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  • Title: Dual use of smokeless tobacco or e-cigarettes with cigarettes and cessation.
    Author: Kalkhoran S, Grana RA, Neilands TB, Ling PM.
    Journal: Am J Health Behav; 2015 Mar; 39(2):277-84. PubMed ID: 25564840.
    Abstract:
    OBJECTIVES: To evaluate predictors of dual use of cigarettes with smokeless tobacco or e-cigarettes. METHODS: Adult smokers (N = 1324) completed online cross-sectional surveys. Logistic regression evaluated predictors of dual use and cigarette quit attempts. RESULTS: Smokeless tobacco dual use was associated with past attempts to quit smoking by switching to smokeless products. E-cigarette dual use was associated with using stop-smoking medication and strong anti-tobacco industry attitudes. Ever use of stop-smoking medication was associated with quit attempts among dual e-cigarette users and cigarette-only users. CONCLUSIONS: Dual users are more likely than cigarette-only users to endorse certain cessation-related attitudes and behaviors. This may provide an opportunity for clinicians or others to discuss evidence-based strategies for smoking cessation.
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