Are you trying to stop smoking? Or at least, opinion about trying to stop?
You may have more happiness with e-cigarettes than nicotine patches or gums, according to a new study published today in the New England Journal of Medicine.
Clinical trials, involving almost 900 smokers in the UK, revealed that 18 percent of e-cigarette users did not smoke after a year, compared to 9.9 percent of people using nicotine replacement products such as patches, tires, pads and sprays.
Lead researcher Peter Hajek, from Queen Mary University in London, said that although e-cigarettes are commonly used in smoking cessation attempts, there was not much evidence that actually helped.
During the trial, participants received a quarterly supply of a nicotine replacement product (or combination of products), or a startup package for e-cigarettes with one or two bottles of e-liquid, and encouragement to buy future supplies.
At least four weeks of trial, participants also received weekly behavioral support.
Among those who successfully quit smoking, 80 percent of e-cigarette users continued to shed after one year, but only 9 percent of those who gave nicotine replacement products continued to use.
Co-author of Hayden McRobbie's study, although the risks of long-lasting evaporation are unknown, "Smoking resume [was] far the greatest risk ".
"We want to see smoker switches [to vaping], and then ideally go out, "said Professor McRobbie, a professor of public health intervention at Queen Mary University in London.
"But for people who do not smoke, we do not want them to start crying."
More effective than getting rid of cold turkeys
Coral Gartner, head of the Nicotine and Tobacco Science Research Group at Queensland University, said the results provided "high-level evidence" for the use of e-cigarettes as a way of smoking cessation.
"This research provides quite good support [e-cigarettes] approach that we could use in clinical practice, "said Dr. Gartner, who was not involved in the study.
She said smoking percent rates in the study – 18 percent for e-cigarettes and 9.9 for substitute nicotine therapy – were considerably higher than the average "cold turkey" performance rate.
"So, I see the outcome of e-cigarettes – 18 percent – as very good because of the low rate of success of giving up without help."
According to researchers, the "stronger effects" of e-cigarettes found in the study (compared to previous trials) may have been due to the inclusion of smokers who are actively seeking help, face-to-face support, and the use of modern rechargeable e-cigarettes.
"No," Here's an e-cigarette, good luck! "- People have been supportive of behavior," said Professor McRobbie.
"Participants were addicted to smokers, but they also wanted to stop smoking.
"I think the study shows that e-cigarettes can help you quit smoking, but it's not a magic remedy … there are other things to do to make it easier to travel."
As for e-cigarettes that have proved to be more effective than other nicotine replacement products, researchers have suggested that water-leaked people can better adjust their dose of nicotine and provide some of the known cigar smoking behavior.
"E-cigarettes were more effective in alleviating the symptoms of dropping out of tobacco … and were rated as more useful to refrain from smoking from nicotine substitutes," they wrote.
According to the study, further examinations are needed to determine whether the results can be generalized outside of the UK smoking cessation service.
Concern over long-term use
While abstinence rates were greater among e-cigarette users at all points during trial, the steady tremor rate at the end of 12 months was "pretty high" – eight out of 10 users are still vaping.
"This can be considered problematic if the use of e-cigarettes has been indicative of long-term use for years, which may represent unknown health risks," the authors wrote.
This is one of the key concerns among public health professionals in Australia: that there is not enough evidence to show that steaming is safe, especially in the long run.
Simon Chapman, emeritus professor of public health at the University of Sydney, recently told ABC, "It will take decades before we know if the vaping is less dangerous than smoking and how much, if at all."
Recently, CSIRO's report has shown that the regular use of e-cigarettes may have "adverse health consequences," but the report also referred to the lack of "clarity regarding the extent of the harmful effects on health and the amount of e-cigarette use that is needed for triggering [them]".
According to Dr. Gartner, there must be "trade off": accepting longer-term use of e-cigarettes for "greater success".
"It's obvious that the ban on smoking or steaming will be the safest option, but if someone tries to stop smoking, it may take them many years … and vaping can help them stop and reduce the risk."
"It's about reducing the damage – helping people move along a risky continuum, all the way to a lesser risk".
Dr. Gartner said that important people who smoked together and licked shut off exclusively on steaming, and when they could, they stopped crying.
"I would encourage people who use steaming – even as a way to stop smoking – so they would eventually stop crying," she said.
She and Professor McRobbie said that part of the challenge is that the more frequent and longer-term use of steaming – as seen in the study – is probably an "important factor" in the higher rates of success of people who used it to quit.
"We know that using long-lasting nicotine replacement therapy prevents recurrence, and this is probably what we see here: vaping prevents relapse," said Professor McRobbie.
Dr. Gartner said that although the vaping was less risky behavior, he was not without risk.
"It's a complex and difficult area. It's easy to say," Stop: do not use anything. "But that's the same with a lot of health behavior – it's hard," she said.
Press to reconsider the regulation
Australia is increasingly left alone when it comes to regulating e-cigarettes.
Nicotine light is legal in the UK, New Zealand, the United States and Canada, however, sales of liquid nicotine are illegal in Australia – a ban confirmed by the TGA in 2017.
People who want nicotine in their e-cigarettes must order it in a liquid form from abroad or access them through a doctor's prescription. But very few doctors are willing to prescribe.
"E-cigarettes containing nicotine are not available to current Australian smokers because there are no products that are approved for smoking cessation," Dr. Gartner said.
In Australia, all smoking cessation products must be formally evaluated and approved by TGA.
"Unless something radically changes is basically dead ending at this stage … there is not much interest in getting an approved product," Dr. Gartner said.
She said that instead of medical regulations, policy makers should "look seriously at different models," including making e-cigarettes containing nicotine as a consumer product in a "highly regulated way" with "lots of control".
"At present, we have the most desirable product – tobacco cigarettes – sold in supermarkets," she said.
"We have to wonder: is this really appropriate, especially when there is another product that could replace them and be part of the risk?"
Professor McRobbie agreed that the release was available to smokers, but that was [our] best to limit the smoker's "is" ideal ".
"It's about finding that balance," he said.
Public health experts have expressed concern about possible changes among young people – which is the approach of smoking tobacco products – if the regulation changes.
In September, the US Food and Drug Administration announced a ban on flavorful e-cigar as the country fights an "epidemic" of using e-cigarettes in young people, threatening to create a new generation of nicotine addicts.
Dr. said it was "definitely a concern" and that health authorities should "follow closely".
"I do not think we should necessarily assume that if we change the way we regulate e-cigarettes, they see the pattern they saw in the US," she said.
"But that's something we have to look at and try to minimize."