Changing patterns of cigarette and ENDS transitions in the USA: a multistate transition analysis of adults in the PATH Study in 2017-2019 vs 2019-2021.
Andrew F BrouwerJihyoun JeonEvelyn Jimenez-MendozaStephanie R LandTheodore R HolfordAbigail S FriedmanJamie TamRitesh MistryDavid T LevyRafael MezaPublished in: Tobacco control (2024)
The persistence of ENDS use among adults remained high in 2019-2021, but a larger fraction of dual users transitioned to ENDS-only use compared with 2017-2019. Because the fraction of cigarette-only users switching to dual use remained low, especially among older adults, the public health implications of this change are minimal.
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