Association between home smoking and e-cigarette use restrictions and concurrent use behaviors among dual users of cigarettes and e-cigarettes

Authors

Vuong V. Do, Center for Tobacco Control Research and Education, University of California San Francisco, San Francisco, United States.
Jidong Huang, Department of Health Policy and Behavioral Sciences, School of Public Health, Georgia State University, Atlanta, United States.
Terry F. Pechacek, Department of Health Policy and Behavioral Sciences, School of Public Health, Georgia State University, Atlanta, United States.
Claire A. Spears, Department of Health Policy and Behavioral Sciences, School of Public Health, Georgia State University, Atlanta, United States.
David L. Ashley, Department of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, United States.
Carla J. Berg, Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, Washington, United States.
Scott R. Weaver, Department of Population Health Sciences, School of Public Health, Georgia State University, Atlanta, United States.

Document Type

Journal Article

Publication Date

1-1-2025

Journal

Tobacco induced diseases

Volume

23

DOI

10.18332/tid/209376

Keywords

cigarettes; e-cigarettes; home e-cigarette restrictions; home smoking restrictions; smoke-free home policy

Abstract

INTRODUCTION: Limited data exist on how home smoking and e-cigarette use restrictions influence patterns of cigarette and e-cigarette use among individuals who use both products. This study examined the association between home restrictions and the use of cigarettes and e-cigarettes among dual users of these two products. METHODS: We conducted a secondary analysis of data from the Adult Consumers of Tobacco Study (ACTS), an online, nationwide survey administered during 2020-2021. A sub-sample of 250 dual users of cigarettes and e-cigarettes was included in this analysis. Outcome variables were concurrent use behaviors, categorized as predominant smokers (daily smoking, e-cigarette use some days), equivalent users (either daily or some days use of both products), and predominant e-cigarette users (daily e-cigarette use, smoking some days), as well as e-cigarette use frequency (daily vs some days). Primary explanatory variables were home smoking and e-cigarette use restrictions (both categorized as complete, partial, or no restrictions). Multivariable logistic regression was used to examine associations between restrictions and concurrent use behaviors. RESULTS: Nearly half (46.8%) of dual users reported having complete smoking restrictions in their homes, complete e-cigarette use restrictions (12.8%), and complete restrictions on both (11.2%). Dual users reported having complete home smoking restrictions (vs no restrictions) were more than two times more likely to be predominant e-cigarette users versus equivalent users or predominant smokers (AOR=2.60; 95% CI: 1.30-5.30), after controlling for home e-cigarette use restrictions and other covariates. Neither partial smoking restrictions nor partial e-cigarette use restrictions were associated with concurrent use behaviors. CONCLUSIONS: Small proportions of dual users reported having complete smoking and e-cigarette use restrictions adopted in their homes, suggesting a need for promoting the adoption of such restrictions. Moreover, how and why home smoking and e-cigarette use restrictions differentially impact use behaviors warrant additional investigation.

APA Citation

Do, Vuong V.; Huang, Jidong; Pechacek, Terry F.; Spears, Claire A.; Ashley, David L.; Berg, Carla J.; and Weaver, Scott R., "Association between home smoking and e-cigarette use restrictions and concurrent use behaviors among dual users of cigarettes and e-cigarettes" (2025). GW Authored Works. Paper 7897.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/7897

Department

Prevention and Community Health