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E-Cigarette Use, Dependence, and The Use of Protective Behavioral Strategies

A Path Model

Bibliographic Data

ID21645337
AuthorsDenise D Tran (0000-0001-8439-880X, University of Southern California), Kianna M Arthur (0000-0002-4444-6528, Texas A&M University), Sherecce Field (0000-0002-6618-3394, Texas A&M University), Rachel Smallman (0000-0001-5914-7822, Texas A&M University, corresponding author)
Year2026
Volume61
Issue1
Pages27-33
Publication date2026-01-02
Open AccessNo
TypeARTICLE
VenueSubstance Use & Misuse (JOURNAL)
Journal identifiersISSN: 1082-6084 • E-ISSN: 1532-2491
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/10826084.2025.2542864
PMID40790798
OpenAlexW4413108131
LanguageEN
References cited35

Background: E-cigarettes have become a popular form of nicotine use. The use of protective behavioral strategies (PBS) has been associated with less use of alcohol and fewer alcohol-related consequences. However, the relationship between PBS and e-cigarette-related outcomes have been understudied. Guided by the Theory of Planned Behavior, we examined the associations between the use of PBS for vaping (PBSV), perceived behavioral control over using PBSV, the frequency of past month e-cigarette use, and e-cigarette dependence. Methods: Adults who reported using an e-cigarette for at least once a day were recruited and completed an online survey (N = 298). Results: The path analytic model with e-cigarette dependence as the outcome fit the data well. Greater perceived behavioral control was associated with greater use of PBSV, greater use of PBSV was associated with less e-cigarette use, and less e-cigarette use was associated with less dependence. Conclusions: Our findings contribute to understanding e-cigarette use harm reduction strategies in the context of confidence over using PBS, frequency of e-cigarette use, and e-cigarette dependence. Results highlight the need for continued research and exploration of the potential clinical and public health benefits of PBSV as an intervention for e-cigarette use behaviors and dependence

Cigarette smoking · Electronic cigarette · Environmental health · Harm · Harm reduction · Nicotine · Psychiatry · Public health · Behavioral Health and Interventions · Medicine · Psychology · Smoking Behavior and Cessation · Social Psychology

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Highly citedNo

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