E-cigarette dependence in former smoker: A Tunisian survey

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Published Oct 14, 2023
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Vol. 101 No. 6 (2023): Tunis med jun 2023

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Chirine Moussa
Department I of Pneumology - Abderrahmen Mami Pneumology and Phthisiology Hospital-Faculty of Medicine of Tunis, University of Tunis El Manar- Tunis- Tunisia
https://orcid.org/0000-0002-8123-9843
Nour Mahmoud
Department I of Pneumology - Abderrahmen Mami Pneumology and Phthisiology Hospital-Faculty of Medicine of Tunis, University of Tunis El Manar- Tunis- Tunisia
Houda Rouis
Department I of Pneumology - Abderrahmen Mami Pneumology and Phthisiology Hospital-Faculty of Medicine of Tunis, University of Tunis El Manar- Tunis- Tunisia
Amel Khattab
Department I of Pneumology - Abderrahmen Mami Pneumology and Phthisiology Hospital-Faculty of Medicine of Tunis, University of Tunis El Manar- Tunis- Tunisia
Ines Zendah
Department I of Pneumology - Abderrahmen Mami Pneumology and Phthisiology Hospital-Faculty of Medicine of Tunis, University of Tunis El Manar- Tunis- Tunisia
Sonia Maâlej
Department I of Pneumology - Abderrahmen Mami Pneumology and Phthisiology Hospital-Faculty of Medicine of Tunis, University of Tunis El Manar- Tunis- Tunisia

Abstract

Introduction: Since its appearance, E-cigarette (EC) has experienced a strong craze among those seeking to reduce their conventional cigarette (CC) consumption.


Aim: This study aimed to compare EC to CC addictive power in actual users of EC and former smokers of CC.


Methods: We conducted a comparative cross-sectional study including 65 EC users and former smokers. They were collected on Facebook using a questionnaire including Fagrestrom score (FS).


Results: The average total of FS was estimated at 3.45 ± 2 with EC vs 3.89±2.45 with CC (p=0.04). The dependence on the EC was strong in 8%, average in 25%, and weak in 35% of cases. The predictive factors of a medium to high dependence on EC were the duration of its consumption (p=0.008) and the daily quantity of e-liquid (p=0.009). The presence of medical history was inversely correlated with EC addiction. The duration of EC use was the only independent factor of dependence with an OR of 4.25 IC95% [1.019-17.729]. EC users continued to smoke TC in 68% of cases.


Conclusion: Our study shows that even if it remains less important than that of CC, the dependence on EC is not negligible.

Keywords:

E-cigarette, Nicotine, Dependance

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