Reasons for Transition From Electronic Cigarette Use to Cigarette Smoking among Young adult College Students.

Introduction:
This text discusses a study that aimed to identify the reasons why non-smoking young adults transition from e-cigarette use to cigarette smoking. The study used a mixed-methods approach called concept mapping (CM) to gather and analyze data from college students who had initiated e-cigarette use prior to cigarettes. The study's key points and main message are summarized below.

Key Points:

* The study used CM to identify themes and clusters characterizing reasons for transition from e-cigarette use to cigarette smoking among college students.
* Participants generated 60 unique statements that were reduced to 47 after removing redundant or irrelevant statements.
* Multidimensional scaling analysis generated 8 thematic clusters characterizing reasons for transition, including "Sharing with Others," "Psychological Coping," "Cigarette appeal," "Reinforcing Effects of Cigarettes," "accessibility," "Social Influence," "Vaping Stigma," and "Vaping Deficiencies."
* Participants rated "Sharing with Others" and "Psychological Coping" highest (most true) and "Vaping Deficiencies" lowest (least true).
* The ability to share cigarettes with peers, access cigarettes from peers, and smoking for stress/anxiety management were among the top reasons for transition.

Main Message:
The study's main message is that tailored prevention efforts aimed at reducing cigarette smoking uptake among college students who use tobacco as a means for psychological coping or social facilitation may be warranted. additionally, regulatory decisions aimed at limiting cigarette appeal, reinforcing effects, and accessibility may be relevant to reducing transition. The findings highlight the importance of understanding and addressing the factors that drive young adults to progress from e-cigarettes to cigarettes, as any factor that increases the risk of cigarette smoking uptake among young adults represents a major public health concern.

hiler M, Spindle TR, Dick D, Eissenberg T, Breland a, Soule E. Reasons for Transition From Electronic Cigarette Use to Cigarette Smoking among Young adult College Students. The Journal of adolescent health : official publication of the Society for adolescent Medicine. 2020;66(1):56-63. doi:10.1016/j.jadohealth.2019.09.003