Electronic Nicotine Delivery Systems Use and Nicotine Exposure Among Adults Who Use ENDS Alone or With Cigarettes: The Population Assessment of Tobacco and Health Study 2013–2019
Exclusive ENDS use was associated with a positive linear trend in nicotine exposure between 2013 and 2019, which may reflect how newer generations of ENDS are better at delivering nicotine. When limiting analysis to within-subject use at all waves the trend was quadratic, with nicotine exposure peaking at W3 and returning toward W1 levels by W5. This may be related to people trying to titrate their nicotine exposure in response to changes in ENDS characteristics. Dual ENDS and cigarette use had more consistent levels of exposure over time, which could be due to the greater ease of nicotine titration via cigarettes.
Authors
- Katherine Garcia-Rosales
- Kathryn C. Edwards (ORCID: https://orcid.org/0000-0002-0645-1705)
- Lanqing Wang (ORCID: https://orcid.org/0000-0001-6620-7096)
- Wilson M. Compton (ORCID: https://orcid.org/0000-0003-3108-5118)
- Carlos Blanco (ORCID: https://orcid.org/0000-0001-6187-3057)
- Cindy M. Chang
- Lori Merrill (ORCID: https://orcid.org/0000-0001-9792-6376)
- Eva Sharma (ORCID: https://orcid.org/0000-0002-1328-508X)
- David L. Ashley
- Derick L. Rivers
- Jun Feng (ORCID: https://orcid.org/0000-0002-5443-7158)
- Andrew Hyland (ORCID: https://orcid.org/0009-0009-6318-9932)
- Benjamin C. Blount (ORCID: https://orcid.org/0000-0003-4788-8169)
- Hoda T. Hammad (ORCID: https://orcid.org/0000-0001-9569-5316)
- Esther J. Roh (ORCID: https://orcid.org/0000-0002-3349-9827)
- Arit M. Harvanko (ORCID: https://orcid.org/0000-0002-1514-4862)
- Kara Duffy (ORCID: https://orcid.org/0009-0001-2828-9673)
- Eric A. Tolliver
- Dorothy K. Hatsukami (ORCID: https://orcid.org/0000-0002-1108-2609)
- Heather L. Kimmel (ORCID: https://orcid.org/0000-0001-8278-0095)
- Kerui Xu (ORCID: https://orcid.org/0000-0002-4230-4980)
- Elena V. Mishina
- Carol H. Christensen
- Colm Everard (ORCID: https://orcid.org/0009-0008-7441-5352)
- Dana van Bemmel
- Maciej Lukasz Goniewicz (ORCID: https://orcid.org/0000-0001-6748-3068)
- Kristie Taylor (ORCID: https://orcid.org/0000-0001-6668-7923)
- Yu‐Ching Cheng (ORCID: https://orcid.org/0000-0002-5425-1951)
- Ruben Montes de
- Prabha Kc
- Arseima Del Valle-Pinero
Institutions
- Centers for Disease Control and Prevention (US)
- Roswell Park Comprehensive Cancer Center (US)
- University of Minnesota (US)
- National Institute on Drug Abuse (US)
- Westat (United States) (US)
- National Center for Environmental Health (US)
- RED Consulting (Norway) (NO)
- Kelly Services (United States) (US)
Publication Details
- Journal
- Nicotine & Tobacco Research
- Published
- 2025-04-20
- DOI
- https://doi.org/10.1093/ntr/ntaf083
- Primary Topic
- Smoking Behavior and Cessation
- Type
- article
- Field-Weighted Citation Impact
- 0.00