Skip to main content
Journal cover image

Predictors of smoking reduction among African American and Latinx smokers in a randomized controlled trial of JUUL e-cigarettes.

Publication ,  Journal Article
Rubenstein, D; Sokolovsky, AW; Aston, ER; Nollen, NL; Schmid, CH; Rice, M; Pulvers, K; Ahluwalia, JS
Published in: Addictive behaviors
November 2021

E-cigarette (e-cig) use is widespread and may play an important role in facilitating smoking reduction. Racial/ethnic minorities are less likely than Whites to use e-cigs and suffer disproportionate tobacco-related disease, making them a priority for harm reduction. This paper explores factors associated with smoking reduction among African American (AA) and Latinx smokers enrolled in a trial assessing toxicant exposure in those assigned to e-cigs or smoking as usual.Participants were randomized to receive 6 weeks of JUUL e-cigs or continue smoking cigarettes as usual (N = 187). This analysis focuses on 109 participants randomized to e-cigs. We modeled cigarettes smoked in the past week at baseline and week 6 as a function of a priori selected predictors (number of JUUL pods used throughout the study, baseline cigarette dependence, and baseline cotinine) using a Poisson model fit with generalized estimating equations.Over the six-week study, cigarette smoking decreased from an average of 82.4 to 15.5 cigarettes per week. Greater numbers of JUUL pods used predicted a greater smoking reduction by week 6 (IRR = 0.94 [0.91, 0.96], p < 0.001). Higher baseline cigarette dependence (IRR = 1.03 [1.01, 1.05], p = 0.004), and baseline cotinine (IRR = 1.18 [1.03, 1.37], p = 0.020) predicted a lesser smoking reduction.AA and Latinx smokers reduced their cigarette consumption while using JUUL e-cigs. Higher e-cig use during an intervention to switch to e-cigs to reduce harm may facilitate a transition to smoking fewer cigarettes, offering an opportunity to narrow smoking-related health disparities.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Addictive behaviors

DOI

EISSN

1873-6327

ISSN

0306-4603

Publication Date

November 2021

Volume

122

Start / End Page

107037

Related Subject Headings

  • Tobacco Products
  • Substance Abuse
  • Smoking Reduction
  • Smoking Cessation
  • Smokers
  • Humans
  • Electronic Nicotine Delivery Systems
  • Black or African American
  • 5203 Clinical and health psychology
  • 5202 Biological psychology
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Rubenstein, D., Sokolovsky, A. W., Aston, E. R., Nollen, N. L., Schmid, C. H., Rice, M., … Ahluwalia, J. S. (2021). Predictors of smoking reduction among African American and Latinx smokers in a randomized controlled trial of JUUL e-cigarettes. Addictive Behaviors, 122, 107037. https://doi.org/10.1016/j.addbeh.2021.107037
Rubenstein, Dana, Alexander W. Sokolovsky, Elizabeth R. Aston, Nicole L. Nollen, Christopher H. Schmid, Myra Rice, Kim Pulvers, and Jasjit S. Ahluwalia. “Predictors of smoking reduction among African American and Latinx smokers in a randomized controlled trial of JUUL e-cigarettes.Addictive Behaviors 122 (November 2021): 107037. https://doi.org/10.1016/j.addbeh.2021.107037.
Rubenstein D, Sokolovsky AW, Aston ER, Nollen NL, Schmid CH, Rice M, et al. Predictors of smoking reduction among African American and Latinx smokers in a randomized controlled trial of JUUL e-cigarettes. Addictive behaviors. 2021 Nov;122:107037.
Rubenstein, Dana, et al. “Predictors of smoking reduction among African American and Latinx smokers in a randomized controlled trial of JUUL e-cigarettes.Addictive Behaviors, vol. 122, Nov. 2021, p. 107037. Epmc, doi:10.1016/j.addbeh.2021.107037.
Rubenstein D, Sokolovsky AW, Aston ER, Nollen NL, Schmid CH, Rice M, Pulvers K, Ahluwalia JS. Predictors of smoking reduction among African American and Latinx smokers in a randomized controlled trial of JUUL e-cigarettes. Addictive behaviors. 2021 Nov;122:107037.
Journal cover image

Published In

Addictive behaviors

DOI

EISSN

1873-6327

ISSN

0306-4603

Publication Date

November 2021

Volume

122

Start / End Page

107037

Related Subject Headings

  • Tobacco Products
  • Substance Abuse
  • Smoking Reduction
  • Smoking Cessation
  • Smokers
  • Humans
  • Electronic Nicotine Delivery Systems
  • Black or African American
  • 5203 Clinical and health psychology
  • 5202 Biological psychology