A Review of Electronic Cigarette Use Behaviour Studies

Open access

Summary

E-cigarette use has increased markedly in the past five years; however, current data suggest that conventional smokers switching to e-cigarettes may account for much of the recent increase. How individuals use these products has strong implications for nicotine intake and exposure to other potential toxicants. Studies assessing e-cigarette user behaviours, including puff volume and duration, report wide variations across products, settings, and individuals. Understanding the factors that affect puffing topography will be central to standardising protocols for testing aerosol emissions and regulating e-cigarettes. The amount of aerosol generated can be influenced by a number of factors, including product design, vaping topography, and device setting as highlighted in this review. Further work to understand how the combination of these parameters affects the amount of aerosol generated will be central to defining protocols for testing and regulating e-cigarettes.

1. Mangan, D.: E-cigarette Sales Are Smoking Hot, Set to Hit $1.7 Billion.; CNBC (2013), available at: www.cnbc.com/id/100991511 (accessed August 2018).

2. Euromonitor International: The E-cigarettes Market: Past, Present and Future; 2015 available at: blog.euromonitor.com/2015/06/the-e-cigarettes-marketpast-present-and-future.html (accessed August 2018).

3. Blank, M.D., S. Disharoon, and T. Eissenberg: Comparison of Methods for Measurement of Smoking Behavior: Mouthpiece-Based Computerized Devices Versus Direct Observation; Nicotine Tob. Res. 11 (2009) 896–903. DOI: 10.1093/ntr/ntp083

4. Marian, C., R.J. O’Connor, M.V. Djordjevic, V.W. Rees, D.K. Hatsukami, and P.G. Shields: Reconciling Human Smoking Behavior and Machine Smoking Patterns: Implications for Understanding Smoking Behavior and the Impact on Laboratory Studies; Cancer Epidemiol. Biomarkers Prev. 18 (2009) 3305–3320. DOI: 10.1158/1055-9965.EPI-09-1014

5. International Organization for Standardization (ISO): ISO/TR 17219:2013. Review of Human Smoking Behaviour and Recommendations for a New ISO Standard for the Machine Smoking of Cigarettes; ISO, Geneva, Switzerland, 2013.

6. Vas, C.A., C.Ü. Yurteri, C.J. Dickens, and K. Prasad: Development and Characterisation of a Smoking Behaviour Measurement System; Beitr. Tabakforsch. Int. 26 (2015) 219–231. DOI: 10.1515/cttr-2015-0010

7. Gregg, E., T. Bachmann, R. Bito, X. Cahours, M. McEwan, P. Nelson, K. Prasad, G. Scherer, and M. Stiles: Assessing Smoking Behaviour and Tobacco Smoke Exposure: Definition and Methods; Beitr. Tabakforsch. Int. 25 (2013) 685–699. DOI: 10.2478/cttr-2013-0945

8. International Organization for Standardization (ISO): ISO 3308:2012. Routine Analytical Smoking Machine -- Definition and Standard Conditions; ISO, Geneva, Switzerland, 2012.

9. International Organization for Standardization (ISO): ISO 20778. Cigarettes -- Routine Analytical Cigarette Smoking Machine -- Definitions and Standard Conditions with an Intense Smoking Regime; ISO, Geneva, Switzerland, under development.

10. Cooperation Center for Scientific Research Relative to Tobacco (CORESTA) - E-Cigarette Task Force: Technical Report - 2014 Electronic Cigarette Aerosol Parameters Study (published March 2015), available at: www.coresta.org/2014-electronic-cigarette-aerosolparameters-study-29232.html (accessed August 2018).

11. Cooperation Center for Scientific Research Relative to Tobacco (CORESTA): Recommended Method No. 81: Routine Analytical Machine for E-Cigarette Aerosol Generation and Collection -- Definitions and Standard Conditions; 2015, available at: www.coresta.org/rou tine-analytical-machine-e-cigarette-aerosol-generation-and-collection-definitions-and-standard (accessed August 2018).

12. Hua, M., H. Yip, and P. Talbot: Mining Data on Usage of Electronic Nicotine Delivery Systems (ENDS) from YouTube Videos; Tob. Control 22 (2013) 103–106. DOI: 10.1136/tobaccocontrol-2011-050226

13. Farsalinos, K.E., G. Romagna, D. Tsiapras, S. Kyrzopoulos, and V. Voudris: Evaluation of Electronic Cigarette Use (Vaping) Topography and Estimation of Liquid Consumption: Implications for Research Protocol Standards Definition and for Public Health Authorities’ Regulation; Int. J. Environ. Res. Public Health 10 (2013) 2500–2514. DOI: 10.3390/ijerph10062500.

14. Strasser, A.A., V. Souprountchouk, A. Kaufmann, S. Blazekovic, F. Leone, N.L. Benowitz, and R.A. Schnoll: Nicotine Replacement, Topography, and Smoking Phenotypes of E-Cigarettes; Tob. Regul. Sci. 2 (2016) 352–362. DOI: 10.18001/TRS.2.4.7

15. St Helen, G., K.C. Ross, D.A. Dempsey, C.M. Havel, P. Jacob, and N.L. Benowitz: Nicotine Delivery and Vaping Behavior during Ad Libitum E-Cigarette Access; Tob. Regul. Sci. 2 (2016) 363–376. DOI: 10.18001/TRS.2.4.8

16. Behar, R.Z., M. Hua, and P. Talbot: Puffing Topography and Nicotine Intake of Electronic Cigarette Users; PloS One 10 (2015) e0117222, 18 pages. DOI: 10.1371/journal.pone.0117222

17. Norton, K.J., K.M. June, and R.J. O’Connor: Initial Puffing Behaviors and Subjective Responses Differ Between an Electronic Nicotine Delivery System and Traditional Cigarettes; Tob. Induc. Dis. 12 (2014) 17. DOI: 10.1186/1617-9625-12-17

18. Ramôa, C.P., M.M. Hiler, T.R. Spindle, A.A. Lopez, N. Karaoghlanian, T. Lipato, A.B. Breland, A. Shihadeh, and T. Eissenberg: Electronic Cigarette Nicotine Delivery Can Exceed That of Combustible Cigarettes: A Preliminary Report; Tob. Control 25 (2016) e6–e9. DOI: 10.1136/tobaccocontrol-2015-052447

19. Lopez, A.A., M.M. Hiler, E.K. Soule, C.P. Ramôa, N.V. Karaoghlanian, T. Lipato, A.B. Breland, A.L. Shihadeh, and T. Eissenberg: Effects of Electronic Cigarette Liquid Nicotine Concentration on Plasma Nicotine and Puff Topography in Tobacco Cigarette Smokers: A Preliminary Report; Nicotine Tob. Res. 18 (2016) 720–723.

20. Cunningham, A., S. Slayford, C.A. Vas, J. Gee, S. Costigan, and K. Prasad: Development and Validation of a Device for Measuring Puffing Topography of E-Cigarette Users; Presentation ST56 at the CORESTA Congress, Quebec, CANADA 2014, available at: https://www.coresta.org/abstracts/development-and-validation-device-measuring-puffing-topography-e-cigarette-users-28003 (accessed August 2018)

21. Patwardhan, S.: E-Cigarette Consumption and Puffing Topography Data; Presentation at the FDA CTP Workshop, Hyattsville, ML, USA, 2015.

22. Cunningham, A., S. Slayford, C. Vas, J. Gee, S. Costigan, and K. Prasad: Development, Validation and Application of a Device to Measure E-Cigarette Users’ Puffing Topography; Sci. Rep. 6 (2016) 35071. DOI: 10.1038/srep35071

23. Connell, C., D. Bennett, N. Meruva, A. Vansickel, and J. Edmiston: Validation of a Smoking Puff Analyzer for Use with an Electronic Cigarette Prototype; Poster presented at the 68th Tobacco Science Research Conference (TSRC), Charlottesville, VA, USA, 2014.

24. Edmiston, J., Y. Zhao, Q. Liang, A. Vansickel, J. Liu, and M. Sarkar: Characterization of Puff Topography During 8-Hours of Ad Libitum Use of MarkTen® E-Vapor Products; Presentation at the 70th Tobacco Science Research Conference (TSRC), Palm Beach, FL, USA, 2016.

25. Farsalinos, K.E., A. Spyrou, C. Stefopoulos, K. Tsimopoulou, P. Kourkoveli, D. Tsiapras, S. Kyrzopoulos, K. Poulas, and V. Voudris: Nicotine Absorption From Electronic Cigarette Use: Comparison Between Experienced Consumers (Vapers) and Naïve Users (Smokers); Sci. Rep. 5 (2015) 11269, 8 pages. DOI: 10.1038/srep11269

26. Robinson, R.J., E.C. Hensel, P.N. Morabito, and K.A. Roundtree: Electronic Cigarette Topography in the Natural Environment; PloS One 10 (2015) e0129296, 14 pages. DOI: 10.1371/journal.pone.0129296

27. Robinson, R.J., E.C. Hensel, K.A. Roundtree, A.G. Difrancesco, J.M. Nonnemaker, and Y.O. Lee: Week Long Topography Study of Young Adults Using Electronic Cigarettes in Their Natural Environment; PloS One 11 (2016) e0164038, 31 pages. DOI: 10.1371/journal.pone.0164038

28. Lee, Y.O., J.M. Nonnemaker, B. Bradfield, E.C. Hensel, and R.J. Robinson: Examining Daily Electronic Cigarette Puff Topography Among Established and Non-Established Cigarette Smokers in Their Natural Environment; Nicotine Tob. Res. (2017). DOI: 10.1093/ntr/ntx222

29. Dautzenberg, B. and D. Bricard: Real-Time Characterization of E-Cigarettes Use: The 1 Million Puffs Study; J. Addict. Res. Ther. 6 (2015) 229. DOI: 10.4172/2155-6105.1000229

30. Lee, Y.H., M. Gawron, and M.L. Goniewicz: Changes in Puffing Behavior Among Smokers Who Switched From Tobacco to Electronic Cigarettes; Addict. Behav. 48 (2015) 1–4. DOI: 10.1016/j.addbeh.2015.04.003

31. Hiler, M., A. Breland, T. Spindle, S. Maloney, T. Lipato, N. Karaoghlanian, A. Shihadeh, A. Lopez, C. Ramôa, and T. Eissenberg: Electronic Cigarette User Plasma Nicotine Concentration, Puff Topography, Heart Rate, and Subjective Effects: Influence of Liquid Nicotine Concentration and User Experience; Exp. Clin. Psychopharmacol. 25 (2017) 380–392. DOI: 10.1037/pha0000140

32. Dawkins, L.E., C.F. Kimber, M. Doig, C. Feyerabend, and O. Corcoran: Self-Titration by Experienced E-cigarette Users: Blood Nicotine Delivery and Subjective Effects; Psychopharmacology 233 (2016) 2933–2941. DOI: 10.1007/s00213-016-4338-2

33. Wagener, T.L., E.L. Floyd, I. Stepanov, L.M. Driskill, S.G. Frank, E. Meier, E.L. Leavens, A.P. Tackett, N. Molina, and L. Queimado: Have Combustible Cigarettes Met Their Match? The Nicotine Delivery Profiles and Harmful Constituent Exposures of Second-Generation and Third-Generation Electronic Cigarette Users; Tob. Control 26 (2017) e23–e28. DOI: 10.1136/tobaccocontrol-2016-053041

34. Farsalinos, K., K. Poulas, and V. Voudris: Changes in Puffing Topography and Nicotine Consumption Depending on the Power Setting of Electronic Cigarettes; Nicotine Tob. Res. 20 (2018) 993–997. DOI: 10.1093/ntr/ntx219

35. Spindle, T.R., M.M. Hiler, A.B. Breland, N.V. Karaoghlanian, A.L. Shihadeh, and T. Eissenberg: The Influence of a Mouthpiece-Based Topography Measurement Device on Electronic Cigarette User’s Plasma Nicotine Concentration, Heart Rate, and Subjective Effects Under Directed and Ad Libitum Use Conditions; Nicotine Tob. Res. 19 (2017) 469–476. DOI: 10.1093/ntr/ntw174

36. Spindle, T.R., A.B. Breland, N.V. Karaoghlanian, A.L. Shihadeh, and T. Eissenberg: Preliminary Results of an Examination of Electronic Cigarette User Puff Topography: The Effect of a Mouthpiece-Based Topography Measurement Device on Plasma Nicotine and Subjective Effects; Nicotine Tob. Res. 17 (2015) 142–149. DOI: 10.1093/ntr/ntu186

37. McNeill, A., L.S. Brose, R. Calder, S.C. Hitchman, P. Hajek, and H. McRobbie: E-Cigarettes: An Evidence Update. A Report Commissioned by Public Health England; Public Health England Publications, London, UK, 2015, available at: www.gov.uk/government/uploads/system/uploads/attachment_data/file/457102/Ecigarettes_an_evidence_update_A_report_commissioned_by_Public_Health_England_FINAL.pdf.

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CiteScore 2017: 0.63

SCImago Journal Rank (SJR) 2017: 0.309
Source Normalized Impact per Paper (SNIP) 2017: 0.403

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