Evidence map›Paper›PMID 26026493›Full record

ArticleDrug and alcohol dependence2015

Comparison of the characteristics of long-term users of electronic cigarettes versus nicotine replacement therapy: A cross-sectional survey of English ex-smokers and current smokers.

Victoria A Nelson, Maciej L Goniewicz, Emma Beard, Jamie Brown, Kate Sheals, Robert West, Lion Shahab

Open access · hybridAbstract readComparative Study
In one paragraph

Article in Drug and alcohol dependence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Regulatory Approaches and Implementation of Minimally Addictive Combusted Products.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2022
    Pooled it
  2. I am what I am: A meta-analysis of the association between substance user identities and substance use-related outcomes.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2021
    Pooled it
  3. Overview of Electronic Nicotine Delivery Systems: A Systematic Review.American journal of preventive medicine · 2017
    Pooled it
  4. Trial
  5. Toxicant and Nicotine Exposure in Pregnant Smokers, Vapers, and Nicotine-Replacement Users: Cross-Sectional Study.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
    Article
  6. Article
  7. Article
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  9. Article
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  11. Article
  12. Review
  13. Electronic cigarettes: what are they and what do they do?Annals of the New York Academy of Sciences · 2017
    Review
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Victoria A NelsonDepartment of Epidemiology and Public Health, University College London, London, UK.
Maciej L GoniewiczDepartment of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY, USA.
Emma BeardDepartment of Clinical, Educational and Health Psychology, University College London, London, UK.
Jamie BrownDepartment of Clinical, Educational and Health Psychology, University College London, London, UK.
Kate ShealsDepartment of Epidemiology and Public Health, University College London, London, UK.
Robert WestDepartment of Epidemiology and Public Health, University College London, London, UK.
Lion ShahabDepartment of Epidemiology and Public Health, University College London, London, UK. Electronic address: lion.shahab@ucl.ac.uk.
University College London · GBRoswell Park Comprehensive Cancer Center · USThe London College · GB

Funding

Cancer Research UK 14135Cancer Research UK 16929Medical Research Council MR/K023195/1
6 · The paper itself

Abstract

backgroundElectronic cigarettes (ECs) and nicotine replacement therapy (NRT) are non-combustible nicotine delivery devices being widely used as a partial or a complete long-term substitute for smoking. Little is known about the characteristics of long-term users, their smoking behaviour, attachment to smoking, experience of nicotine withdrawal symptoms, or their views on these devices. This study aimed to provide preliminary evidence on this and compare users of the different products.

methodsUK participants were recruited from four naturally occurring groups of long-term (≥6 months) users of either EC or NRT who had stopped or continued to smoke (N=36 per group, total N=144). Participants completed a questionnaire assessing socio-demographic and smoking characteristics, nicotine withdrawal symptoms, smoker identity and attitudes towards the products they were using.

resultsAdjusting for relevant confounders, EC use was associated with a stronger smoker identity (Wald X(2)(1)=3.9, p=0.048) and greater product endorsement (Wald X(2)(1)=4.6, p=0.024) than NRT use, irrespective of smoking status. Among ex-smokers, EC users reported less severe mood and physical symptoms (Wald X(2)(1)=6.1, p=0.014) and cravings (Wald X(2)(1)=8.5, p=0.003), higher perceived helpfulness of the product (Wald X(2)(1)=4.8, p=0.028) and lower intentions to stop using the product (Wald X(2)(1)=17.6, p<0.001) than NRT users.

conclusionsCompared with people who use NRT for at least 6 months, those who use EC over that time period appear to have a stronger smoker identity and like their products more. Among long-term users who have stopped smoking, ECs are perceived as more helpful than NRT, appear more effective in controlling withdrawal symptoms and continued use may be more likely.

Indexed as

AdultCross-Sectional StudiesElectronic Nicotine Delivery SystemsEnglandFemaleHumansMaleNicotinePatient SatisfactionSelf-AssessmentSmoking CessationSubstance Withdrawal SyndromeSurveys and QuestionnairesTobacco Use DisorderYoung AdultNicotineElectronic cigarettesHarm reductionIdentityNicotine withdrawalNRT useSmoking cessation

Identifiers

PMID26026493
PMCPMC4528068
OpenAlexW1502168533

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.