ArticleDrug and alcohol dependence2025
Use of multiple devices among U.S. adults frequently using ENDS in 2023.
Article in Drug and alcohol dependence, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
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.
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Who cites it
2 citing papers in PubMed.
- DNA recovery and STR profiling from heated tobacco sticks for forensic personal identification.Forensic science, medicine, and pathology · 2026Article
- Public health impact of disposable electronic cigarettes since 2021: a scoping review.Frontiers in public health · 2026Article
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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundStudies on electronic nicotine delivery systems (ENDS) often report data on the use of one device. However, people who use ENDS may use more than one device. Little is known about the prevalence of multiple device use among adults.
methods1290 U.S. adults (21 +) using ENDS 5 + days/week completed the Wave 5 (February-April 2023) VAPER study survey, reported their device usage, and submitted photos of their most used ENDS device and liquid. We examined multiple device use and its association with cigarette smoking status, co-use of multiple substances, and characteristics of participants' most commonly used device and liquid using Rao-Scott chi-square tests and ANOVAs.
results45.3 % of participants used multiple devices (two 27.9 %, three 12.7 %, four+ 4.7 %). Compared to single device use, participants who used multiple devices were more likely to currently smoke cigarettes (two 32.5 % vs. three+ 44.0 % vs. one 22.4 %, p < 0.0001), use multiple nicotine products and cannabis in the past 30 days (two 28.3 % vs. three+ 37.4 % vs. one 17.7 %, p < 0.0001), use disposable devices (salt, no adjustable settings) (two 44.3 % vs. three+ 56.5 % vs. one 20.4 %, p < 0.0001) and nicotine salt liquid (two 70.2 % vs. three+ 77.3 % vs. one 58.9 %, p < 0.0001).
conclusionsAbout half of adults frequently using ENDS used more than one device. Multiple device use was associated with current cigarette smoking, multiple substance use, and use of disposable devices as their most commonly used ENDS. Understanding multiple ENDS device use can help contextualize real-world use and inform potential benefits and unintended consequences of future regulations.
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