Bold Krysten W, Kong Grace, Morean Meghan E, Sharma Akshika, Courtney William, Li Wei, Davis Danielle R, Camenga Deepa, Ouellette Rachel, Krishnan-Sarin Suchitra
Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut.
Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut.
J Adolesc Health. 2025 Feb 20. doi: 10.1016/j.jadohealth.2025.01.004.
Understanding youth experiences quitting vaping is important for informing youth-focused e-cigarette cessation interventions to improve public health. This study aims to examine reasons for quitting/reducing vaping and associations with quitting outcomes.
We surveyed high school students in Connecticut in 2022 using a brief, anonymous online questionnaire assessing e-cigarette use. Adolescents (N = 756; mean age = 15.9, SD = 1.2) who reported lifetime e-cigarette use answered questions about previous experiences trying to quit or reduce vaping, including reasons for quitting/reducing and quitting outcomes.
Among adolescents who had ever vaped, 56.8% only vaped a few times and did not continue, while 32.2% reported seriously trying to quit or reduce vaping. Common reasons for quitting/reducing vaping included concerns about health (50.2%), addiction (45.5%), and cost (42.5%). Additional reasons cited were impacting ability to play sports (30.0%), spending too much time vaping (23.2%), and resetting tolerance (21.5%). Among those who tried to quit, 40.3% reported they were successful, 39.6% reported continuing vaping, and 20.1% reported quitting vaping but using other nicotine/tobacco products (e.g., cigarettes, cigarillos, blunts, nicotine pouches). Quitting due to influence of friends was associated with success quitting (vs. still vaping or using other nicotine/tobacco products, p ≤ .02), while quitting due to punishment (e.g., suspension) or losing e-cigarette access temporarily (e.g., family vacation) were associated with continued vaping (p ≤ .03).
Adolescents endorse many reasons for quitting or reducing vaping that may help inform e-cigarette interventions. Interventions should consider encouraging cessation of all nicotine/tobacco products while leveraging peer support strategies and minimizing punitive measures to support quitting.
了解青少年戒烟经历对于为以青少年为重点的电子烟戒烟干预措施提供信息以改善公众健康至关重要。本研究旨在探讨戒烟/减少电子烟使用的原因以及与戒烟结果的关联。
2022年，我们使用一份简短的匿名在线问卷对康涅狄格州的高中生进行了调查，该问卷评估电子烟使用情况。报告有过电子烟使用经历的青少年（N = 756；平均年龄 = 15.9，标准差 = 1.2）回答了有关之前尝试戒烟或减少电子烟使用经历的问题，包括戒烟/减少使用的原因和戒烟结果。
在曾经使用过电子烟的青少年中，56.8%只使用过几次且没有继续使用，而32.2%报告曾认真尝试戒烟或减少电子烟使用。戒烟/减少电子烟使用的常见原因包括对健康的担忧（50.2%）、成瘾（45.5%）和成本（42.5%）。其他提到的原因包括影响运动能力（30.0%）、花费太多时间使用电子烟（23.2%）和重置耐受性（21.5%）。在那些尝试戒烟的人中，40.3%报告他们成功了，39.6%报告继续使用电子烟，20.1%报告戒掉了电子烟但使用其他尼古丁/烟草产品（如香烟、小雪茄、大麻烟、尼古丁袋）。因朋友影响而戒烟与成功戒烟相关（与仍在使用电子烟或使用其他尼古丁/烟草产品相比，p≤0.02），而因惩罚（如停学）或暂时失去电子烟使用机会（如家庭度假）而戒烟与继续使用电子烟相关（p≤0.03）。
青少年认可许多戒烟或减少电子烟使用的原因，这可能有助于为电子烟干预措施提供信息。干预措施应考虑鼓励停止使用所有尼古丁/烟草产品，同时利用同伴支持策略并尽量减少惩罚措施以支持戒烟。
