Addiction vs. dependence: A mixed methods analysis of young adult JUUL users.

Introduction:
This text discusses a mixed methods study examining the relationship between young adults' perceived addiction and measured dependence on JUUL, a popular e-cigarette brand. The study also explores social and behavioral predictors of addiction and dependence. The summary will cover the study design, key findings, and main message of the text.

Key Points:

* The study used a sequential, explanatory mixed methods design, recruiting college students for an online survey and in-person interviews.
* JUUL dependence was measured using the Penn State E-Cigarette Dependence Index, and perceived addiction was measured by asking participants to select products they would tell a friend they were addicted to.
* Participants who had higher JUUL dependence were more likely to report addiction to several substances/products, including nicotine, JUULs, cigarettes, other e-cigarettes, alcohol, and marijuana.
* Interview participants minimized JUUL addiction by comparing it to other socially acceptable addictions and describing it as a habit.
* The number of days participants used JUUL per week, use of traditional tobacco products, and measured JUUL dependence were each associated with self-reported JUUL addiction.
* Social construction of self-reported addictions may be changing young audiences' views of addiction to JUUL.

Main Message:
The study suggests that JUUL dependence and perceived addiction are closely related, with higher dependence associated with reporting addiction to various substances and products. The minimization of JUUL addiction by interview participants and the potential influence of social media on young audiences' perceptions of addiction highlight the need for further research and targeted prevention efforts. Understanding and addressing the relationship between JUUL dependence and perceived addiction can inform regulatory decisions and public health initiatives aimed at reducing e-cigarette use and associated health risks among young adults.

Dobbs PD, Hodges EJ, Dunlap CM, Cheney MK. Addiction vs. dependence: A mixed methods analysis of young adult JUUL users. Addictive behaviors. 2020;107:106402. doi:10.1016/j.addbeh.2020.106402