Enjoyment and other reasons for electronic cigarette use: Results from college students in New York

Background: Young people are more likely to have experimented with e-cigarettes (e-cigs) compared with older adults. Few studies identify reasons for experimentation/use of e-cigs among young people; we sought to discover what drives college students to use e-cigs. Methods: Undergraduate students (ages 18-23) at four universities in New York State were surveyed. Among e-cig ever users (n = 429), reasons for use were examined. A multinomial logistic regression model analyzed the relative risk of reasons for using e-cigs among discontinued, current non-daily and current daily e-cig users. Results: Using e-cigs for enjoyment was associated with current non-daily (RR = 2.11, 95% CI = 1.18-3.75) and current daily use (RR = 19.1, 95% CI = 3.71-98.54). Non-daily use was related to use because e-cigs are less toxic than cigarettes (RR = 2.80, 95% CI = 1.75-4.50). More daily users reported use to quit smoking compared with either non-daily or discontinued users (53.3% vs. 12.2% and 13.3%, respectively; p < 0.05). Among current users, 72.3% used for enjoyment, compared with 42.9% of discontinued users (p < 0.05). Discussion: In contrast to adults, who often report e-cig use to quit smoking, young people are less likely to use for this reason. The exception was daily e-cig users, who often reported use for quitting/reduction of smoking. Rather, college students report usage reasons related to affect (e.g. enjoyment). Overall, enjoyment was reported more often than was use for quitting smoking; affective reasons likely play a role in the popularity of e-cigs and should be considered in future assessments of e-cig users.