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E-cigarettes an evidence update A report commissioned by Public Health England

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E-<strong>cigarettes</strong>: <strong>an</strong> <strong>evidence</strong> <strong>update</strong>7. Reasons for use <strong>an</strong>d discontinuationReasons for using e-<strong>cigarettes</strong>Reasons for using EC have been assessed for adult smokers <strong>an</strong>d ex-smokers in <strong>an</strong>umber of different ways. Across different populations, help to quit smoking <strong>an</strong>d harmreduction were the top reasons endorsed for using EC [44, 53-57].In the Internet Cohort GB survey, the list of possible reasons for using EC was extendedafter the first year (the survey was carried out in 2012, 2013 <strong>an</strong>d 2014). Nevertheless,the most frequently endorsed reasons were health, to cut down <strong>an</strong>d to quit smoking.These were endorsed <strong>by</strong> approximately 80% of current users at all three time points.The biggest ch<strong>an</strong>ge over time was recorded for ‘they are cheaper’ which appeared to bemore popular in 2014 th<strong>an</strong> 2013 (Table 3). Because of the way the question is phrased,a user endorsing a reason does not indicate that current use is for this particular reason,for example, 80% of current users agree that e-<strong>cigarettes</strong> may help you quit, but thisdoes not me<strong>an</strong> that 80% of all users were using them in a quit attempt.Table 3: Internet cohort GB survey, reasons for using e-<strong>cigarettes</strong> (in order of frequencyof endorsement in 2014)Which of the following were reasons for your usingelectronic <strong>cigarettes</strong>? (multiple responses possible)They may make it easier for you to cut downthe number of <strong>cigarettes</strong> you smoke2012 (n=1031) 2013 (n=717) 2014 (n=505)81.0 78.1 79.4They may not be as bad for your health 81.7 79.8 79.2They might help you quit 81.8 79.9 79.0No tobacco smoke not asked 70.9 71.3They are cheaper not asked 36.1 65.5The smell or cle<strong>an</strong>liness not asked 65.4 65So you c<strong>an</strong> use them in places wheresmoking regular <strong>cigarettes</strong> is b<strong>an</strong>ned67.2 66.5 61They may be more socially acceptable not asked 55.8 54.3Because I enjoy it not asked 38.6 48.7They taste better 28.5 26.1 34.1Friends or family use them not asked 37.0 33.3The technology not asked 34.2 30.3A health professional advised you to do so not asked 16.7 16.453

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