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Study: E-cigarettes are no better than alternative aids to quit smoking

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hiraethified
Thought this may be of interest to the urban smokers who want to quit

People who use e-cigarettes to help them stop smoking are no more likely to be abstinent a year later than those who use alternative aids or nothing at all. These individuals are also more likely to remain dependent on nicotine.

That’s what John Pierce at the University of California, San Diego, and his colleagues found when they assessed attempts to quit smoking by thousands of people in the US. But the findings don’t necessarily mean that e-cigarettes won’t help some people quit, argue researchers who weren’t involved in the work.

Pierce and his colleagues assessed data collected as part of a study that has recruited around 49,000 people across the US. In one piece of research, the team looked at the outcomes of 32,320 adults who were asked about their use of tobacco products. A year later, each person was asked if they had attempted to quit smoking, the methods they had used and whether they had been successful. The following year, they were asked whether they had remained abstinent for 12 months or more.


Of the 9021 people who initially said they smoked on a daily basis, 2770 had attempted to quit. Around 24 per cent used e-cigarettes as a cessation aid, while about 19 per cent used other aids, such as clinically approved drugs and other nicotine replacement therapies, like patches, sprays and lozenges. The remainder of the group didn’t use any products.

But the choice of product didn’t seem to make a difference to how successful their attempt to quit was. Only around 10 per cent of people managed to stay abstinent from tobacco products for 12 or more months by the end of the period, regardless of whether they had used e-cigarettes, other products or nothing at all. Around 82 per cent of those who had attempted to quit were still smoking by the end of the study period.
 
I smoked e-fags for a lot more than a year before I tried to give them up completely. When I did give them up it was easier than any attempt at giving up analogue fags had been.

I think for a lot of people they're an alternative to giving up rather than a route to abstinence anyway. And that's fair enough really. I don't think they're harmless and I wish inconsiderate twats would stop letting off massive clouds of the stuff in public places but it's still vastly preferable from almost every angle to actually burning stuff and inhaling the smoke.

Btw, three and a half years no nicotine now :cool:
 
i still get the nicotine im addicted to but now its much much cheaper, doesnt stink and my prescription for ventolin went from two inhalers a month to none in years. although giving up welding at the same time also helped with the lungs.
 
Anecdotal, but I quit smoking about 5 years ago for vaping and haven't smoked a cigarette since. I am however quite attached to my vape though I can now go longer and longer without it.
 
From observing various people, I * reckon that e-fags help them cut down on the nicotine, if nothing else.

[ * speaking as a smug git who has never smoked]
 
Totally get this. My E-Cig is just a new method of me getting nicotine into my system. I'm completely addicted to it now.

But at least I haven't got the smokers cough, stale fag smell everywhere, shortness of breath and empty wallet that characterised proper smoking.

This. However I have cut my nicotene down to 3mg and am becoming very aware of habit v. addiction
 
This. However I have cut my nicotene down to 3mg and am becoming very aware of habit v. addiction
I tried cutting down from 18 to 6. Didn't go well. I was vaping a lot more. Have switched back. I was only on 18 cos they outlawed anything stronger. Found that tricky at first. :D

Having quit before and found it hell, and only to start smoking again later, I found switching to vaping relatively painless and there is no chance I would ever go back to smoking. Whether or not I have 'quit' depends on your definitions. I've quit smoking. I very definitely have not quit nicotine.

Whatever the long-term damage of vaping may be, my all-round cardiovascular and respiratory health in the here and now were much improved by switching to vaping. And of course it saves me a fortune. I was astonished how much a 30g pack of backy costs when I found out recently.
 
Totally get this. My E-Cig is just a new method of me getting nicotine into my system. I'm completely addicted to it now.

But at least I haven't got the smokers cough, stale fag smell everywhere, shortness of breath and empty wallet that characterised proper smoking.
Plus, if you're standing at a bus stop in the rain, an e-cig is a lot easier than rolling up and getting it to light.
 
Plus, if you're standing at a bus stop in the rain, an e-cig is a lot easier than rolling up and getting it to light.
tbf the part involving rolling the fag was something I missed at first. Doing it successfully in the rain/wind/a tornado, etc, was just part of the challenge. It is never so bad that you can't roll yourself a fag.

Of course then you would light it and the bus would come.
 
Totally get this. My E-Cig is just a new method of me getting nicotine into my system. I'm completely addicted to it now.

But at least I haven't got the smokers cough, stale fag smell everywhere, shortness of breath and empty wallet that characterised proper smoking.
This is me too except fags are dirt cheap here and e-cigs not :mad:
 
This is me too except fags are dirt cheap here and e-cigs not :mad:
Are they much of a thing in China? Invented there, I believe. I was surprised to find it really isn't a thing in Japan. A few people use those machines with the fag-like insert, but virtually nobody does regular vaping.
 
Are they much of a thing in China? Invented there, I believe. I was surprised to find it really isn't a thing in Japan. A few people use those machines with the fag-like insert, but virtually nobody does regular vaping.
I'm not really out and about in town enough to say any more, though when I am certainly see them about and there's a shop right by where the wife does a market near a fairly fancy new development. I'm right out in the sticks where it's still fags all round. They banned online sales of them last year as they worried about the youth market so I suppose that must have been enough of a thing.
 
As for the study, I'm slightly surprised by the results. I had expected more people to have switched but not given up vaping. However, other things need to be factored in, such as the laws re vaping in the places the participants live. For instance, in many bits of the US, vaping is restricted in exactly the same way as smoking. That's going to make vaping less attractive as an option than in places with different attitudes.

That said, the article doesn't give all the information I'd want in order to judge that.

But the choice of product didn’t seem to make a difference to how successful their attempt to quit was. Only around 10 per cent of people managed to stay abstinent from tobacco products for 12 or more months by the end of the period, regardless of whether they had used e-cigarettes, other products or nothing at all. Around 82 per cent of those who had attempted to quit were still smoking by the end of the study period.

Ok, so similar proportions off tobacco products entirely. But who are the missing 8 per cent here who weren't smoking 12 months later but were still using tobacco products? Are they mostly vapers? My guess is that they would be, but we're not told, and if that is the case, then I'd call that a minor success for vaping.
 
Are they much of a thing in China? Invented there, I believe. I was surprised to find it really isn't a thing in Japan. A few people use those machines with the fag-like insert, but virtually nobody does regular vaping.
Last time I was there ( a few years ago now) they were very much out of fashion and the big thing was special clay-looking filters that you smoke your fag through. There was an ad on tv where cigarette smoke from a normal cigarette were pumped through loaves of bread and the filtered one was still white. Pretty sure it was bollocks though.

Worst thing in China was the price of rolling baccy and when you could get hold of any there was no guarantee you could get rizzla. We used to roll joints with the really thin paper they use to practise writing on.
 
I remember the early days of e-cigs when you had to buy all the stuff from Chinese websites, and it definitely seemed like they were marketed as the posh, sophisticated, high-tech way to smoke, not like dirty pleb fags. It doesn't surprise me that things have gone the other way though.
 
Worst thing in China was the price of rolling baccy and when you could get hold of any there was no guarantee you could get rizzla. We used to roll joints with the really thin paper they use to practise writing on.
I found a place that did fake Golden Virginia 50RMB for 50g which was a good deal and had papers too. Christ knows what filth was in the baccy but i found real GV too feeble after that.
 
tbf the part involving rolling the fag was something I missed at first. Doing it successfully in the rain/wind/a tornado, etc, was just part of the challenge. It is never so bad that you can't roll yourself a fag.

Of course then you would light it and the bus would come.
Haha, yes! It is a truth universally acknowledged. I have sometimes done it deliberately, perhaps after chatting with an equally wet and sad would-be passenger. "Hah, now! I know the magical way to make a bus come along". I think it doesn't work so well when you do it on purpose, though. :(
 
Haha, yes! It is a truth universally acknowledged. I have sometimes done it deliberately, perhaps after chatting with an equally wet and sad would-be passenger. "Hah, now! I know the magical way to make a bus come along". I think it doesn't work so well when you do it on purpose, though. :(
No you have to genuinely want the fag. :D
 
Used to be a fairly reliable way of creating the sort of goalmouth incident where you want to throw your hands in the air at non-league games where you could smoke too.
 
No you have to genuinely want the fag. :D
A very annoying thing a few months ago was when I was waiting for yet another delayed bus and a woman nearby lit up a real fag and it smelled wonderful. I was SO tempted to ask her to let me have one and I would certainly pay for it, but only didn't, because in that situation, you always just give someone the fag and refuse any money, so I would have felt like an annoying beggar.
 
I've been vaping for probably 4 years now, I started at a high MG level and am now down to 3mg. I have bought some zero mg liquids but have avoided trying them so far.

I tell myself I am not hooked, I can go 4 hours without it, but I seem always to continue. Shrugs.
 
I'm down to 3 mg on the vape now too, but use 4 mg nicotine gum when I'm out and about because big clouds of vapor from my lungs seems antisocial in these pandemic times. It's really noticeable to me how much less addicted to nicotine I am now. The urge to punch people in the face if I went for more than an hour without is pretty much gone.
 
Now that nicotine salts are becoming more common in e-liquids, I expect this picture will get worse in terms of general addiction levels, though hopefully not in terms of harm.
 
Vaping is basically the only category of drug we actually have a hard reduction based approach. Most other countries have far stricter regulation
 
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