Published: Sat, February 02, 2019
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Cigarettes Can Help Smokers Quit When Accompanied By Behavioral Support

Cigarettes Can Help Smokers Quit When Accompanied By Behavioral Support

"It does not support the unlimited availability of e-cigarettes".

It has been one of the most pressing unanswered questions in public health: Do e-cigarettes actually help smokers quit? Last year, an influential panel of US experts concluded there was only "limited evidence" of their effectiveness.

They were randomly given either a nicotine replacement treatment of their choice, or an e-cigarette starter pack with one or two refill bottles.

According to the study, after one year, 18 percent of e-cigarette users had stopped smoking while only 9.9 percent of participants were able to quit with the other cessation products.

Queen Mary University of London, which conducted the study at NHS centres in London, Leicestershire and East Sussex, said the.

The study was more rigorous than previous ones, which largely surveyed smokers about e-cigarette use. Those chemicals haven't been tested for inhalation safety, said senior co-author Joseph Allen, assistant professor of exposure assessment science at Harvard.

The problem with translating drug research to a consumer product like e-cigarettes is that the strict protocols of a drug trial (all participants use a certain drug at a certain dose and interval) may not translate to products that succeed by offering a wide range of possibilities to users. Participants were responsible for buying follow-up supplies.

Only 10 per cent of those who tried nicotine patches, gum or sprays managed to quit - along with just three per cent of those who attempted to give up smoking unaided. They also received four weeks of anti-smoking counseling.

The treatment groups also recorded their side effects.

No other product has ever shown such potential to be a gateway for smoking, the researchers concluded. These effects were mostly mild. The American Cancer Society took a similar position a year ago.


Findings from the nationally representative study, published online in JAMA Network Open, add to the growing evidence linking e-cigarette use to an increased risk for initiating cigarette smoking among youth, especially among low-risk teens. Vaping (or NRT use) after quitting may prevent an ex-smoker from reaching for a cigarette later.

A major trial involving nearly 900 smokers found that 18% of e-cigarette users had abandoned their habit after a year.

"In our study, smokers used e-cigarettes much like other nicotine replacement treatments".

That might not seem like a huge success rate, but it's notoriously hard to quit smoking. Winning such an endorsement would require large studies that can take years and cost millions of dollars. These devices now often have more nicotine and come in a more convenient form than the first-generation vaping devices. "If there are increases in adult use, will that increase use further by children and young adults?" It showed teenage use surged 78 percent between 2017 and 2018.

'It provides the clearest indication yet that e-cigarettes are probably more effective than products such as nicotine gum and patches'.

But Jordt noted that newer devices like the Juul pod have only recently arrived in the UK.

Cigarette use at wave 3 was higher among prior e-cigarette users (20.5%) compared with youths with no prior tobacco use (3.8%).

Because the PATH study data was observational, the researchers admitted their analysis is unable to "establish causal relations or rule out the possibility of residual confounding by underlying risk-taking propensities". "One reason is that there are over 400 brands of e-cigarettes and they vary substantially". "There is substantial evidence that they are less harmful than traditional cigarettes, but that doesn't mean they are not harmful".

"I tried it for a whole month, but it just wasn't doing it for me", said Armitage, an audio-visual technician in Washington.

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