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Updated: Feb 2, 2026

Comparing the Effects of Electronic Cigarette Vapor and Cigarette Smoke in a Novel In Vivo Exposure System
Published on: May 24, 2017
Current pain severity and electronic cigarettes: an initial empirical investigation
Michael J Zvolensky1,2,3, Lorra Garey4, Nubia A Mayorga4
1Department of Psychology, University of Houston, 3695 Cullen Blvd., Room 126, Houston, TX, 77204, USA. mjzvolen@central.uh.edu.
Past-month pain severity is linked to higher e-cigarette dependence and greater perceived risks and barriers to quitting. Understanding pain
Area of Science:
- Public Health
- Behavioral Science
- Addiction Research
Background:
- E-cigarette use (vaping) has become a significant public health concern.
- Factors influencing vaping dependence and cessation attempts require further investigation.
- The role of chronic pain in addictive behaviors is increasingly recognized.
Purpose of the Study:
- To examine the relationship between past-month pain severity and e-cigarette dependence.
- To investigate the association between pain severity and perceived barriers to quitting e-cigarettes.
- To explore the link between pain severity and beliefs about e-cigarette risks.
Main Methods:
- Cross-sectional study involving 322 adult e-cigarette users in the United States.
- Data collected on pain severity, e-cigarette dependence, perceived quitting barriers, and risk beliefs.
- Statistical analyses controlled for demographic and behavioral covariates.
Main Results:
- Pain severity was significantly and positively associated with e-cigarette dependence.
- Higher pain severity correlated with increased perceived barriers to quitting e-cigarettes.
- Pain severity also related positively to perceived risks of e-cigarette use.
- These associations remained significant after controlling for multiple confounding variables.
Conclusions:
- Pain experience is a clinically meaningful correlate of e-cigarette dependence, perceived quitting barriers, and risk perceptions.
- Findings suggest that pain management strategies may be relevant for e-cigarette cessation interventions.
- Further research should explore the causal role of pain in the initiation and maintenance of e-cigarette use.
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