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E-Cigarettes Linked To Helping People Quit Smoking, Says Study (theverge.com)

According to a new study, electronic cigarettes help people trying to quit smoking. The Verge reports: For the study, published today in the journal BMJ, researchers analyzed survey data from over 160,000 people spanning almost 15 years. They found that smokers who used e-cigs tried to quit smoking more often and succeeded (for at least three months) more often than smokers who didn't use e-cigs. Overall, more people quit in the latest year that data was available -- the 2014 -- 15 year -- than in the 2010 -- 11 year. Today's study didn't address whether e-cigs are luring people who would otherwise be nonsmokers. But it did find that e-cigs do have a role in helping people quit. The researchers looked at several population surveys that cover the years 2001 to 2015. These surveys provided smoking-cessation rates, and the most recent survey, from 2014 to 2015, had information about e-cigarette usage. The results show that 65 percent of e-cigarette users had tried to quit smoking, versus 40 percent of people who smoked but didn't use e-cigs. About 8 percent of e-cig users succeeded in quitting for at least three months, compared to about 5 percent of non-users. Overall, the number of people who quit smoking increased by 1.1 percentage points in 2015 from 2011. This might not seem that impressive, but it still represents about 350,000 people.

33 of 203 comments (clear)

  1. Reduction? by Calydor · · Score: 4, Interesting

    Does the study address whether e-cigs help people seriously reduce, but not quit entirely, smoking normal cigarettes?

    From a family member I can say that getting an e-cig reduced smoking from about a pack a day to two-three cigs a day; certainly an improvement though I have no idea where that would fall in this kind of either-or study. Probably on the "Didn't try quitting" or "Tried and failed" columns.

    --
    -=This sig has nothing to do with my comment. Move along now=-
    1. Re:Reduction? by Mashiki · · Score: 4, Interesting

      It's not in the context of the study. This one measured decline of smoking rates over the sample period(about 18 years), including using data from previous smoking survey's, it's society-wide acceptance and prevalence and attempt to quit before ecigs became a thing as well as the attempt to quit and successfully quitting after they became a thing. There are other studies listed in the annotations section that would cover what you're looking for though.

      What bothers me, not linked to the study are the number of governments outright banning them or applying the same rules as smoking.

      --
      Om, nomnomnom...
    2. Re:Reduction? by MysteriousPreacher · · Score: 5, Insightful

      There's a certain kind of mentality that drives some people to see vaping as just another form of smoking, which they also consider to be evil. It's why we see these attempts at laws, particularly under the "think of the children" banner.

      That these people group vaping in with smoking shows that they really don't care about health. If these things help with smoking cessation, and they don't carry the passive smoking risks, then why are we being told to go stand with the smokers? I'm actually trying to avoid smoking, yet I'm having to go stand in an area that exposes me to the risks of passive smoking.

      Such things are driven by emotion and ideology rather than any serious concern for health.

      --
      -- Using the preview button since 2005
    3. Re:Reduction? by totallyarb · · Score: 3, Insightful

      There's a certain kind of mentality that drives some people to see vaping as just another form of smoking, which they also consider to be evil... Such things are driven by emotion and ideology rather than any serious concern for health.

      Very much this. What you have to bear in mind is that for a lot of people, "it's bad for your health" was the rationalisation for smoking bans, but not the actual reason. For a lot of people (me included) cigarette smoke is unpleasant and annoying. But a complaint on that basis doesn't carry much weight politically, because it can always be answered with "well, go somewhere else where there isn't smoke, then". The smoker and the non-smoker are on an even footing if it's just a matter of annoyance, and complaining about smoking in a bar would be the equivalent about complaining about loud noise in a nightclub. Don't like it? Don't go.

      But if you can make it about health then the arithmetic changes. If your smoking damages my health (in even the most minor way), then obviously that's way more serious than mere annoyance, so suddenly I've got the political clout to force you to stop. [Full disclosure: I actually oppose smoking bans, but the principle is there.]

      So obviously, with e-cigarettes, those who are really motivated by simple dislike of smoking (and who are perhaps somewhat morally dubious) are going to do everything in their power to try to keep eCigs classified like regular cigarettes - which includes trying to drum up any kind of evidence for potential health risks, as well as tenuous "gateway drug" style arguments.

      --
      -- Note to Mods: There is a good reason there's no "-1 Disagree" option. --
    4. Re:Reduction? by asylumx · · Score: 2

      Well, if a person reduces or eliminates cigarette usage, but increases e-cig/vape usage to compensate, have they really quit? I know with e-cigs it's reasonable/possible to reduce the amount of the drug included and they *can* be used to break the addiction, but it's not clear to me how often that actually happens. Also, I know people who had quit smoking, but later took up vaping thinking it's OK because it's 'healthy' -- so any way to consider that new uptake in future research?

    5. Re:Reduction? by arth1 · · Score: 4, Insightful

      There's a certain kind of mentality that drives some people to see vaping as just another form of smoking, which they also consider to be evil. It's why we see these attempts at laws, particularly under the "think of the children" banner.

      I think at least a good part of that is caused by the most visible and obnoxious subset of e-cig users: the cloud chasers. Their goal is to create as big mist clouds as possible, by far exceeding what cigarette smokers do. They deliberately use mixes high in vegetable glycerin, and use low resistance atomizers that increase the amount of mist produced to the maximum.
      And completely ruin it for the ones who go out of their ways to be discreet and get a personal fix so they won't go for a cigarette.

    6. Re:Reduction? by sjames · · Score: 2

      They have certainly quit SMOKING. No more carbon monoxide, tar, other carcinogens, and particulates. Also no more of the MAOIs that are also present in cigarettes (and greatly increase the addictive power of cigarettes).

      They are left with the nicotine which is probably not totally harmless, but is much less harmful AND much less addictive.

      As for those who had quit and then took up vaping, don't forget to count how many would have gone back to smoking otherwise (it's quite common).

    7. Re:Reduction? by Mashiki · · Score: 4, Insightful

      Such things are driven by emotion and ideology rather than any serious concern for health.

      Much like other things, from sex and violence, to video games and literature. What's interesting is just who is pushing for the bans these days. I can't speak for your neck of the woods, but in mine it's the liberal-left(liberal party of ontario), who are pushing the "ecigs are just as bad as cigs, if not worse *insert bogus study here, which was actually a questionnaire and not peer reviewed*." On the flip side, the conservatives see it as a money maker to replace cigarettes and cigars with something far more healthy, but can be taxed at a lower rate. And that gives a two-fold effect. First the revenue would remain the same or increase(ecigs are seen to be far more socially acceptable), but the healthcare costs from smoking would significantly be reduced within 10 years.

      --
      Om, nomnomnom...
    8. Re:Reduction? by arth1 · · Score: 3, Insightful

      No, second hand smoke is proven to be a cause of cancer. I should not be required to increase my risk of cancer to go to a club, simple as that. Your analogy is plain stupid.

      Loud music is also proven to cause hearing loss. People know this, and choose to go to clubs and concerts - or to not go. But nobody seems to cry for a ban of loud music, or use arguments like "I should not be required to increase my risk of hearing loss to go to a club, simple as that".

    9. Re:Reduction? by Oswald+McWeany · · Score: 3, Informative

      " The smoker and the non-smoker are on an even footing if it's just a matter of annoyance, and complaining about smoking in a bar would be the equivalent about complaining about loud noise in a nightclub. Don't like it? Don't go."

      No, second hand smoke is proven to be a cause of cancer. I should not be required to increase my risk of cancer to go to a club, simple as that. Your analogy is plain stupid.

      Cigarettes have probably increased my life expectancy!

      I hated bars and nightclubs when I was a teen/early 20 something, because the smoking bans hadn't fully been implemented yet. I hated smelling like an ash tray.

      As a result, I almost never went, and probably saved myself from adopting a binge drinking habit that so many of my friends of that age got into.

      --
      "That's the way to do it" - Punch
    10. Re:Reduction? by Train0987 · · Score: 2

      Second hand smoke is not "proven" to be a cause of cancer. Not a single study has ever shown that. You made that up.

    11. Re:Reduction? by gnick · · Score: 4, Informative

      ...the vapor cloud is huge and distracting.

      That depends completely on the preferences of the user when selecting an eCig, adjusting settings when available, and selecting fluid. There are ways to make huge clouds (with which some people seem obsessed), but that doesn't have to be the case. It's not difficult to vape very discreetly if that's your motivation. Unfortunately, allowing people to discreetly vape implies inviting the fog machines too.

      --
      He's getting rather old, but he's a good mouse.
    12. Re:Reduction? by Lord+Kano · · Score: 4, Insightful

      There's a certain kind of mentality that drives some people to see vaping as just another form of smoking, which they also consider to be evil. It's why we see these attempts at laws, particularly under the "think of the children" banner.

      That these people group vaping in with smoking shows that they really don't care about health. If these things help with smoking cessation, and they don't carry the passive smoking risks, then why are we being told to go stand with the smokers? I'm actually trying to avoid smoking, yet I'm having to go stand in an area that exposes me to the risks of passive smoking.

      Such things are driven by emotion and ideology rather than any serious concern for health.

      I think that these people got so used to fucking with smokers that they feel cheated by vaping.

      They have been working for 50 years to demonize smoking (and smoking should be demonized) in all facets of life. They've been making great progress. When I was a kid, people could smoke virtually anywhere. People could smoke in hospitals. People could smoke in movie theaters. People could smoke in department stores. People could smoke in supermarkets. Now, people can't smoke in any of those places. There is even talk of prohibiting smoking in private automobiles if children are present. There was even once a proposal that could have forbade smoking in private homes if someone else was there to perform work. Somewhere along the way, it stopped being about health and became about fucking with smokers. It stopped being about demonizing smoking and became about demonizing smokers. People who vape just side-stepped them. People who vape get to continue their enjoyment of nicotine while not making everything stink like smoke.

      They've been feeling smugly superior to smokers for so long that they're now addicted to that feeling and they don't want to give it up yet.

      LK

      --
      "Hi. This is my friend, Jack Shit, and you don't know him." - Lord Kano
    13. Re:Reduction? by Calydor · · Score: 3, Insightful

      Is it better to breathe air with or without car exhaust traces?

      Is it better to drink water with or without added flavors?

      Is it better to have safety or freedom?

      Be very careful what you're advocating for - do YOU want a world where nothing can be done for fun because it is 0.00001% more dangerous than not doing it?

      --
      -=This sig has nothing to do with my comment. Move along now=-
    14. Re:Reduction? by elrous0 · · Score: 4, Insightful

      I think at least a good part of that is caused by the most visible and obnoxious subset of e-cig users: the cloud chasers.

      Yep, there is a HUGE difference between the moderate vapers, many of whom use it as an alternative to smoking, and the hipster cloud-chaser douchebags who feel the need to compete over who can blow the most obnoxiously huge clouds. Sadly, it's the latter who are most visible and most associated with vaping, though they're FAR outnumbered by the less-visible former.

      --
      SJW: Someone who has run out of real oppression, and has to fake it.
    15. Re:Reduction? by WolfWithoutAClause · · Score: 3, Interesting

      I just looked up the formaldehyde thing. Apparently a non dry puff of an e-cigarette contains about a microgram of formaldehyde. But I knew that natural foods also metabolise to formaldehyde, I managed to find a table:

      http://www.cfs.gov.hk/english/...

      So 100g of apple, i.e. roughly an average apple contains ~1mg of formaldehyde; i.e. a thousand times more. Of course you don't inhale apples, but still, so it could be bad for your lungs nevertheless.

      This link suggests that the amount of formaldehyde emitted is probably within established industrial limits over the course of a day, even for the users:

      http://ecigarettereviewed.com/...

      --

      -WolfWithoutAClause

      "Gravity is only a theory, not a fact!"
    16. Re:Reduction? by jellomizer · · Score: 2

      As a non-vaper or smoker. These Cloud Chasers who make themselves so visible, make them appear to be the vaping population.

      --
      If something is so important that you feel the need to post it on the internet... It probably isn't that important.
    17. Re:Reduction? by Mordaximus · · Score: 2

      What you have to bear in mind is that for a lot of people, "it's bad for your health" was the rationalisation for smoking bans, but not the actual reason. For a lot of people (me included) cigarette smoke is unpleasant and annoying.

      To wit: Until Canada in its infinite wisdom banned flavoured tobacco (including pipe tobacco) I was a pipe smoker. As per my usual routine, i would typically smoke as far away from everyone (aside from other smokers) as possible. However, at a family event (prior to the ban) I was actually beckoned to come closer, and join the crowd because they enjoyed it. Heck, I was asked to light up again because everyone missed the aroma.

    18. Re:Reduction? by lgw · · Score: 2

      Freedom is at least as important as health.

      The correct question is: is the second hand effect from people vaping a de minimis effect that we should just put up with, or is it a non-trivial concern? Everything you do harms someone somewhere, in some way. The very idea of freedom requires accepting de minimis harm from everyone else; that's just the trade off.

      The burden of proof is on you to show that another's action will (on average) cause you non-trivial harm before you can make any sort of argument for restricting freedom.

      --
      Socialism: a lie told by totalitarians and believed by fools.
    19. Re:Reduction? by sjames · · Score: 2

      So naturally, you will disable your car radio this instant because of the people with super ears that claim they are bothered by it even when it's at regular volume. Right?

      You will also cease using any sort of scented toiletries, surely.

      Cellphone on vibrate and never answered in public as well, I assume.

  2. Re:Really? by KozmoStevnNaut · · Score: 2

    It's easy to quit, just have a heart attack. My dad had one 15 years ago at the age of 46 that scared him straight, he said he felt the reaper's scythe graze the top of his head. He hasn't touched any tobacco product since.

    --
    Eat the rich.
  3. whole tobacco alkaloids by toucan_mathieu · · Score: 3, Interesting

    8 percent is still an awfully low success rate. personally i tried to quit cigarettes several times with the patch, nicotine gum, and vaping with plain nicotine, but always went back to smoking after about a week. now it's been almost 3 years since i quit for good, and what made the difference was vaping liquid with "whole tobacco alkaloids" (WTA), meaning they add not only nicotine but also 3 other psychoactive compounds from the tobacco. no more cigarette cravings, hundreds of times less toxic than smoking. end of public service announcement.

    1. Re:whole tobacco alkaloids by Anonymous Coward · · Score: 5, Insightful

      I quit a couple of years ago after being an nicotine addict (quite heavy) for about 20 years ... One morning i just stopped..
      I did fail a couple of times due to different circumstances, but it was just a smoke or two while being weak..

      What i learnt from this...
      - First week is terrible.. Try to have everything you need at home, and loads of things to keep you occupied.
      - Patches just prolongs your addiction.. Try to stay away from them... (but we are all different)
      - Stay away from secondhand smoke for the first 2 months or so..... For me it caused big cravings that where really hard to ignore..
      - Stay away from nicotine completely at least for the first 2 years.. A single smoke during this time can make you have another round of cravings.
      - For the first 6 months try to stay away from stress.... At least the one that is continuous for multiple weeks.

      If you tell, and possibly plan for things in advance, most people around you will understand and even help you.. Including your boss..

      But all of this is my own experience from the ordeal.. But i hope it may help others that want to quit too..

      The feeling from waking up in the morning without wanting to have a smoke... And not stressing out because you are out of smokes before going to bed... Or spending 12+ hours on a long flight... Or having thousands of $ extra per year to spend on things i like.. Or the realization when you eat food after a few months and realize that everything tastes more now when your sense of smell and taste has been restored. Or missing to go outside in the middle of the winter just to have smoke..

      Good luck to anyone else that is planning to quit... Remember to plan a bit ahead.. If you fail try to learn from why you failed and jump back on the horse..

       

    2. Re:whole tobacco alkaloids by daniel23 · · Score: 4, Insightful

      I was hunting for that stuff when I started the transition from a moderate long time smoker to vaping. WTA is unavailable in Europe, the best I could find was drinking tea of maracuja flowers (which happen to carry higher levels of some of the alkaloids).
      I did some other things to strengthen my back, like documenting every single day in a huge excell sheet. Sounds anal but it helped me in many weak moments to look at the column of pyro-free days and tell myself I'd have to start new all over if I smoke a cig now.

      Smoking for >42 years. Vaping for 528 days now, with a period of mixed use of just one month. I never thought I could let go of tobacco until I got that box with an usb port that even lets me fiddle with its firmware so I can run an open source firmware on it

      There is a lot of anti vape propaganda around, the government hates me avoiding tobacco taxes, anti-addiction fundamentalists happily join with big tobacco lobbyist to push all sorts of FUD against vaping. The tobacco industry looks at dwindling sales and the anti-addiction evangelists fear for once guaranteed funding.

      The talk of health is just that, talk. If health organisations like the WHO were seriously trying to help reduce the health impact of smoking they would at least research the phenomenon before opposing it. But vaping as a way out of smoking endangers the position of professional tabacco abuse specialists, simply because they are not needed for it and it wasn't their idea. Vaping emerged in a grass root way, uncontrolled by institutions or corporations and the opponents of vaping agree that this is unacceptable.

      --
      605413? Yes, it's a prime.
    3. Re:whole tobacco alkaloids by daniel23 · · Score: 2

      details regarding the 'missing' alkaloids:
      https://www.e-cigarette-forum....
      https://www.e-cigarette-forum....

      --
      605413? Yes, it's a prime.
  4. Re:BS by beerbear · · Score: 4, Informative

    In fact, it was shown that simply saying it was shown does not carry a lot of weight around here.

    --
    Hold my beer and watch this!
  5. You don't ever NEED a cigarette by davide+marney · · Score: 4, Interesting

    Long-time smoker here, smoked for 30 years, quit over a period of a year, and for 30 more years have never once ever wanted to smoke a cigarette again.

    The key is this: you never, ever "need" to smoke. In fact, just the opposite, you have to force your body to accept smoking. Just remember how sick you got at the beginning. That's how much your normal body doesn't like smoke. It's an irritant! What kind of crazy logic is it to intentionally breathe in smoke?

    I sat down 30 years ago and made a list of all the pros and cons of smoking. Honestly, there are a lot of things on both sides of that list, it surprised me. But when you net it out, what remains is this: all that smoking gives you is the desire to have another cigarette.

    In other words, it's a cheat. I try to not do stupid things. Cheating yourself is colossally stupid.

    Go cold turkey. Forget about walking up to it, attack it head-on. It took me three attempts, each one much easier to maintain than the last.

    You can do this. Your body will thank you.

    --
    "We receive as friendly that which agrees with, we resist with dislike that which opposes us" - Faraday
  6. My success... by beheaderaswp · · Score: 3, Interesting

    I had my last cigarette June 5th 2010. That's when I started "vaping" with the very primitive equipment available then.

    It wasn't easy. Cigarettes create a cross addiction not only to nicotine, but to at least 4 chemicals in the smoke which are MAOI inhibitors (anti-depressants). So as a 30 year smoker I did have withdrawals, but not nearly as bad and quitting cold turkey.

    I tried all the alternatives... Chantix cause major health problems.... Welbutrin made me manic.... Celexa put me in a state of mind where if not careful my behavior could be more reckless than my normal measured self. Patches and gums worked- but only if I were willing to use them to the point of nicotine overdose. Cold turkey was a no go.... roughly 10 attempts were made... impossible for me.

    That being said vaping is not a vitamin. It delivers nicotine. And it's addictive. It's not a good thing.

    But if you are trapped by tobacco and willing to work at it- it can be a good thing. For smokers trapped by the habit only.

    Anyone else who is into vaping for "sport" or "cool factor" are just fools.

    --
    Another consultant who stuck it out.

    "We are the Priests, of the Temples of Syrinx..."
    1. Re:My success... by Orgasmatron · · Score: 3, Insightful

      Once upon a time, I read pretty much every post made on ECF. Between that and me talking to other people, I think I've heard over 1000 stories from people who have quit, or tried to quit, or intend to keep smoking after exposure to electronic cigarettes. I have come to the conclusion that different people have different levels to tendency towards addiction to the other alkyloids.

      The short version is that personal anecdotes don't necessarily apply to you.

      If someone is not at all addictable by other alkyloids, they pick up an e-cigarette one day, and never smoke again. Which is fantastic for them, but when they generalize that to everyone, they can cause a lot of harm. (note to beheaderaswp, I'm not accusing you of this - your post just seemed like the logical place to post this) Genetically thin people have a similar problem - they ascribe their thinness to some imaginary moral virtue and then berate others for not exercising this virtue they think they have.

      Different people have different tendencies to gain weight. Some stay thin no matter what they do. Some people are OK as long as their eating isn't completely stupid. Other people need to be very active and careful about controlling their diet if they want to stay thin. Similar thing to smoking addiction - some people just aren't wired for it, some people will get addicted, but can quit without too much difficulty, and some people, once exposed, will not be able to live a normal life without it ever again. And there is a diverse range in between the extremes.

      So, if a personal anecdote doesn't apply to you, what then? The good news is that there are a LOT of anecdotes out there. Read enough of them and you'll come up with something that has a good chance to work for you. The other good news is that this is still young, barely out of infancy. If your solution doesn't exist yet, it probably will soon.

      My general advice, based on my own experiences, and what I've distilled from the stories of hundreds of others is this: Try an electronic cigarette. If it works and you don't need to smoke any more - great. If you still smoke, try a gradual reduction. If that works - great. If you can't get to zero gradually, try snus when you feel weakest. If that works - great. As far as I can tell, the majority of people are done by the time we get here, and we are on the edge of the current knowledge. At this point, people branch out. Some live their lives with ecigs + snus. Some live with ecigs + a few cigarettes a day. Some are pushing the envelope with exotic vaping fluids. And, sadly, some give up and just go back to smoking.

      Personally, I'm down from ~2 packs a day to 2-4 cigarettes on weekdays, 4-6/day on weekends and sometimes more when I'm driving a lot or working in the garage. And I'm OK with that for now, since I know that I can sustain it for years at a time. I've used snus to reduce down to zero before, but that state is fragile for me - very easy to end back up at 2 packs a day from there.

      --
      See that "Preview" button?
  7. Selection Bias? by pr0t0 · · Score: 2, Insightful

    It seems to me that people who are using e-cigarettes are already unhappy with some aspect of smoking already. Be it cost, health, convenience, or something else, something drove them away from traditional cigarettes to e-cigs. If they were committed enough to make that change and stick with e-cigs, they may have been more likely to have had success quitting smoking in a world that e-cigs did not exist.

    So instead of a headline like "E-Cigarettes Linked to Helping People Quit Smoking", perhaps a more accurate headline would be "Committed Cigarette Quitters More Likely to Try E-Cigarettes As a Stepping Stone"

    --
    I'm sorry, but your opinion seems to be wrong.
  8. 100% on board with E-Cigarettes by trawg · · Score: 2

    ... if it means I never have to watch a smoker flick their butts into the street ever again.

  9. It worked for me by junk · · Score: 2

    I smoked for about 15 years. I attempted to quit a fee times and would even make it a few months but I enjoyed the act. About 5 years ago, I committed to switching to a vaporizer. Now I barely use it. I started with a low dose of nicotine and quickly switched to 0mg. I don't even take my vaporizer on trips or to bars any more. I occasionally puff on it while working on a particularly difficult task or when stressed but it lives in my office at home.

    My daughter will be born tomorrow and she'll never know her dad as a smoker. (Or her mom but that's not my story.) Vaporizer FTW!

  10. Re:Really? by cloud.pt · · Score: 2

    Motivation is key, and telling yourself years and years of non-smoking are a whole different victory is your prerogative. I look at your statement and I immediately think about the AA medal system, and how effective it is. Good for you.

    But the formal definition of quitting is as soon as the chemical addiction stops, and that's some months after (not sure if 3, but should be close). So you see, the study is very relevant. Sure there is a latent, deeply buried feeling that a hit will be good - it happens on any drug, and even non-drugs such as sugar have been proven to be highly addictive to a subconscious, instinctive level, no matter the time without them.

    You can brag about cold-turkey-quitting all you want and how long were the years since you did, but the fact of the matter is what kept you going was your own scenario, which probably didn't even have ecigs at the time so they weren't even an option. This study looks at smokers in an indiscriminate way, whatever their responsibilities, pressure or status are, and it sees success with ecigs in a generalized ways, especially in the years ecigs have seen the biggest evolution (which is likely from 2012 onward). Ecigs are now very enjoyable, very accessible, have a lot of variety in taste, size, and features, especially the electronics involved. There are smart chips that allow control of wattage either on the device or on smartphones, and there are even temperature controlled devices. These days ecigs are not only cool - they are good. And I urge any quitter with an urge to going back to smoking to try them out, or any smoker with any intention of quitting. I bet you wont be disappointed.