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Vaping and E-Cigarettes Within the Evolving Tobacco Quitline Landscape.

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Quitlines are seeing increased vaping among adult smokers seeking cessation support. While most also smoke, a small percentage vape exclusively, highlighting a need for tailored vaping cessation programs for youth and adults.

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Area of Science:

  • Public Health
  • Tobacco Control
  • Behavioral Science

Background:

  • Vaping (nicotine or non-nicotine product use) is prevalent, necessitating integration into tobacco cessation services.
  • Tobacco quitlines offer a critical platform for addressing both smoking and vaping behaviors.
  • Existing data on vaping within quitline populations is limited but growing.

Purpose of the Study:

  • To summarize vaping research relevant to tobacco quitlines.
  • To describe current quitline practices for assessing, treating, and evaluating vaping.
  • To analyze 2014-2018 vaping prevalence and trends among quitline enrollees.

Main Methods:

  • Analysis of 2014-2018 registration data from 24 public and 110,295 employer-sponsored quitlines.
  • Examination of vaping frequency, use for smoking cessation, and quitting intentions.
  • Description of vaping rates by state, age group, and tobacco use status.

Main Results:

  • In 2018, 14.7% of adult public quitline enrollees reported vaping; most also smoked cigarettes.
  • Exclusive vaping (no other tobacco use) was reported by 0.5% of public quitline participants.
  • Among youth (<18 years) in quitlines, 35% reported vaping, indicating a significant public health concern.

Conclusions:

  • Quitlines are crucial for supporting smoking cessation and harm reduction among adult dual users.
  • There is a need for systematic data collection on participants seeking vaping cessation support.
  • Quitlines have a significant opportunity to impact youth and young adult vaping prevention and cessation efforts.