How and Why Do Smokers Start Using E-Cigarettes? Qualitative Study of Vapers in London, UK

Introduction:
This article is a qualitative study examining how and why smokers in London, UK, start using e-cigarettes. The study aims to describe the products used for initiation, relate the findings to the COM-B theory of behavior change, and consider the implications for e-cigarette policy research.

Key Points:
- The study conducted semi-structured interviews with 30 current and ex-smokers who were using or had used e-cigarettes.
- E-cigarette initiation was facilitated by capability, opportunity, and motivation (COM-B model).
- Capability included physical and psychological capability to use an e-cigarette and understand the reduced harm compared to smoking.
- Opportunity included physical opportunity to access e-cigarettes in shops, at a lower cost than cigarettes, and to vape in smoke-free environments. Social opportunity to vape with friends and family also played a role.
- Motivation included automatic motivation such as curiosity and reflective motivation related to perceived health benefits.
- The study highlights the importance of policy in e-cigarette initiation, including price relative to cigarettes and use in smoke-free environments.

Main Message:
The study emphasizes the need for further research into the effects of e-cigarette policies and the possible moderating/mediating effects of social support. Understanding how and why smokers start using e-cigarettes can inform policy research and contribute to the development of effective e-cigarette regulations.

Wadsworth, Elle, Joanne Neale, Ann McNeill, and Sara Hitchman. “How and Why Do Smokers Start Using E-Cigarettes? Qualitative Study of Vapers in London, UK.” International Journal of Environmental Research and Public Health 13, no. 7 (June 30, 2016): 661. https://doi.org/10.3390/ijerph13070661.