title: Enjoyment and other reasons for electronic cigarette use: Results from college students in New York.
abstract: BACKGROUND
  Young people are more likely to have experimented with e-cigarettes (e-cigs) compared with older adults. Few studies identify reasons for experimentation/use of e-cigs among young people; we sought to discover what drives college students to use e-cigs.
  
  
  METHODS
  Undergraduate students (ages 18-23) at four universities in New York State were surveyed. Among e-cig ever users (n=429), reasons for use were examined. A multinomial logistic regression model analyzed the relative risk of reasons for using e-cigs among discontinued, current non-daily and current daily e-cig users.
  
  
  RESULTS
  Using e-cigs for enjoyment was associated with current non-daily (RR=2.11, 95% CI=1.18-3.75) and current daily use (RR=19.1, 95% CI=3.71-98.54). Non-daily use was related to use because e-cigs are less toxic than cigarettes (RR=2.80, 95% CI=1.75-4.50). More daily users reported use to quit smoking compared with either non-daily or discontinued users (53.3% vs. 12.2% and 13.3%, respectively; p<0.05). Among current users, 72.3% used for enjoyment, compared with 42.9% of discontinued users (p<0.05).
  
  
  CONCLUSIONS
  In contrast to adults, who often report e-cig use to quit smoking, young people are less likely to use for this reason. The exception was daily e-cig users, who often reported use for quitting/reduction of smoking. Rather, college students report usage reasons related to affect (e.g. enjoyment). Overall, enjoyment was reported more often than was use for quitting smoking; affective reasons likely play a role in the popularity of e-cigs and should be considered in future assessments of e-cig users.
authors.affiliation: University at Buffalo, State University of New York, School of Public Health and Health Professions, Department of Community Health and Health Behavior, Buffalo, NY, USA. Electronic address: mls38@buffalo.edu.
authors.forename: M L
authors.initials: ML
authors.lastname: Saddleson
authors.affiliation: University at Buffalo, State University of New York, School of Public Health and Health Professions, Department of Community Health and Health Behavior, Buffalo, NY, USA.
authors.forename: L T
authors.initials: LT
authors.lastname: Kozlowski
authors.affiliation: University at Buffalo, State University of New York, School of Public Health and Health Professions, Department of Community Health and Health Behavior, Buffalo, NY, USA.
authors.forename: G A
authors.initials: GA
authors.lastname: Giovino
authors.affiliation: Roswell Park Cancer Institute, Department of Health Behavior, Buffalo, NY, USA.
authors.forename: M L
authors.initials: ML
authors.lastname: Goniewicz
authors.affiliation: University at Buffalo, State University of New York, School of Public Health and Health Professions, Department of Community Health and Health Behavior, Buffalo, NY, USA; Roswell Park Cancer Institute, Department of Medicine and Department of Health Behavior, Buffalo, NY, USA.
authors.forename: M C
authors.initials: MC
authors.lastname: Mahoney
authors.affiliation: University at Buffalo, State University of New York, School of Public Health and Health Professions, Department of Community Health and Health Behavior, Buffalo, NY, USA.
authors.forename: G G
authors.initials: GG
authors.lastname: Homish
authors.affiliation: University at Buffalo, State University of New York, School of Public Health and Health Professions, Department of Community Health and Health Behavior, Buffalo, NY, USA.
authors.forename: A
authors.initials: A
authors.lastname: Arora
mesh_terms: D000293:Adolescent; D001294:Attitude to Health; D066300:Electronic Nicotine Delivery Systems / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D009518:New York; D057181:Pleasure; D012907:Smoking / Q000523:psychology*; D013334:Students / Q000523:psychology*; D014495:Universities; D055815:Young Adult
keywords: Affect; College students; Electronic cigarettes; Reasons for use; Vaping