associations of Flavored e-Cigarette Uptake With Subsequent Smoking Initiation and Cessation.

Introduction:
This text provides an analysis of the relationship between flavored e-cigarette uptake and subsequent smoking initiation and cessation. The study uses data from the Population assessment of Tobacco and health Study and examines the association between vaping and smoking among youths, emerging adults, and prime-age adults. The study also evaluates whether the association between vaping and smoking differs between individuals who use flavored vs unflavored e-cigarettes.

Key Points:

* The study uses data from the Population assessment of Tobacco and health Study, a nationally representative longitudinal survey.
* The analytics sample was limited to individuals aged 12 to 54 years who completed at least three consecutive waves of the survey and did not use e-cigarettes at baseline.
* The study examines the association between vaping and smoking initiation and cessation among youths, emerging adults, and prime-age adults.
* The study also evaluates whether the association between vaping and smoking differs between individuals who use flavored vs unflavored e-cigarettes.
* The results show that vaping uptake was positively associated with smoking initiation among youth and emerging adults.
* Vaping uptake was also associated with cessation among adult smokers.
* The study found no significant difference in the association between vaping and smoking initiation between individuals who used flavored vs unflavored e-cigarettes.
* however, adults who began vaping non-tobacco-flavored e-cigarettes were more likely to quit smoking than those who vaped tobacco-flavored e-cigarettes.

Main Message:
The study provides important insights into the relationship between flavored e-cigarette uptake and subsequent smoking initiation and cessation. The findings suggest that vaping uptake is associated with increased smoking initiation among youth and emerging adults. however, vaping uptake is also associated with increased cessation among adult smokers. The study found no significant difference in the association between vaping and smoking initiation between individuals who used flavored vs unflavored e-cigarettes. however, adults who began vaping non-tobacco-flavored e-cigarettes were more likely to quit smoking than those who vaped tobacco-flavored e-cigarettes. These findings highlight the complexity of the relationship between e-cigarettes and smoking and suggest that further research is needed to inform regulatory policy.

Friedman aS, Xu S. associations of Flavored e-Cigarette Uptake With Subsequent Smoking Initiation and Cessation. JaMa network open. 2020;3(6):1. doi:10.1001/jamanetworkopen.2020.3826