title: Young adult e-cigarette users' reasons for liking and not liking e-cigarettes: A qualitative study.
abstract: OBJECTIVE
  To gain an in-depth understanding of what young adult electronic- or e-cigarette users like or dislike about e-cigarettes. We aimed to determine the reasons that may encourage young adults to use e-cigarettes or discourage them from using e-cigarettes.
  
  
  METHODS
  Twelve focus group discussions were conducted with 62 current daily e-cigarette users (63% men) of mean age = 25.1 years (standard deviation = 5.5). Data were analysed following principles of inductive content analysis.
  
  
  RESULTS
  Results indicated 12 categories of reasons for liking e-cigarettes (e.g., recreation, smoking cessation) and 6 categories of reasons for not liking e-cigarettes (e.g. poor product quality, poor smoking experience).
  
  
  CONCLUSIONS
  Young adults' motives for using or not using e-cigarettes appear to be varied and their relative importance in terms of predicting e-cigarette use initiation, dependence, and cigarette/e-cigarette dual use needs to be carefully studied in population-based, empirical studies. The current findings suggest that e-cigarettes may serve social, recreational, and sensory expectancies that are unique relative to cigarettes and not dependent on nicotine. Further, successful use of e-cigarettes in smoking cessation will likely need higher standards of product quality control, better nicotine delivery efficiency and a counselling component that would teach smokers how to manage e-cigarette devices while trying to quit smoking cigarettes.
authors.affiliation: a Cancer Prevention & Control Program , University of Hawaii Cancer Center , Honolulu , HI , USA.
authors.forename: Pallav
authors.initials: P
authors.lastname: Pokhrel
authors.affiliation: a Cancer Prevention & Control Program , University of Hawaii Cancer Center , Honolulu , HI , USA.
authors.forename: Thaddeus A
authors.initials: TA
authors.lastname: Herzog
authors.affiliation: a Cancer Prevention & Control Program , University of Hawaii Cancer Center , Honolulu , HI , USA.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Muranaka
authors.affiliation: a Cancer Prevention & Control Program , University of Hawaii Cancer Center , Honolulu , HI , USA.
authors.forename: Pebbles
authors.initials: P
authors.lastname: Fagan
mesh_terms: D000328:Adult; D066300:Electronic Nicotine Delivery Systems / Q000523:psychology* / Q000706:statistics & numerical data*; D004644:Emotions; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D009042:Motivation; D036301:Qualitative Research; D011998:Recreation; D012907:Smoking / Q000523:psychology; D016540:Smoking Cessation / Q000379:methods; D000074606:Smoking Prevention; D055815:Young Adult
keywords: electronic cigarette; motives; qualitative; smoking; young adults