Vaping and socioeconomic inequalities in smoking cessation and relapse: a longitudinal analysis of the UK Household Longitudinal Study
2023

Vaping and Socioeconomic Inequalities in Smoking Cessation

Sample size: 25102 publication 10 minutes Evidence: moderate

Author Information

Author(s): Iain Hardie, Michael James Green

Primary Institution: University of Glasgow

Hypothesis

Does vaping mediate or moderate associations between socioeconomic position and smoking cessation/relapse?

Conclusion

Vaping may help reduce inequalities in smoking cessation among smokers without degree-level education, but other supports may be needed for those with no qualifications.

Supporting Evidence

  • Smokers without degrees were less likely to quit smoking compared to those with degrees.
  • Regular vaping was associated with increased odds of smoking cessation among current smokers.
  • Vaping did not significantly increase inequalities in smoking relapse.

Takeaway

Vaping can help some people quit smoking, especially those who didn't finish school, but it might not help everyone.

Methodology

Longitudinal analysis using data from the UK Household Longitudinal Study, employing marginal structural models to assess the impact of vaping on smoking cessation and relapse.

Potential Biases

Potential bias from unmeasured confounders related to smoking history.

Limitations

Causal interpretation is limited by potential unmeasured confounding and reliance on self-reported smoking status.

Participant Demographics

Participants included a diverse sample of 25,102 individuals from the UK, stratified by smoking status and educational attainment.

Statistical Information

P-Value

0.65 for smoking cessation among non-regular vapers; 1.74 for relapse among ex-smokers without degrees.

Confidence Interval

95% CI 0.54–0.77 for cessation; 95% CI 1.37–2.22 for relapse.

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1136/tc-2022-057728

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