PT - JOURNAL ARTICLE AU - Blair Coleman AU - Brian Rostron AU - Sarah E Johnson AU - Alexander Persoskie AU - Jennifer Pearson AU - Cassandra Stanton AU - Kelvin Choi AU - Gabriella Anic AU - Maciej Lukasz Goniewicz AU - Kenneth Michael Cummings AU - Karin A Kasza AU - Marushka L Silveira AU - Cristine Delnevo AU - Raymond Niaura AU - David B Abrams AU - Heather L Kimmel AU - Nicolette Borek AU - Wilson M Compton AU - Andrew Hyland TI - Transitions in electronic cigarette use among adults in the Population Assessment of Tobacco and Health (PATH) Study, Waves 1 and 2 (2013–2015) AID - 10.1136/tobaccocontrol-2017-054174 DP - 2019 Jan 01 TA - Tobacco Control PG - 50--59 VI - 28 IP - 1 4099 - http://tobaccocontrol.bmj.com/content/28/1/50.short 4100 - http://tobaccocontrol.bmj.com/content/28/1/50.full SO - Tob Control2019 Jan 01; 28 AB - Introduction This study assessed patterns of e-cigarette and cigarette use from Wave 1 to Wave 2 among adult e-cigarette users at Wave 1 of the Population Assessment of Tobacco and Health (PATH) Study.Methods We examined changes in e-cigarette use frequency at Wave 2 among adult e-cigarette users at Wave 1 (unweighted n=2835). Adjusted prevalence ratios (aPR) were calculated using a predicted marginal probability approach to assess correlates of e-cigarette discontinuance and smoking abstinence at Wave 2.Results Half (48.8%) of adult e-cigarette users at Wave 1 discontinued their use of e-cigarettes at Wave 2. Among dual users of e-cigarettes and cigarettes at Wave 1, 44.3% maintained dual use, 43.5% discontinued e-cigarette use and maintained cigarette smoking and 12.1% discontinued cigarette use at Wave 2, either by abstaining from cigarette smoking only (5.1%) or discontinuing both products (7.0%). Among dual users at Wave 1, daily e-cigarette users were more likely than non-daily users to report smoking abstinence at Wave 2 (aPR=1.40, 95% CI 1.02 to 1.91). Using a customisable device (rather than a non-customisable one) was not significantly related to smoking abstinence at Wave 2 (aPR=1.14, 95% CI 0.81 to 1.60).Conclusions This study suggests that e-cigarette use patterns are highly variable over a 1-year period. This analysis provides the first nationally representative estimates of transitions among US adult e-cigarette users. Future research, including additional waves of the PATH Study, can provide further insight into long-term patterns of e-cigarette use critical to understanding the net population health impact of e-cigarettes in USA.