ArticleAddictive behaviors2026
New versus continued e-cigarette use and cigarette reuptake among US adults who formerly smoked cigarettes.
Article in Addictive behaviors, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundE-cigarette use has been associated with cigarette reuptake after a period of abstinence from cigarette smoking. This study examined how e-cigarette patterns across time (e.g., new versus continued use) contribute to cigarette reuptake among U.S. adults.
methodsAdults (N = 4,511) declaring former cigarette smoking at Wave (W) 6 (2021) of the Population Assessment of Tobacco and Health Study were included. Multivariable logistic regressions examined associations between W6 past 30-day (P30D) e-cigarette use, W7 (2022-2023) P30D e-cigarette use, and W7 P30D cigarette reuptake, as well as the interaction between W6 and W7 P30D e-cigarette use on W7 P30D cigarette reuptake.
resultsAmong adults with former cigarette smoking at W6, 11.4% had P30D cigarette reuptake at W7. P30D cigarette reuptake was lowest among those who did not use e-cigarettes at both waves (4.9%) compared to respondents with e-cigarette use at one or both waves (range 16.4-34.5%). Adults with new e-cigarette use at W7 (i.e., no W6 e-cigarette use) had higher odds of P30D cigarette reuptake (AOR = 3.68; 95% CI = 2.34, 5.79) compared to those with no e-cigarette use at either wave. No significant difference was found between adults with e-cigarette use at both waves and no e-cigarette use at either wave on P30D cigarette reuptake.
conclusionsP30D cigarette reuptake was lowest among those who did not use e-cigarettes at all. Initiating e-cigarette use was associated with P30D cigarette reuptake whereas continued e-cigarette use over 1-2 years was not. Relapse prevention programs for those who have quit smoking may be enhanced by research that builds on these findings.
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