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Perspectives on Electronic Nicotine Delivery System Use Cessation Among Adults in Rural Areas: Implications for
Seok Hyun Gwon1,2, Vipavee Thongpriwan3, Yourim Kim4
1School of Nursing, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, gwon@uwm.edu.
Summary
Young adults in rural areas face barriers like perceived ENDS benefits and nicotine dependence when quitting e-cigarettes. Facilitators include cost and perceived harm, informing future rural cessation interventions.
Area of Science:
- Public Health
- Tobacco Control
- Rural Health
Background:
- Young adults (18-24 years) in rural areas exhibit higher electronic nicotine delivery systems (ENDS) use compared to urban counterparts.
- Limited understanding exists regarding young adults' perceptions of ENDS use and cessation challenges in rural settings.
Purpose of the Study:
- To investigate barriers and facilitators to ENDS cessation among rural young adults.
- To explore rural young adults' perceptions of ENDS use and cessation.
- To inform future cessation intervention studies tailored for rural populations.
Main Methods:
- Cross-sectional online surveys administered to 100 young adults in rural Midwestern counties.
- Descriptive statistics used to analyze perceptions, barriers, and facilitators of ENDS cessation.
- Content analysis applied to open-ended questions on rural ENDS cessation perceptions.
Main Results:
- Barriers to cessation included perceived ENDS advantages, nicotine dependence, and lower perceived harm versus cigarettes.
- Facilitators comprised ENDS cost, perceived harm, and self-efficacy in quitting.
- Perceptions were categorized into exposure/initiation, continuation, and prevention/cessation of ENDS use.
Conclusions:
- Findings highlight key barriers and facilitators crucial for developing effective ENDS cessation interventions for rural young adults.
- Healthcare providers, researchers, and public health advocates need to consider these rural-specific factors.
- Future research should focus on tailored interventions addressing the unique challenges faced by young adults in rural areas.
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