment needs. After controlling for sociodemographic factors and recent uses of other substances, results indicated that psychological distress increased from 2019 to 2021 and that recent e-cigarette, combustible cigarette, cannabis, and heavy alcohol use were each significantly associated with increased levels on both measures of psychological distress. Compared to other substances, e-cigarette use showed the strongest standardized associations. The association of e-cigarette use with depressive symptoms strengthened significantly from 2019 to 2021. Given the youth mental health crisis paired with the widespread adoption of e-cigarettes, health professionals should consider recent e-cigarette use an increasingly important behavioral marker for risks of mental health problems among youth. Results suggest that future research studies examining the temporal ordering of substance use and mental health among youth should include e-cigarettes. Full article
(This article belongs to the Special Issue Electronic Cigarettes and Other Alternative Nicotine Products: Positive and Negative Impacts)
13 pages, 364 KiB  
Article
Experienced Effects on Well-Being following Smoking Cessation: Findings from the 2020 ITC Four Country Smoking and Vaping Survey
by Lin Li, Ron Borland, Hua-Hie Yong, Shannon Gravely, Geoffrey T. Fong, Kenneth Michael Cummings, Katherine East and Michael Le Grande
Int. J. Environ. Res. Public Health 2022, 19(16), 10037; https://doi.org/10.3390/ijerph191610037 - 15 Aug 2022
Cited by 2 | Viewed by 2172
Abstract
Background and Aims: There has been limited research addressing changes in subjective well-being as a result of quitting smoking. This paper examines recent ex-smokers’ well-being related experiences overall and as a function of (1) duration of cessation and (2) continued nicotine use from [...] Read more.
Background and Aims: There has been limited research addressing changes in subjective well-being as a result of quitting smoking. This paper examines recent ex-smokers’ well-being related experiences overall and as a function of (1) duration of cessation and (2) continued nicotine use from vaping. Methods: A sample of 1379 ever-daily smoking ex-smokers (quit for up to 5 years) from the 2020 ITC Four Country Smoking and Vaping Survey (Australia, Canada, the UK, and the US), of which 27.1% currently vaped daily. Well-being measures were perceived changes post-quitting in emotion coping (stress and negative emotions), enjoyment of life, and day-to-day functioning. We also assessed the level of persisting worry about past smoking leading to future health problems. Results: Overall, among those answering all four well-being measures, 51.8% of the ex-smokers reported positive effects and no negatives, but 27.3% reported at least one negative effect, with the remainder reporting no change in any measure. Positive effects were greater among those who had quit more than 1 year prior. The largest improvement (56.3%) was for daily functioning, which showed improvement over time since having quit. Current daily vapers reported similar well-being as those not vaping; however, fewer daily vapers reported worsening ability to cope with stress (10.2% vs. 20.7%). Overall, 84% reported being worried about future negative health effects of smoking, with no clear differences by quitting duration or vaping status. Conclusions: Most ex-smokers reported changes in their well-being since quitting, with more reporting improvements than declines. Well-being improved with duration of time since quitting, but did not appear to be influenced by daily vaping use, but stress coping may be better among vapers. Persisting worries about possible future health effects from smoking may be reducing the experienced benefits of quitting smoking for some. Full article
(This article belongs to the Special Issue Electronic Cigarettes and Other Alternative Nicotine Products: Positive and Negative Impacts)
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