Responsibility, normalisation and negotiations of harm: E-cigarette users' opinions and experiences of vaping around children
Journal article
Ward, E., Dawkins, L., Holland, R. and Notley, C. (2020). Responsibility, normalisation and negotiations of harm: E-cigarette users' opinions and experiences of vaping around children. International Journal of Drug Policy. 88, p. 103016. https://doi.org/10.1016/j.drugpo.2020.103016
| Authors | Ward, E., Dawkins, L., Holland, R. and Notley, C. |
|---|---|
| Abstract | Background Concern about youth uptake of vaping is widespread. Regulation and education campaigns aim to protect children from initiating use, yet it is likely that children will be primarily influenced by the behaviour of people in their immediate environment. This is the first known study exploring e-cigarette users’ views and reported experiences of vaping around children. Methods Following informed consent, semi-structured qualitative interviews were conducted with 40 adults who had attempted to give up smoking by vaping. Participants were recruited from England as part of a wider study into e-cigarette use trajectories and smoking relapse (ECtra study). Data were extracted from 28 interviews where participants had spontaneously discussed vaping around children. Extracted data were analysed thematically and situated in previous analysis of vaping identity which distinguished between recreational and medicinal vapers. Results Vaping behaviour around children was in part a habituated replication of smoking norms but also guided by broad vaping identity; recreational users were more permissive and medicinal users more secretive. Vaping in the home appeared to be determined by caregivers’ need to reconcile vaping behaviour so that it was congruent with parental identity as a responsible caregiver. Participant perspectives reflected existing moral discourses applied to e-cigarettes around the use of “harm reduction for smokers” and “potential for youth harm”. Conclusion Vaping is likely to be role modelled within the community and home despite attempts by e-cigarette users to conceal the behaviour. The ambivalent contextualisation of e-cigarettes means that e-cigarette users may lack a clear narrative to draw on when discussing vaping with children. Public health guidance for vaping around children could be helpful, but to be most effective, should take into consideration users’ vaping identity. |
| Keywords | e-cigarettes; vaping; qualitative; children; parents; user experiences; identity |
| Year | 2020 |
| Journal | International Journal of Drug Policy |
| Journal citation | 88, p. 103016 |
| Publisher | Elsevier |
| ISSN | 09553959 |
| Digital Object Identifier (DOI) | https://doi.org/10.1016/j.drugpo.2020.103016 |
| Publication dates | |
| Online | 06 Nov 2020 |
| Publication process dates | |
| Accepted | 14 Oct 2020 |
| Deposited | 20 Oct 2020 |
| Accepted author manuscript | License File Access Level Open |
| License | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
Permalink -
https://openresearch.lsbu.ac.uk/item/8qy3q
Download files
Accepted author manuscript
| ECtra Children IJDP Manuscript accepted 14.10.20.docx | ||
| License: CC BY-NC-ND 4.0 | ||
| File access level: Open | ||
209
total views56
total downloads0
views this month4
downloads this month
Export as
Related outputs
Change in vaping, smoking and dual use identities predicts quit success and cigarette usage: A prospective study of people quitting smoking with electronic cigarette support
Frings, D., Albery, I., Kimber, C., Naughton, F., Sideropoulos, V. and Dawkins, L. (2024). Change in vaping, smoking and dual use identities predicts quit success and cigarette usage: A prospective study of people quitting smoking with electronic cigarette support. British Journal of Health Psychology. https://doi.org/10.1111/bjhp.12735Interventions for Quitting Vaping
Butler, A., Lindson, N., Livingstone-Banks, J., Notley, C., Turner, T., Rigotti, N., Fanshawe, T.R., Dawkins, L. and Hartmann-Boyce, J. (2024). Interventions for Quitting Vaping. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD016058Young People’s use of Disposable Vapes: A Qualitative Study
Notley, C, Varley, A, Pope, I, Dawkins, L. and Ward, E (2024). Young People’s use of Disposable Vapes: A Qualitative Study. Addiction. https://doi.org/10.1111/add.16570SRNT Europe Debate: The use of nicotine oral products in adults may be a rationale behaviour
Dawkins, L. and Hall, W. (2024). SRNT Europe Debate: The use of nicotine oral products in adults may be a rationale behaviour. Nicotine and Tobacco Research. https://doi.org/10.1093/ntr/ntae029
Communicating the Relative Health Risks of E-Cigarettes: An online experimental study exploring the Effects of a Comparative Health Message versus the EU Nicotine Addiction Warnings on Smokers’ and Non-Smokers’ Risk Perceptions and Behavioural Intentions
Kimber, C., Frings, D., Albery, I., Cox, S. and Dawkins, L. (2023). Communicating the Relative Health Risks of E-Cigarettes: An online experimental study exploring the Effects of a Comparative Health Message versus the EU Nicotine Addiction Warnings on Smokers’ and Non-Smokers’ Risk Perceptions and Behavioural Intentions. London South Bank University. https://doi.org/10.18744/lsbu.95y88Examining acute psychopharmacological effects of nicotine vaping versus heated tobacco products in a randomised crossover study of product naive adult smokers
Kale, D., Tattan- Birch, H., Brown, J., Cox, S., Dawkins, L., Goniewicz, M., Morris, K. and Shahab, L. (2023). Examining acute psychopharmacological effects of nicotine vaping versus heated tobacco products in a randomised crossover study of product naive adult smokers. Scientific Reports. 13 (22676). https://doi.org/10.1038/s41598-023-49602-3Comparing identity, attitudes, and indicators of effectiveness in people who smoke, vape or use heated tobacco products: a cross-sectional study
Kale, D, Brown, J., Dawkins, L., Goniewicz, M., Leppin, C, Tattan-Birch, H and Shahab, L. (2023). Comparing identity, attitudes, and indicators of effectiveness in people who smoke, vape or use heated tobacco products: a cross-sectional study . Addictive Behaviors. 151, p. 107933. https://doi.org/10.1016/j.addbeh.2023.107933Mobile Phone Text Messages to Support People to Stop Smoking by Switching to Vaping: Codevelopment, Coproduction, and Initial Testing Study.
Sideropoulos, V., Vangeli, E., Naughton, F., Cox, S., Frings, D., Notley, C., Brown, J., Kimber, C. and Dawkins, L. (2023). Mobile Phone Text Messages to Support People to Stop Smoking by Switching to Vaping: Codevelopment, Coproduction, and Initial Testing Study. JMIR Formative Research. 7, p. e49668. https://doi.org/10.2196/49668Square Pegs, Round Holes: Issues and considerations from running a cluster Randomised Control Trial in people who smoke and experience homelessness
Soar, K., Mair, C., Cox, S. and Dawkins, L. (2023). Square Pegs, Round Holes: Issues and considerations from running a cluster Randomised Control Trial in people who smoke and experience homelessness. Society for Research on Nicotine and Tobacco. Oslo 17 - 21 Sep 2019Lessons learnt from Project SCeTCH: a multi-centre cluster randomised controlled trial evaluating the effectiveness of e-cigarettes compared with usual care for smoking cessation in those accessing homeless services
Soar, K., Cox, S. and Dawkins, L. (2023). Lessons learnt from Project SCeTCH: a multi-centre cluster randomised controlled trial evaluating the effectiveness of e-cigarettes compared with usual care for smoking cessation in those accessing homeless services . Smoking Cessation and Health. Manchester 14 - 14 Sep 2023Mobile phone text messages to support people to stop smoking by switching to vaping: co-development, co-production, and initial testing
Sideropoulos, V., Vangeli, E., Naughton, F., Cox, S., Frings, D., Notley, C., Brown, J., Kimber, C. and Dawkins, L. (2023). Mobile phone text messages to support people to stop smoking by switching to vaping: co-development, co-production, and initial testing. JMIR Formative Research.E‐cigarette support for smoking cessation: Identifying the effectiveness of intervention components in an on‐line randomized optimization experiment
Kimber, C., Sideropoulos, V., Cox, S., Frings, D., Naughton, F., Brown, J., McRobbie, H. and Dawkins, L. (2023). E‐cigarette support for smoking cessation: Identifying the effectiveness of intervention components in an on‐line randomized optimization experiment. Addiction (Abingdon, England). 118 (11), pp. 2105-2117. https://doi.org/10.1111/add.16294Medicalisation of vaping in the UK? E-cigarette users' perspectives on the merging of commercial and medical routes to vaping
Ward, E., Dawkins, L., Holland, R., Pope, I. and Notley, C. (2023). Medicalisation of vaping in the UK? E-cigarette users' perspectives on the merging of commercial and medical routes to vaping. Perspectives in Public Health. https://doi.org/10.1177/17579139231185481E-cigarette support for smoking cessation: Identifying the effectiveness of intervention components in an online randomised optimisation trial
Dawkins, L. and Kimber, C. (2023). E-cigarette support for smoking cessation: Identifying the effectiveness of intervention components in an online randomised optimisation trial. London South Bank University. https://doi.org/10.18744/lsbu.92xq8Is e-cigarette use associated with persistence or discontinuation of combustible cigarettes? A 24-month longitudinal investigation in young adult binge drinkers.
Martinez-Loredo, V., González-Roz, Alba, Dawkins, L., Singh, Desmond, Murphy, James G and MacKillop, J. (2022). Is e-cigarette use associated with persistence or discontinuation of combustible cigarettes? A 24-month longitudinal investigation in young adult binge drinkers. Nicotine & Tobacco Research. https://doi.org/6530318Effects of e-cigarettes vs usual care for smoking cessation when offered at homeless centres: protocol for a cluster randomised controlled trial.
Soar, K., Mair, C., Dawkins, L., Bauld, L., Brown, R., Lennon, J, Ford, A., McMillan, L, Hajek, P., Li, J., Parrott, S., Notley, C., Ward, E' Varley, A, Robson, D., Pesola, F., Tyler, A., Carlisle, M and Dr Sharon Cox (2022). Effects of e-cigarettes vs usual care for smoking cessation when offered at homeless centres: protocol for a cluster randomised controlled trial. London Network of Nurses and Midwives Homelessness Annual Conference. St Martins in the Field, London 01 - 01 Apr 2022Comparing the Effects of the EU- Versus the US-JUUL Pod in a Sample of UK Smokers: Nicotine Absorption, Satisfaction, and Other Nicotine-Related Subjective Effects
Kimber, C., Zaidell, L., Hunter, S., Cox, S., Notley, C. and Dawkins, L. (2022). Comparing the Effects of the EU- Versus the US-JUUL Pod in a Sample of UK Smokers: Nicotine Absorption, Satisfaction, and Other Nicotine-Related Subjective Effects. Nicotine & Tobacco Research. https://doi.org/10.1093/ntr/ntac289Toward an ontology of identity‐related constructs in addiction, with examples from nicotine and tobacco research
Notley, C., West, R., Soar, K., Hastings, Janna and Cox, S. (2022). Toward an ontology of identity‐related constructs in addiction, with examples from nicotine and tobacco research. Addiction (Abingdon, England). 118 (3), pp. 548-557. https://doi.org/10.1111/add.16079Cutting down, quitting and motivation to stop smoking by self-reported COVID-19 status: Representative cross-sectional surveys in England.
Cox, S., Tattan-Birch, H., Jackson, S., Dawkins, L., Brown, J. and Shahab, L. (2022). Cutting down, quitting and motivation to stop smoking by self-reported COVID-19 status: Representative cross-sectional surveys in England. Addiction (Abingdon, England). https://doi.org/10.1111/add.16029Toward an ontology of tobacco, nicotine and vaping products.
Cox, S., West, R., Notley, C., Soar, K. and Hastings, J. (2022). Toward an ontology of tobacco, nicotine and vaping products. Addiction (Abingdon, England). 118 (1), pp. 177-188. https://doi.org/10.1111/add.16010Evaluating the effectiveness of e‐cigarettes compared with usual care for smoking cessation when offered to smokers at homeless centres: Protocol for a multi‐centre cluster randomised controlled trial in Great Britain
Cox, S., Bauld, Linda, Brown, R., Carlise, M., Ford, A., Hajek, P., Li, J., Notley, C., Parrott, S., Pesola, F., Robson, D., Soar, K., Tyler, A., Ward, E. and Dawkins, L. (2022). Evaluating the effectiveness of e‐cigarettes compared with usual care for smoking cessation when offered to smokers at homeless centres: Protocol for a multi‐centre cluster randomised controlled trial in Great Britain. Addiction (Abingdon, England). https://doi.org/10.1111/add.15851Water Consumption Increases Handwriting Speed andVolume Consumed Relates to Increased Finger‑tapping Speed in Schoolchildren
Booth, P., Hunyadvari, N., Dawkins, L., Moore, D., Gentile-Rapinett, G. and Edmonds, C,J. (2021). Water Consumption Increases Handwriting Speed andVolume Consumed Relates to Increased Finger‑tapping Speed in Schoolchildren. Journal of Cognitive Enhancement. https://doi.org/10.1007/s41465-021-00232-5Dataset: Co-development of mobile phone text messages to support smokers’ quitting by switching to an e-cigarette
Sideropoulos, V., Vangeli, E., Naughton, F, Cox, S., Frings, D., Notley, C., Brown, J., Kimber, C. and Dawkins, L. (2021). Dataset: Co-development of mobile phone text messages to support smokers’ quitting by switching to an e-cigarette. London South Bank University. https://doi.org/10.18744/lsbu.8y92zDevelopment and Testing of Relative Risk-based Health Messages for Electronic Cigarette Products
Kimber, C., Cox, S., Frings, D., Albery, I. and Dawkins, L. (2021). Development and Testing of Relative Risk-based Health Messages for Electronic Cigarette Products. Harm Reduction Journal. 18 (96). https://doi.org/10.1186/s12954-021-00540-1Study protocol for Testing Nicotine Pod Vaping Devices: Are EU-TPD (Tobacco Product Directive) compliant pod-devices sufficiently satisfying to UK smokers?
Kimber, C., Cox, S., Notley, C., Hunter, S., Zaidell, L. and Dawkins, L. (2021). Study protocol for Testing Nicotine Pod Vaping Devices: Are EU-TPD (Tobacco Product Directive) compliant pod-devices sufficiently satisfying to UK smokers? In-principle acceptance in Nicotine and Tobacco Research. https://doi.org/10.17605/OSF.IO/D5N2VExploration of the physical health of dual users of heroin and crack in methadone treatment who inject or have previously injected drugs
Heidebrecht, F., Macleod, M.B. and Dawkins, L. (2021). Exploration of the physical health of dual users of heroin and crack in methadone treatment who inject or have previously injected drugs. Heroin Addiction And Related Clinical Problems.Changes in puffing topography and subjective effects over a 2-week period in e-cigarette naïve smokers: effects of device type and nicotine concentrations
Kimber, C., Soar, K. and Dawkins, L. (2021). Changes in puffing topography and subjective effects over a 2-week period in e-cigarette naïve smokers: effects of device type and nicotine concentrations. Addictive Behaviors. 118, p. 106909. https://doi.org/10.1016/j.addbeh.2021.106909Does the content and source credibility of health and risk messages related to nicotine vaping products have an impact on harm perception and behavioural intentions? A systematic review
Erku, D., Bauld, L., Dawkins, L., Gartner, C., Steadman, K., Noar, S., Shrestha, S. and Morphett, K. (2021). Does the content and source credibility of health and risk messages related to nicotine vaping products have an impact on harm perception and behavioural intentions? A systematic review. Addiction. 116 (12), pp. 3290-3303. https://doi.org/10.1111/add.15473Vapers exhibit similar subjective nicotine dependence but lower nicotine reinforcing value compared to smokers
Rycroft, N., Hogarth, L., MacKillop, J. and Dawkins, L. (2020). Vapers exhibit similar subjective nicotine dependence but lower nicotine reinforcing value compared to smokers. Addictive Behaviors. 115, p. 106737. https://doi.org/10.1016/j.addbeh.2020.106737User pathways of e‐cigarette use to support long term tobacco smoking relapse prevention: a qualitative analysis
Notley, C., Ward, E., Dawkins, L. and Holland, R. (2020). User pathways of e‐cigarette use to support long term tobacco smoking relapse prevention: a qualitative analysis. Addiction (Abingdon, England). 116 (3), pp. 596-605. https://doi.org/10.1111/add.15226Exploring the uptake and use of electronic cigarettes provided to smokers accessing homeless centres: a four-centre cluster feasibility study
Cox, S., Ford, A., Li, Ji., Best, C., Tyler, A., Robson, D., Bauld, L., Hajek, P., Uny, I., Parrott, S. and Dawkins, L. (2020). Exploring the uptake and use of electronic cigarettes provided to smokers accessing homeless centres: a four-centre cluster feasibility study. Journal of Public Health Research. 9 (7). https://doi.org/10.3310/phr09070Study protocol for comparing the subjective effects and nicotine delivery associated with the use of the EU and the US JUUL pod vaping device in UK smokers
Kimber, C., Cox, S., Caitlin, N., Hunter, S., Zaidell, L. and Dawkins, L. (2020). Study protocol for comparing the subjective effects and nicotine delivery associated with the use of the EU and the US JUUL pod vaping device in UK smokers. Nicotine and Tobacco Research (OUP). https://doi.org/10.17605/OSF.IO/5J3EWA cluster feasibility trial to explore the uptake and use of e-cigarettes versus usual care offered to smokers attending homeless centres in Great Britain
Dawkins, L., Bauld, L., Ford, A., Robson, D., Hajek, P., Parrott, S., Best, C., Li, J., Tyler, A., Uny, I. and Cox, S. (2020). A cluster feasibility trial to explore the uptake and use of e-cigarettes versus usual care offered to smokers attending homeless centres in Great Britain. PLoS ONE. https://doi.org/10.1371/journal.pone.0240968Reported patterns of vaping to support long-term abstinence from smoking: a cross-sectional survey of a convenience sample of vapers
Gentry, S., Ward, E., Dawkins, L., Holland, R. and Notley, C. (2020). Reported patterns of vaping to support long-term abstinence from smoking: a cross-sectional survey of a convenience sample of vapers. Harm Reduction Journal. 17, p. 70. https://doi.org/10.1186/s12954-020-00418-8Data for: A cluster feasibility trial to explore the uptake and use of e-cigarettes versus usual care offered to smokers attending homeless centres in Great Britain
Dawkins, L., Cox, S., Tyler, A., Bauld, L, Ford, A, Robson, D, Hajek, P, Best, C, Li, J, Uny, I and Parrott, S (2020). Data for: A cluster feasibility trial to explore the uptake and use of e-cigarettes versus usual care offered to smokers attending homeless centres in Great Britain. London South Bank University. https://doi.org/10.18744/lsbu.8q255A qualitative exploration of consumers’ perceived impacts, behavioural reactions, and future reflections of the EU Tobacco Products Directive (2017) as applied to electronic cigarettes
Ward, E, Anholt, C, Gentry, S, Dawkins, L, Holland, R and Notely, C (2020). A qualitative exploration of consumers’ perceived impacts, behavioural reactions, and future reflections of the EU Tobacco Products Directive (2017) as applied to electronic cigarettes. Tobacco Use Insights. 13, pp. 1-9. https://doi.org/10.1177/1179173X20925458Daily exposure to formaldehyde and acetaldehyde and potential health risk associated with use of high and low nicotine e-liquid concentrations
Kosmider, L, Cox, S, Marzena, Z, Jolanta, K, Goniewicz, M, McRobbie, H, Kimber, C and Dawkins, L (2020). Daily exposure to formaldehyde and acetaldehyde and potential health risk associated with use of high and low nicotine e-liquid concentrations. Scientific Reports. 10 (6546). https://doi.org/10.1038/s41598-020-63292-1Measuring the impact of the Capital Card®†, a novel form of contingency management, on substance misuse treatment outcomes: A retrospective evaluation
Moss, A., DeSilva, D., Cox, S., Notley, C. and Nanda, M. (2020). Measuring the impact of the Capital Card®†, a novel form of contingency management, on substance misuse treatment outcomes: A retrospective evaluation. PLoS ONE. 15 (3), p. e0229905. https://doi.org/10.1371/journal.pone.0229905Smoking amongst adults experiencing homelessness: A systematic review of prevalence rates, interventions and the barriers and facilitators to quitting and staying quit
Soar, K., Dawkins, L., Robson, D. and Cox, S. (2020). Smoking amongst adults experiencing homelessness: A systematic review of prevalence rates, interventions and the barriers and facilitators to quitting and staying quit. Journal of Smoking Cessation. 15 (2), pp. 94-108. https://doi.org/10.1017/jsc.2020.11Developing an E-Cigarette Ontology
Cox, Sharon, Notley, Caitlin, West, Robert and Hastings, Janna (2020). Developing an E-Cigarette Ontology. Global Forum of Nicotine. Warsaw 13 - 15 Jun 2019Communicating the Relative Health Risks of E-Cigarettes: An online experimental study exploring the Effects of a Comparative Health Message versus the EU Nicotine Addiction Warnings on Smokers’ and Non-Smokers’ Risk Perceptions and Behavioural Intentions.
Kimber, C., Frings, D., Cox, S., Albery, I. and Dawkins, L. (2020). Communicating the Relative Health Risks of E-Cigarettes: An online experimental study exploring the Effects of a Comparative Health Message versus the EU Nicotine Addiction Warnings on Smokers’ and Non-Smokers’ Risk Perceptions and Behavioural Intentions. Addictive Behaviors. 101, p. 106177. https://doi.org/10.1016/j.addbeh.2019.106177E-cigarettes compared with nicotine replacement therapy within the UK stop smoking services: The TEC RCT
Hajek, P, Phillips-Waller, A, Przulj, D, Pesola, F, Smith, KM, Bisal, N, Li, J, Parrott, S, Sasieni, P, Dawkins, L, Ross, L, Goniewicz, M, Wu, Q and McRobbie, HJ (2019). E-cigarettes compared with nicotine replacement therapy within the UK stop smoking services: The TEC RCT. Health Technology Assessment. 23 (43), pp. vii-81. https://doi.org/10.3310/hta23430A systematic review of smoking, smoking cessation and the homeless: there is a will but is there a way?
Cox, S., Dawkins, L., Robson, D. and Soar, K. (2019). A systematic review of smoking, smoking cessation and the homeless: there is a will but is there a way? Lisbon Addictions Conference 2019. Lisbon 09 - 11 Oct 2019Investigating within-person patterns and trajectories of dual e-cigarette and tobacco use: the TRAJECT mixed methods study protocol
Cox, S., Notley, C., Dawkins, L., Naughton, F., Beard, E., Kimber, C., Ward, E., Holland, R. and Kwasnicka, D. (2019). Investigating within-person patterns and trajectories of dual e-cigarette and tobacco use: the TRAJECT mixed methods study protocol. Society for Research on Nicotine and Tobacco. Oslo 17 - 21 Sep 2019Cost-effectiveness of e-cigarettes compared with nicotine replacement therapy in stop smoking services in England (TEC study): a randomised controlled trial
Li, J., Hajek, P., Pesola, F., Wu, Q., Phillips-Waller, A., Przuli, D., Myers Smith, K., Bisal, N., Sasieni, P., Dawkins, L., Ross, L., Goniewicz, M., McRobbie, H. and Parrott, S. (2019). Cost-effectiveness of e-cigarettes compared with nicotine replacement therapy in stop smoking services in England (TEC study): a randomised controlled trial. Addiction. 115 (3), pp. 507-517. https://doi.org/10.1111/add.14829