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JUUL electronic cigarette use patterns,other tobacco product use,and reasons for use among ever users: Results from a convenience sample
Institution:1. Oklahoma Tobacco Research Center, Oklahoma City, OK, United States of America;2. Oklahoma State University, Department of Psychology, Stillwater, OK, United States of America;3. Vermont Center on Behavior and Health, Department of Psychiatry, University of Vermont, Burlington, VT, United States of America;4. Division of Social and Behavioral Health/Health Administration, Policy, School of Community Health Sciences, University of Nevada, Reno, United States of America;5. University of Oklahoma Health Science Center, Department of Pediatrics, Oklahoma City, OK, United States of America;1. VA Connecticut Healthcare System, West Haven, CT, USA;2. Yale University School of Medicine, New Haven, CT, USA;3. VISN 1 New England MIRECC, Edith Nourse Rogers Memorial Veterans Hospital, 200 Spring Road, Building 5, Room 135B, Bedford, MA 01730, United States;4. University of Massachusetts Medical School, Division of Addiction Psychiatry, 55 Lake Avenue, Worcester, MA 01655, United States;5. VA VISN 2 Center of Excellence for Suicide Prevention, Canandaigua VA Medical Center, 400 Fort Hill Avenue, Canandaigua, NY 14424, USA;6. Department of Psychiatry, University of Rochester Medical Center, 300 Crittenden Blvd., Rochester, NY 14642, USA;1. Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, 800 E. Leigh Street, Biotech One, Richmond, VA 23298, United States of America;2. Linda Gives Back, LLC, United States of America;1. Institute of Public Health of Serbia, Office for Smoking Prevention, Dr Subotica 5, 11 000 Belgrade, Serbia;2. Association \"Health Mission\", Krunska 6a, 11000 Belgrade, Serbia;3. University of the Witwatersrand, Perinatal HIV Research Unit, Soweto, South Africa;4. Wake Forest School of Medicine, Department of Social Sciences and Health Policy, Medical Center Boulevard, Winston-Salem, NC 27157, United States;1. Oklahoma Tobacco Research Center, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States;2. Department of Family and Preventive Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK, United States;3. The University of Houston, College of Liberal Arts and Social Sciences, Department of Psychology, Houston, TX, United States;4. Department of Population Health Sciences and the Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, United States;5. Department of Psychology, Louisiana State University, Baton Rouge, LA, United States;1. Office on Smoking and Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, United States;2. Center for Health Policy Science and Tobacco Research, RTI International, Research Triangle Park, NC, United States;3. Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States
Abstract:IntroductionJUUL, an e-cigarette from PAX Labs, has captured 70% of the e-cigarette market. The current study examines JUUL use patterns and reasons for initiation in a large convenience sample of U.S. adults.MethodsRespondents were 979 U.S. adults registered on Amazon Mechanical Turk (MTurk) who reported ever using JUUL. Items included frequency/quantity of JUUL use, reasons for trying JUUL, flavor preferences, and use of other tobacco products.ResultsThe majority of participants reported only trying JUUL once or twice (59.5%), 29.2% reported regular nondaily use and 10.3% reported daily use. The average quantity of JUUL pod use was low in the overall sample (4 pods per month). Daily users reported using ~10 pods per month and engaging in 4–9 separate vaping sessions per day. The most frequently reported reasons for JUUL use were because friends were using it (26.5%), curiosity (20.5%), and similarity to a cigarette (7.7%). Approximately 26% of current JUUL users reported current exclusive JUUL use, while 56% reported using JUUL and another e-cigarette. Of the entire sample, 37.1% were former smokers. Of those, 14.9% were daily JUUL users, 21.4% were nondaily JUUL users, and 63.8% were JUUL triers.ConclusionsThis is the first study to examine patterns and reasons for use of the most popular e-cigarette on the market. In this convenience sample, nearly 40% of those who ever tried JUUL reported current daily or daily use. JUUL use may be associated with limited puffing patterns compared to earlier generation e-cigarettes. Research is needed to investigate if JUUL puffing patterns result in decreased exposure to potentially harmful non-nicotine e-liquid constituents compared to other e-cigarettes.
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