Evidence map›Paper›PMID 29574448›Full record

ArticleTobacco control2019

E-cigarette initiation and associated changes in smoking cessation and reduction: the Population Assessment of Tobacco and Health Study, 2013-2015.

Kaitlyn M Berry, Lindsay M Reynolds, Jason M Collins, Michael B Siegel, Jessica L Fetterman, Naomi M Hamburg, Aruni Bhatnagar, Emelia J Benjamin, Andrew Stokes

Abstract read
In one paragraph

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 120 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed, 11 pooled it
–field-weighted citation impact
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

120 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  12. Patterns of e-Cigarette Use and Smoking Cessation Outcomes: Secondary Analysis of a Large Randomised Controlled Trial to Inform Clinical Advice.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
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  17. IQOSInternational journal of environmental research and public health · 2018
    Trial
  18. Identifying Key Predictors of Smoking Cessation Success: Text-Based Feature Selection Using a Large Language Model.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2026
    Article
  19. Article
  20. Article

60 more citing papers are in PubMed but not listed here.

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

9 authors.

Kaitlyn M BerryDepartment of Global Health and Center for Global Health and Development, Boston University School of Public Health, Boston, Massachusetts, USA.
Lindsay M ReynoldsDepartment of Epidemiology and Prevention, Wake Forest School of Medicine, Winston-Salem, North Carolina, USA.
Jason M CollinsDepartment of Global Health and Center for Global Health and Development, Boston University School of Public Health, Boston, Massachusetts, USA.
Michael B SiegelDepartment of Community Health Sciences, Boston University School of Public Health, Boston, Massachusetts, USA.
Jessica L FettermanDepartment of Medicine, Boston University School of Medicine, Boston, Massachusetts, USA.
Naomi M HamburgDepartment of Medicine, Boston University School of Medicine, Boston, Massachusetts, USA.
Aruni BhatnagarDepartment of Medicine, University of Louisville, Louisville, Kentucky, USA.
Emelia J BenjaminDepartment of Medicine, Boston University School of Medicine, Boston, Massachusetts, USA.
Andrew StokesDepartment of Global Health and Center for Global Health and Development, Boston University School of Public Health, Boston, Massachusetts, USA.ORCID 0000-0002-8502-3636

Funding

Research Training and Education Core (Core D) P50HL120163 · NHLBI · AMERICAN HEART ASSOCIATION · PI SRIVASTAVA, SANJAY · 2013 to 2017
$20.1M
ConProject-006U54HL120163 · NHLBI · AMERICAN HEART ASSOCIATION · PI BHATNAGAR, ARUNI, ROBERTSON, ROSE MARIE · 2018 to 2022
$18.8M
NHLBI NIH HHS P50 HL120163NHLBI NIH HHS U54 HL120163
6 · The paper itself

Abstract

backgroundThe role of electronic cigarettes (e-cigarettes) in product transitions has been debated.

methodsWe used nationally representative data from the Population Assessment of Tobacco and Health Study waves 1 (2013-2014) and 2 (2014-2015) to investigate the associations between e-cigarette initiation and cigarette cessation/reduction in the USA. We limited the sample to current cigarette smokers aged 25+ years who were not current e-cigarette users at wave 1. We modelled 30-day cigarette cessation and substantial reduction in cigarette consumption as a function of e-cigarette initiation between surveys using multivariable logistic regression.

resultsBetween waves 1 and 2, 6.9% of cigarette smokers who were not current e-cigarette users transitioned to former smokers. After adjusting for covariates, cigarette smokers who initiated e-cigarette use between waves and reported they used e-cigarettes daily at wave 2 had 7.88 (95% CI 4.45 to 13.95) times the odds of 30-day cigarette cessation compared with non-users of e-cigarettes at wave 2. Cigarette smokers who began using e-cigarettes every day and did not achieve cessation had 5.70 (95% CI 3.47 to 9.35) times the odds of reducing their average daily cigarette use by at least 50% between waves 1 and 2 compared with e-cigarette non-users.

conclusionsDaily e-cigarette initiators were more likely to have quit smoking cigarettes or reduced use compared with non-users. However, less frequent e-cigarette use was not associated with cigarette cessation/reduction. These results suggest incorporating frequency of e-cigarette use is important for developing a more thorough understanding of the association between e-cigarette use and cigarette cessation.

Indexed as

Electronic Nicotine Delivery SystemsAdultAgedCigarette SmokingFemaleHumansLogistic ModelsMaleMiddle AgedSmoking CessationSurveys and QuestionnairesUnited StatesVapingcigarette reductione-cigarettee-cigarette initiationelectronic cigaretteENDSPATHpopulation assessment of tobacco and healthproduct transitionssmoking cessationvapevaping

Identifiers

PMID29574448
PMCPMC6317439

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.