ArticleTobacco control2019
Dual use of electronic nicotine delivery systems (ENDS) and smoked tobacco: a qualitative analysis.
Article in Tobacco control, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.
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Who cites it
46 citing papers in PubMed.
- Effects of modified risk tobacco product claims on consumer comprehension and risk perceptions of IQOS.Tobacco control · 2022Trial
- Reductions in biomarkers of exposure to selected harmful and potentially harmful constituents following exclusive and partial switching from combustible cigarettes to mybluInternal and emergency medicine · 2022Trial
- Cardiovascular Effects of Switching From Tobacco Cigarettes to Electronic Cigarettes.Journal of the American College of Cardiology · 2019Trial
- IQOSInternational journal of environmental research and public health · 2018Trial
- Novel nicotine and tobacco products in pediatric age: a joint position paper.Italian journal of pediatrics · 2025Review
- Examining Electronic Nicotine Delivery System (ENDS) Cue Reactivity Using a Remote Platform: Cigarette and ENDS Desire in Dual Users.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025Article
- Sex-specific associations of cigarettes and e-cigarettes use with self-reported premature atherosclerotic cardiovascular disease among adults aged 18-54 in the United States.Preventive medicine · 2025Article
- Day-level correlates of nicotine and cannabis vaping among young adults in the United States.Addictive behaviors · 2024Article
- Patterns of poly tobacco use among adults in the Population Assessment of Tobacco and Health (PATH) study, 2013-2017: a multistate Markov transition analysis.Tobacco control · 2024Article
- An Evaluation of the Contextual Factors Associated With the Use of Either Tobacco or Electronic Cigarettes in Individuals Who Dual Use.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2024Article
- Examining longitudinal associations between initial perceptions and experiences with electronic nicotine delivery system (ENDS) use and use patterns among adults who smoke and recently initiated ENDS.Tobacco induced diseases · 2024Article
- Understanding college students' experiences using e-cigarettes and marijuana through qualitative interviews.Journal of American college health : J of ACH · 2023Article
- Varenicline for smoking cessation in individuals who smoke cigarettes and use electronic cigarettes: a double-blind, randomised, placebo-controlled phase 3 trial.EClinicalMedicine · 2023Article
- The smoking and vaping model, A user-friendly model for examining the country-specific impact of nicotine VAPING product use: application to Germany.BMC public health · 2023Article
- Electronic Nicotine Delivery Systems (ENDS) use Among Members of a Community Engagement Program.Journal of community health · 2023Article
- A Qualitative Analysis of the Experiences of People Who Resumed Smoking Following Exclusive Electronic Nicotine Delivery Systems Use.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023Article
- The Australia Smoking and Vaping Model: The Potential Impact of Increasing Access to Nicotine Vaping Products.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2023Article
- JUUL preference among Korean adult tobacco users and its effect on attempts to quit tobacco: A follow-up survey four months post JUUL launch.Tobacco induced diseases · 2023Article
- An examination of the social perceptions and vaping preferences of young electronic nicotine delivery system users.Frontiers in public health · 2023Article
- Dual Use of Combustible Cigarettes and E-cigarettes: a Narrative Review of Current Evidence.Current addiction reports · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionElectronic nicotine delivery systems (ENDS) arguably pose fewer health risks than smoking, yet many smokers adopt ENDS without fully relinquishing smoking. Known as 'dual use', this practice is widespread and compromises the health benefits that ENDS may offer. To date, few studies have explored how dual use practices arise and manifest.
methodsWe conducted in-depth, semi-structured interviews with 20 current ENDS users from New Zealand who reported smoking tobacco at least once a month. We explored participants' smoking history, their recent and current smoking, trial, uptake and patterns of ENDS use, and future smoking and vaping intentions. We managed the data using NVivo V.11 and used a thematic analysis approach to interpret the transcripts.
resultsDual use practices among participants evolved in four ways. First, as an attempt to manage the 'inauthenticity' of vaping relative to smoking and to retain meaningful rituals. Second, as complex rationalisations that framed decreased tobacco use, rather than smoking cessation, as 'success'. Third, as a means of alleviating the financial burden smoking imposed and to circumvent smoke-free policies. Lastly, dual use reflected attempts to comply with social group norms and manage stigma.
conclusionsDual use reflects both social and physical cues. It assisted participants to navigate smoking restrictions and allowed them to manage divergent norms. Policies that discourage smoking, particularly excise tax increases on smoked tobacco and smoke-free space restrictions, appear important in prompting ENDS use. Future research could explore whether these policies also help foster complete transition from smoking to exclusive ENDS use.
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