Interviews With “Vapers”: Implications for Future Research With Electronic Cigarettes

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JustJulie

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Results: Even with a relatively small sample of formal participants (N = 15), there were pervasive themes including the language and culture of vaping; social and informational support among vapers and their use of Internet resources (learning about e-cigs); the learning curve to using e-cigs and the numerous modifications (“mods”) available for e-cigs and personal vaporizers; motives and perceived benefits of using e-cigs versus cigarettes including cigarette-like enjoyment, cost, restored sense of taste and smell, and improved breathing and exercise tolerance; rapidly reduced nicotine tolerance and dependence; and a strong interest in e-cig–related research and policy.

Conclusions: The learning curve to using e-cigs has important implications for laboratory tests of these devices with novice users. Similarly, the multiple e-cig options and the use of “mods” create challenges for researchers and policy makers. Transdisciplinary research is urgently needed, and experienced “vapers” are very interested and willing research participants.

This is an excellent and balanced article. :)
 
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JustJulie

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One thing that I particularly liked about this paper is that while the authors are certainly interested in examining e-cigarettes in the context of traditional smoking cessation, there's also a recognition of e-cigarettes being used as a long-term substitute for smoking. I know that sounds like splitting hairs, but when most scientists and doctors talk about "smoking cessation," what they're really talking about is nicotine abstinence. For example, you use the gum or patch for several weeks, gradually reducing your nicotine intake, and then at some magical point several weeks later, you give it all up. (Yeah, right. :facepalm: )

But for the vast majority of us, nicotine isn't causing any health problems . . . it was the smoking, not the nicotine. And if continued nicotine use via vaping (or snus, for that matter) can keep us from smoking, isn't that a better alternative than the seemingly endless cycle of quit/relapse/quit/relapse that the government-approved smoking cessation products offer?

One of our greatest hopes, I think, is that doctors who deal with patients (who genuinely care about the health of the people they help), will keep an open mind about e-cigarettes for their patients who are inveterate smokers. The "quit or die" mentality has no place in health care or public policy.

In any event, papers such as this lay the groundwork for good, solid, in-depth research on e-cigarettes and help inform the discussion surrounding the use of e-cigarettes not simply as "smoking cessation devices" in the traditional sense, but also as a long-term substitute for smoking, which is how the vast majority of us are using them . . . and will continue to use them thanks to Judge Leon and the D.C. Federal Court of Appeals. :toast:
 

JustJulie

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Great article, Julie, thanks for posting! When will the FACT that 98% of NRT users are unable to abstain from nicotine for 20 months be accepted as proof that recreational nicotine abstinence is NOT a legitimate goal for public health policy?

It seems so self-evident, doesn't it?

I think my biggest frustration has been that so much of this "public health policy" has been based on a pile of lies and half-truths. It used to be smoking was the problem . . . then that morphed to tobacco . . . and now it's nicotine. If they'd quit waging a war on nicotine, they'd save a lot of time, money, and lives.
 
It seems so self-evident, doesn't it?

I think my biggest frustration has been that so much of this "public health policy" has been based on a pile of lies and half-truths. It used to be smoking was the problem . . . then that morphed to tobacco . . . and now it's nicotine. If they'd quit waging a war on nicotine, they'd save a lot of time, money, and lives.

I don't know if they're waging war on nicotine as much as they are attempting to extend the "warn on drugs" into a "war on addicts". In spite of mounting evidence that it is an effective treatment for a variety of diseases, our so-called "free" country locks up more of its citizens than any other for using substances that have never been shown to cause any harm to anyone....so they point to this scary disease called "addiction" and write fiction about the mythical beast known as "the Gateway Effect".

As someone who's successfully quit and successfully experienced the benefits of abstinence, only to relapse to the same or worse level addiction, I can tell you without hesitation or reservation that the greatest threat to my health is my addiction is to...sugar. Should we ban sugar-free sodas that could perpetuate this addiction in spite of any harm they may reduce??
 

Krikket

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As someone who's successfully quit and successfully experienced the benefits of abstinence, only to relapse to the same or worse level addiction, I can tell you without hesitation or reservation that the greatest threat to my health is my addiction is to...sugar. Should we ban sugar-free sodas that could perpetuate this addiction in spite of any harm they may reduce??

Unconfirmedsources.com
 

JustJulie

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This might be the first time that I actually feel like we may be starting to make some real headway.

In the sea of really, really stupid research that reflects a total lack of understanding of vaping and e-cigarettes, it's refreshing to see some researchers who have actually spent some time doing their homework.

I'm hoping that this type of research will help inform future studies so we don't get a repeat of Eissenberg's first study where he announced that you'd get about as much nicotine from an e-cig as you would puffing on an unlit cigarette. :facepalm: (Wonder when he's going to retract that statement in light of his subsequent studies, still ongoing, that show,yeah, we are getting nicotine.)

And we also can't forget Prue Talbot's remarkably bad studies. Spilling nicotine: safety concern or clumsy researchers? « Tobacco Harm Reduction: News & Opinions. :facepalm:

I'm hoping that Washington University (St. Louis) continues building on this research. God knows we need some sane, ethical people studying e-cigarettes who are out to find the truth . . . not push some warped agenda.
 

Uma

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Someone just posted an exceptionally well done video (can't find the link or I'd post it) today about how PhillipMorrisco is hitting the poorer countries hard and everyone is smoking including 2 yr olds. The poorer countries don't have the support of the Anti-smoking gangs help. The poorer countries are smoking their brains out while the Anti-smoking gangs are now bored and attacking Vapers. I wish that documentary guy would do a show about that. Maybe then the Anti-smokers would get off our non-butts and start educating the poorer countries before (and posthaste) the tobacco companies take hold. (sorry if I got ot)

Love this report posted in this thread. Thanks for posting!
 
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