U.K. Study Provides Evidence that E-Cigs May Better Help Smokers Drop Cigarettes

However the idea of using e-cigarettes to stop smoking, and particularly long-term use, remains controversial.

We found that vaping may support long-term smoking abstinence.

Not only does it substitute many of the physical, psychological, social and cultural elements of cigarette smoking, but it is pleasurable in its own right, as well as convenient and cheaper than smoking.

But the really interesting thing we found was that vaping may also encourage people who don't even want to stop smoking, to eventually quit.

Our data demonstrates that e-cigarettes may be a unique harm reduction innovation for smoking relapse prevention. 

E-cigarettes meet the needs of some ex-smokers by substituting physical, psychological, social, cultural and identity-related aspects of tobacco addiction. 

Some vapers reported that they found vaping pleasurable and enjoyable—being more than a substitute but actually preferred, over time, to tobacco smoking. 

This clearly suggests that vaping is a viable long-term substitute for smoking, with substantial implications for tobacco harm reduction.

Statements by the author:

• Initiating e-cigarette use was experienced as a revelation for some, who were quickly able to fully switch to using e-cigarettes as an alternative to tobacco smoking.
  
• For others, periods of dual use or smoking relapse combined with attempts at vaping that were not initially satisfactory. Many of these chose a cheaper ‘cig-a-like’ device which they found to be inadequate. 
  
• Some settled on patterns of vaping as a direct substitute of previous tobacco smoking, whereas others reported ‘grazing’ patterns of vaping throughout the day that were perceived to support tobacco smoking abstinence.

Statements from participants:

• "one evening I went to the local shop, which is very close to here, to get some cigarettes, and they had run out of the brand that I smoked, and I don’t know why, but instead of choosing another brand which I could of done, and occasionally had done in the past, I said ‘oh well, I’ll try one of those e things, I’ll just try one’ and so I bought it, it was a disposable thing and looking back on it, it didn’t taste very nice, it had a sort of metallic taste to it, and I know that it wasn’t a brand that I would now seek out, but I did, that’s what I did, I just bought it and brought it home, and I said to my wife that evening, ‘you know, this is all right, it’s sufficiently satisfying’ (ok) that I think I might investigate this (ok) and I have never smoked tobacco since that day (really), not one drag, and I have never felt that I wanted to"
• "it felt like I was smoking, so I didn’t have to kind of think up displacement activities, I didn’t have to find something else to do with myself, I could do exactly what I’d always done, just with a slightly different device, and yes, I really, really took to it, and within five days I’d chucked out the last of my cigarettes…but you know within 5 days I’d stopped completely without meaning to"
• "it was a natural progression because I enjoyed it, it was easy to do, I didn’t even think about, like I said, if I put myself under pressure I probably fail at it, and think ‘oh, I have to do this’, but as I didn’t, I just, it just organically happened really for me"
• "gum wasn’t going to cut it basically and the patches just didn’t seem like a good idea to me I didn’t think I wasn’t to make a real attempt and patches and gum weren’t going to work so actually try something that may possibly work "