A typology of vaping: Identifying differing beliefs, motivations for use, identity and political interest amongst e-cigarette users

International Journal of Drug Policy

Volumn 48, Issue , 2017, Pages 81-90

  Farrimond, Hannah ^a  

^a UNIVERSITY OF EXETER   (United Kingdom)

Author keywords

Beliefs; E cigarettes; Identity; Q methodology; Qualitative; Vapers

Indexed keywords

ADULT; ARTICLE; FEMALE; HEALTH BELIEF; HEALTH HAZARD; HUMAN; IDENTITY; MALE; MOTIVATION; PLEASURE; POLITICS; PRIORITY JOURNAL; SMOKING CESSATION; SOCIAL BELIEF; TOBACCO DEPENDENCE; UNITED KINGDOM; VAPING; AGED; ELECTRONIC CIGARETTE; EPIDEMIOLOGY; FACTOR ANALYSIS; MIDDLE AGED; PROCEDURES; PSYCHOLOGY; QUESTIONNAIRE; SMOKING; STATISTICS AND NUMERICAL DATA; YOUNG ADULT;

ADULT; AGED; ELECTRONIC NICOTINE DELIVERY SYSTEMS; FACTOR ANALYSIS, STATISTICAL; FEMALE; HUMANS; MALE; MIDDLE AGED; MOTIVATION; POLITICS; SMOKERS; SMOKING; SMOKING CESSATION; SURVEYS AND QUESTIONNAIRES; TOBACCO USE DISORDER; VAPING; YOUNG ADULT;

EID: 85029360623     PISSN: 09553959     EISSN: 18734758     Source Type: Journal    
DOI: 10.1016/j.drugpo.2017.07.011     Document Type: Article

References (83)

1. Baker, R., Thompson, C., Mannion, R., Q methodology in health economics. Journal of Health Services Research and Policy 11:1 (2006), 38–45.
2. Bancroft, A., Wiltshire, S., Parry, O., Amos, A., “It's like an addiction first thing…afterwards it's like a habit”: daily smoking behaviour among people living in areas of deprivation. Social Science & Medicine 56:6 (2003), 1261–1267 Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/12600363.
3. Barbeau, A., Burda, J., Siegel, M., Perceived efficacy of e-cigarettes versus nicotine replacement therapy among successful e-cigarette users: A qualitative approach. Addiction Science & Clinical Practice, 8(5), 2013, 10.1186/1940-0640-8-5.
4. Bayer, R., Stuber, J., Tobacco control, stigma, and public health: Rethinking the relations. American Journal of Public Health 96:1 (2006), 47–50, 10.2105/AJPH.2005.071886.
5. Bell, K., Keane, H., Nicotine control: E-cigarettes, smoking and addiction. International Journal of Drug Policy 23:3 (2012), 242–247.
6. Bell, K., Salmon, A., Bowers, M., Bell, J., McCullough, L., Smoking, stigma and tobacco “denormalization”: Further reflections on the useof stigma as a public health tool. A commentary on Social Science & Medicine's Stigma, Prejudice, Discrimination and Health Special Issue. Social Science and Medicine 70 (2010), 795–799, 10.1016/j.socscimed.2009.09.060.
7. Berg, C.J., Haardoerfer, R., Escoffery, C., Zheng, P., Kegler, M., Cigarette users’ interest in using or switching to electronic nicotine delivery systems for smokeless tobacco for harm reduction, cessation, or novelty: A cross-sectional survey of US adults. Nicotine and Tobacco Research 17:2 (2015), 245–255, 10.1093/ntr/ntu103.
8. Berridge, V., History and the future: Looking back to look forwards?. International Journal of Drug Policy 37 (2016), 117–121, 10.1016/j.drugpo.2016.09.002.
9. Bonhomme, M.G., Holder-Hayes, E., Ambrose, B.K., Tworek, C., Feirman, S.P., King, B.A., Apelberg, B.J., Flavoured non-cigarette tobacco product use among US adults: 2013–2014. Tobacco Control 25 (2016), ii4–ii13, 10.1136/tobaccocontrol-2016-053373 tobaccocontrol-2016-053373.
10. Britton, J., Bates, C., Channer, K., Cutherbertson, L., Godfrey, C., Jarvis, M., McNeill, A., Nicotine addiction in Britain. 2000, Royal College of Physicians, London.
11. Brown, J., West, R., Beard, E., Michie, S., Shahab, L., McNeill, A., Prevalence and characteristics of e-cigarette users in Great Britain: Findings from a general population survey of smokers. Addictive Behaviors 39:6 (2014), 1120–1125, 10.1016/j.addbeh.2014.03.009.
12. Brown, S., Q technique and methods: Principles and procedures. Berry, W., Lewis-Beck, M., (eds.) New tools for social scientists, advances and applications in research methods, 1986, Sage Publications, California, 57–76.
13. Brown, S.R., Political subjectivity: Application of Q-methodology in political science. 1980, Yale University Press, New Haven.
14. Bunton, R., Coveney, J., Drugs’ pleasures. Critical Public Health 21:1 (2011), 9–23, 10.1080/09581596.2010.530644.
15. Callahan-Lyon, P., Electronic cigarettes: Human health effects. Tobacco Control 23:Suppl. 2 (2014), ii36–ii40, 10.1136/tobaccocontrol-2013-051470.
16. Caponnetto, P., Saitta, D., Sweanor, D., Polosa, R., What to consider when regulating electronic cigarettes: Pros, cons and unintended consequences. International Journal of Drug Policy 26:6 (2015), 554–559 Retrieved from: http://www.sciencedirect.com/science/article/pii/S0955395915000687.
17. Coleman, B.N., Johnson, S.E., Tessman, G.K., Tworek, C., Alexander, J., Dickinson, D.M., Green, K.M., “It's not smoke. It's not tar. It's not 4000 chemicals. Case closed”: Exploring attitudes, beliefs, and perceived social norms of e-cigarette use among adult users. Drug and Alcohol Dependence 159 (2016), 80–85 Retrieved from: http://www.sciencedirect.com/science/article/pii/S0376871615017822.
18. Collins, P., Maguire, M., O-Dell, L., Smokers’ representations of their own smoking: A Q-methodological study. Journal of Health Psychology 7:6 (2002), 641–652.
19. Cummins, S., Leischow, S., Bailey, L., Bush, T., Wassum, K., Copeland, L., Zhu, S.H., Knowledge and beliefs about electronic cigarettes among quitline cessation staff. Addictive Behaviors 60 (2016), 78–83, 10.1016/j.addbeh.2016.03.031.
20. Curt, B., Textuality and tectonics: Troubling social and psychological science. 1994, Open University Press, Buckingham.
21. Dawkins, L., Turner, J., Roberts, A., Soar, K., “Vaping” profiles and preferences: An online survey of electronic cigarette users. Addiction 108:6 (2013), 1115–1125, 10.1111/add.12150.
22. Duff, C., The pleasure in context. International Journal of Drug Policy 19:5 (2008), 384–392, 10.1016/j.drugpo.2007.07.003.
23. Dziopa, F., Ahern, K., A systematic literature review of the applications of Q-technique and its methodology. Methodology 7:2 (2011), 39–55.
24. Etter, J., Characteristics of users and usage of different types of electronic cigarettes: Findings from an online survey. Addiction 111:4 (2016), 724–733.
25. Farrimond, H., E-cigarette regulation and policy: UK vapers’ perspectives. Addiction 111:6 (2016), 1077–1083, 10.1111/add.13322.
26. Farrimond, H., Joffe, H., Pollution, peril and poverty: A British study of the stigmatization of smokers. Journal of Community and Applied Social Psychology 16:6 (2006), 481–491 Retrieved from: http://discovery.ucl.ac.uk/167968/.
27. Farrimond, H., Joffe, H., Stenner, P.H.D., A Q-methodological study of smoking identities. Psychology and Health 25:8 (2010), 979–998, 10.1080/08870440903151080.
28. Farsalinos, K.E., Romagna, G., Voudris, V., Factors associated with dual use of tobacco and electronic cigarettes: A case control study. The International Journal on Drug Policy 26:6 (2015), 595–600, 10.1016/j.drugpo.2015.01.006.
29. Finney Rutten, L.J., Blake, K.D., Agunwamba, A.A., Grana, R.A., Wilson, P.M., Ebbert, J.O., Leischow, S.J., Use of E-cigarettes among current smokers: Associations among reasons for use, quit intentions, and current tobacco use. Nicotine and Tobacco Research 17:10 (2015), 1228–1234, 10.1093/ntr/ntv003.
30. Gillies, V., Willig, C., “You get the nicotine and that in your blood”—Constructions of addiction and control in women's accounts of cigarette smoking. Journal of Community and Applied Social Psychology 7:4 (1997), 285–301.
31. Goniewicz, M.L., Lingas, E.O., Hajek, P., Patterns of electronic cigarette use and user beliefs about their safety and benefits: An internet survey. Drug and Alcohol Review 32:2 (2013), 133–140, 10.1111/j.1465-3362.2012.00512.x.
32. Grana, R., Glantz, S., Ling, P., Electronic nicotine delivery systems in the hands of Hollywood. Tobacco Control 20 (2011), 425–426.
33. Hajek, P., Electronic cigarettes have a potential for huge public health benefit. BMC Medicine, 12(1), 2014, 225, 10.1186/s12916-014-0225-z.
34. Hardcastle, K., Hughes, K., Worsley, J., Bennett, A., Ireland, R., Sweeney, S., “Most people I know have got one”: Young people's perceptions and experiences of electronic cigarettes. 2014, Centre for Public Health, Liverpool John Moores University, Liverpool.
35. Hartmann-Boyce, J., McRobbie, H., Bullen, C., Begh, R., Stead, L.F., Hajek, P., Electronic cigarettes for smoking cessation. Hartmann-Boyce, J., (eds.) Cochrane database of systematic reviews, 2016, John Wiley & Sons, Ltd, Chichester, UK, 10.1002/14651858.CD010216.pub3.
36. Hartwell, G., Thomas, S., Egan, M., Gilmore, A., Petticrew, M., E-cigarettes and equity: A systematic review of differences in awareness and use between sociodemographic groups. Tobacco Control, 2016, 10.1136/tobaccocontrol-2016-053222 tobaccocontrol-2016-053222, Published online first: 21 December 2016.
37. Hiscock, R., Goniewicz, M.L., McEwen, A., Murray, S., Arnott, D., Dockrell, M., Bauld, L., E-cigarettes: Online survey of UK smoking cessation practitioners. Tobacco Induced Diseases, 12(1), 2014, 13, 10.1186/1617-9625-12-13.
38. Hitchman, S.C., Brose, L.S., Brown, J., Robson, D., McNeill, A., Associations between E-cigarette type, frequency of use, and quitting smoking: Findings from a longitudinal online panel survey in Great Britain. Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco 17:10 (2015), 1187–1194 Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/25896067.
39. Huerta, T.R., Walker, D.M., Mullen, D., Johnson, T.J., Ford, E.W., Trends in E-cigarette awareness and perceived harmfulness in the U.S. American Journal of Preventive Medicine, 2016, 1–8, 10.1016/j.amepre.2016.10.017.
40. Joffe, H., Social representations and health psychology. Social Science Information 41 (2002), 559–580.
41. Kalkhoran, S., Glantz, S.A., E-cigarettes and smoking cessation in real-world and clinical settings: A systematic review and meta-analysis. The Lancet Respiratory Medicine 4:2 (2016), 116–128, 10.1016/S2213-2600(15)00521-4.
42. Keane, H., Making smokers different with nicotine: NRT and quitting. International Journal of Drug Policy 24:3 (2013), 189–195, 10.1016/j.drugpo.2013.01.011.
43. Kim, H., Davis, A.H., Dohack, J.L., Clark, P.I., E-cigarettes use behavior and experience of adults: Qualitative research findings to inform E-cigarette use measure development: Table 1. Nicotine & Tobacco Research, 2016, tw175, 10.1093/ntr/ntw175.
44. Kosmider, L., Anastasi, N., Ideology versus evidence: Investigating the claim that the literature on e-cigarettes is undermined by material conflict of interest (Letter to the Editor). Preventive Medicine 85 (2016), 113–114 Retrieved from: http://linkis.com/sciencedirect.com/6rHwo.
45. Malas, M., van der Temple, J., Schwartz, R., Minichiello, A., Lightfoot, C., Noormohamed, A., Ferrence, R., Electronic cigarettes for smoking cessation: A systematic review. Nicotine & Tobacco Research 18:10 (2016), 1926–1936, 10.1093/ntr/ntw119.
46. Marlatt, G.A., Larimer, M.E., Witkiewitz, K., Marlatt, G.A., Larimer, M.E., Witkiewitz, K., (eds.) Harm reduction, 2nd ed.: Pragmatic strategies for managing high-risk behaviours, 2nd ed., 2012, The Guildford Press, London, New York.
47. McEwen, A., McRobbie, H., Electronic cigarettes: A briefing for stop smoking services. 2016.
48. McEwen, A., West, R., The PRIME approach to giving up smoking. Practice Nursing 21:3 (2010), 145–153.
49. McKee, M., Electronic cigarettes: Proceed with great caution. International Journal of Public Health 59:5 (2014), 683–685, 10.1007/s00038-014-0589-z.
50. McQueen, A., Tower, S., Sumner, W., Interviews with “vapers”: Implications for future research with electronic cigarettes. Nicotine and Tobacco Research 13:9 (2011), 860–867, 10.1093/ntr/ntr088.
51. Miles, S., Youth lifestyles in a changing world. 2000, Open University Press, Buckingham [England]; Philadelphia.
52. Moore, D., Erasing pleasure from public discourse on illicit drugs: On the creation and reproduction of an absence. International Journal of Drug Policy 19:5 (2008), 353–358, 10.1016/j.drugpo.2007.07.004.
53. Morphett, K., Carter, A., Hall, W., Gartner, C., Medicalization, smoking and e-cigarettes: Evidence and implications. Tobacco Control, 2016, 10.1136/tobaccocontrol-2016-053348 Online first: 30 November 2016.
54. Moss, T.P., Bould, E., A Q-methodological investigation into the meanings of cigarette consumption. Journal of Health Psychology 14:1 (2009), 36–42.
55. O'Leary, R., Macdonald, M., Stockwell, T., Reist, D., Clearing the air: A systematic review on the harms and benefits of e-cigarettes and vapour devices. 2017 Victoria, BC.
56. Pepper, J.K., Brewer, N.T., Electronic nicotine delivery system (electronic cigarette) awareness, use, reactions and beliefs: A systematic review. Tobacco Control, 2013, 1–10, 10.1136/tobaccocontrol-2013-051122.
57. Pineiro, B., Correa, J.B., Simmons, V.N., Harrell, P.T., Menzie, N.S., Unrod, M., Brandon, T.H., Gender differences in use and expectancies of e-cigarettes: Online survey results. Addictive Behaviors 52 (2016), 91–97, 10.1016/j.addbeh.2015.09.006.
58. Pisinger, C., Døssing, M., A systematic review of health effects of electronic cigarettes. Preventive Medicine 69 (2014), 248–260, 10.1016/j.ypmed.2014.10.009.
59. Public Health England, E-cigarettes: An emerging public health consensus. 2015 Retrieved May 16, 2016, from: https://www.gov.uk/government/news/e-cigarettes-an-emerging-public-health-consensus.
60. Radley, A., Making sense of health and illness. 1995, Sage Publications Ltd, London, Thousand Oaks Ca., New Delhi, Singapore.
61. Rahman, M.A., Hann, N., Wilson, A., Mnatzaganian, G., Worrall-Carter, L., E-cigarettes and smoking cessation: Evidence from a systematic review and meta-analysis. PloS One, 10(3), 2015, e0122544 Retrieved from: http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0122544.
62. Ritchie, D., Amos, A., Martin, C., “But it just has that sort of feel about it, a leper”—Stigma, smoke-free legislation and public health. Nicotine and Tobacco Research 12:6 (2010), 622–629, 10.1093/ntr/ntq058.
63. Rooke, C., Cunningham-Burley, S., Amos, A., Smokers’ and ex-smokers’ understanding of electronic cigarettes: A qualitative study. Tobacco Control 25 (2016), e60–e66.
64. Royal College of Physicians, Nicotine without smoke: Tobacco harm reduction. 2016, RCP, London.
65. Rozin, P., The process of moralization. Psychological Science 10:3 (1999), 218–221.
66. Saddleson, M.L., Kozlowski, L.T., Giovino, G.A., Goniewicz, M.L., Mahoney, M.C., Homish, G.G., Arora, A., Enjoyment and other reasons for electronic cigarette use: Results from college students in New York. Addictive Behaviors 54 (2016), 33–39, 10.1016/j.addbeh.2015.11.012.
67. Scott, S., Baker, R., Shucksmith, J., Kaner, E., Autonomy, special offers and routines: A Q methodological study of industry-driven marketing influences on young people's drinking behaviour. Addiction (Abingdon, England) 109:11 (2014), 1833–1844, 10.1111/add.12663.
68. Shilling, C., The body and social theory. 2nd ed., 2003, SAGE, London.
69. Shinebourne, P., Using Q method in qualitative research. International Journal of Qualitative Methods 8:1 (2009), 93–97.
70. Simmons, V.N., Quinn, G.P., Harrell, P.T., Meltzer, L.R., Correa, J.B., Unrod, M., Brandon, T.H., E-cigarette use in adults: A qualitative study of users’ perceptions and future use intentions. Addiction Research & Theory, 2016, 1–9, 10.3109/16066359.2016.1139700.
71. Stainton Rogers, R., Q methodology. Smith, J., Harre, R., Van Lagenhove, L., (eds.) Rethinking methods in psychology, 1995, Sage Publications, New York, 178–207.
72. Stenner, P., Q methodology as a constructivist method. Operant Subjectivity: The International Journal of Q Methodology 32 (2007), 46–69.
73. Stenner, P., Watts, S., Worrell, M., Q methodology. Willig, C., Stainton-Rogers, W., (eds.) The sage handbook of qualitative research in psychology, 2008, Sage Publications Ltd, London, 215–239.
74. Stimson, G.V., Thom, B., Costall, P., Disruptive innovations: The rise of the electronic cigarette. The International Journal of Drug Policy 25:4 (2014), 653–655.
75. Stimson, G.V., A tale of two epidemics: Drugs harm reduction and tobacco harm reduction in the United Kingdom. Drug and Alcohol Today 16:3 (2016), 203–211, 10.1108/DAT-03-2016-0007.
76. Sundar, I.K., Javed, F., Romanos, G.E., Rahman, I., E-cigarettes and flavorings induce inflammatory and pro-senescence responses in oral epithelial cells and periodontal fibroblasts. Oncotarget, 7(47), 2016, 10.18632/oncotarget.12857.
77. Thirlway, F., Everyday tactics in local moral worlds: E-cigarette practices in a working-class area in the UK. Social Science & Medicine 170 (2016), 106–113, 10.1016/j.socscimed.2016.10.012.
78. Vangeli, E., West, R., Transition towards a “non-smoker” identity following smoking cessation: An interpretative phenomenological analysis. British Journal of Health Psychology 17:1 (2012), 171–184 Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/22107052.
79. Wadsworth, E., Neale, J., Mcneill, A., Hitchman, S.C., How and why do smokers start using E-cigarettes? Qualitative study of vapers in London, UK. 2016, 10.3390/ijerph13070661.
80. Watts, S., Stenner, P.H.D., Doing Q-methodological research: Theory, method and interpretation. 2012, SAGE publications, London.
81. WHO, Electronic Nicotine Delivery Systems and Electronic Non-Nicotine Delivery Systems (ENDS/ENNDS) report by WHO. Conference of the parties to the WHO framework convention on tobacco control, November, 2016, 7–12 Retrieved from: http://who.int/tobacco/industry/product_regulation/eletronic-cigarettes-report-cop7/en/index.html.
82. Wigginton, B., Lee, C., A story of stigma: Australian women's accounts of smoking during pregnancy. Critical Public Health 23:4 (2013), 466–481, 10.1080/09581596.2012.753408.
83. Xu, Y., Guo, Y., Liu, K., Liu, Z., Wang, X., E-Cigarette awareness, use, and harm perception among adults: A meta-analysis of observational studies. PLoS One, 11(11), 2016, 10.1371/journal.pone.0165938.