“The unique contribution of e-cigarettes for tobacco

harm reduction in supporting smoking relapse

prevention”

PRESENTED BY:
John Paul Manlapaz
Chapter 1
I. Introduction
This study aimed to monitor the prevention of tobacco smoking by using e-cigarettes as
an alternative in smoking tobacco and reduce harm to users. As we know e-cigarettes are device
that operate by heating a liquid solution to a high enough temperature so that it produces and
aerosol that inhaled.

As we know e-cigarettes have role in reducing the health related problem of tobacco
smoking. Almost the people quitting on smoking tobacco because of the e-cigarettes a lot of
people using e-cigarettes to influence a lot of people to quit smoking tobacco for their own
safety. As we also know that e-cigarettes are not harmful at all, unlike on tobacco smoking. And
also e-cigarettes have become the most popular aid to quitting smoking. ( Notley et al., 2008).
There is now substantial support for vaping as a harm reduction approach and an alternative to
tobacco smoking ( Notley et al., 2008).

 Although studies are beginning to show that the health impact of vaping may be
comparable to NRT (Nicotine Replacement Theraphy). And as we all know that vaping or e-
cigarettes is banned in many countries because of the pandemic we are facing right now. We
have many different ways in quitting tobacco to e-cigarettes. Number one is the accidental
quitters this accidental quitter are only try e-cigarettes for the first time and they found that e-
cigarettes as a potential substitute for smoking (Ward et al., 2008).

Number two is the Purposeful quitters this one is actively wanted to quit smoking
tobacco. Number 3 is switching this one quickly switched quickly from tobacco to e-cigarettes
and the last one is the sliding this last one is they both using e-cigarettes and smoking tobacco
but time pass by they will also quitting tobacco smoking and permanently using e-cigarettes for
good (Ward et al., 2008).

Some e-cigarettes users told that using e-cigarettes is pleasurable and enjoyable than
using tobacco smoking. Because they can see that using e-cigarettes is best substitute for
smoking and not harmful unlike in using tobacco there are many diseases you can get in using
tobacco smoking like lung cancer etc.
 II. Preliminary Literature Review

The US patent application portrays the e-cigarette gadget as "an electronic atomization
cigarette that capacities alternative for stopping smoking and cigarette substitutes". By 2013, the
major global tobacco organizations had entered the e-cigarette market. E-cigarettes are displayed
through TV, the Internet, and print advancements as better choices rather than tobacco smoking,
as accommodating for halting smoking and diminishing cigarette use, and as an approach to
dodge sans smoke laws by empowering clients to "smoke anywhere (Grana et al., 2014)

Our past cross-sectional information, from wave 1 of this investigation, shown inside and
out perspectives and encounters of changing from tobacco smoking to e-cigarette use,
recommending that e-cigarette use may be a suitable long haul substitute for smoking, through
gathering physical, mental, social, social, and personality related parts of tobacco compulsion
that some ex-smokers battle to defeat. This exploratory work likewise recommended that 'slips'
with regards to exchanging need not outcome in all out smoking ‘backslide’. Longitudinal
investigation of overview information from different sources has proposed that e-cigarette
qualities and practices sway on backslide status. In this investigation, we report longitudinal
subjective subsequent information (wave 2) to build up nitty gritty directions over the long run
(Holland et al., 2020)

From this point of view, upholding e-cigarettes to those experiencing smoking-related

sicknesses yet who can't stop, like patients with cardiovascular infection could be advantageous
on the off chance that it empowers them to progress to sole e-cigarette use or, stunningly better,
eventually to avoid both(Osibogun et al., 2020). However outside of the bounds of firmly
controlled clinical preliminaries, clinicians attempting to help such people are a presently in
unknown area with no authoritative proof to help their dynamic (Brandon et al., 2015). Despite
the fact that reports from the USA Preventive Services Task Force propose that there is
inadequate proof to suggest e-cigarettes as a suspension device (USPSTF 2015), clinicians
likewise risk presenting their patients to extra danger either by informing the utilization with
respect to a possibly incapable or even perilous (Alzahrani et al. 2018) end device, or by
retaining what could be a significant way to assist them with diminishing their mischief (NASEM
2018). Furthermore, with tobacco utilize distinguished as one of the modifiable danger factors
for CVD (USDHHS 2014) and flow research proposing that e-cigarettes have intense
antagonistic impacts on the cardiovascular framework (Bhatnagar 2016), it is critical to analyse
tobacco use advances in this subpopulation that is especially powerless against the impacts of
tobacco use.

The fume of EC contains, in contrast with tobacco smoke, less destructive

substances, subjectively and quantitatively. In any case, because of bombing normalization of
EC, this examination is troublesome. Grown-ups are regularly utilizing both, EC and burnable
cigarettes dually. Moreover, EC were utilized for supporting smoke-stopping. Shockingly,
devouring EC with and without nicotine due later to a higher danger of regular tobacco smoking
for the client. When all is said in has done, the impacts of latent vaporing are obscure. Albeit the
fume of EC is less unsafe than tobacco smoke, EC are not peril free way of life items.
Specialized normalization ought to be attractive. Grown-up smoker's advantage utilizing EC is
given by totally changes to EC as it were. The paces of achievement utilizing EC for smoke
stopping are not very much assessed. Kids and their folks ought to be educated on the dangers of
EC use as an antecedent of burnable smoking compulsorily. Web offering EC to any non-grown-
up ought to be prohibited by law. EC should not to be permitted to debilitate non-smoker's
privileges, and third people ought to be secured by the expected risks of EC vaporing
(Wollenberg et al., 2018)

E-cigarettes are the most famous guide to stopping smoking in the UK 1. There is support
for vaping as a damage decrease approach and an option in contrast to tobacco smoking from UK
Medical 2 and Public Health 3, 4 bodies. Albeit numerous smokers figure out how to stop, proof
(basically originating before the far reaching utilization of e-cigarettes) recommends that
numerous effective weaklings backslide after some time 5. Most vapers use e-cigarettes for
smoking discontinuance or decrease 3, yet we actually have minimal comprehension of how
vapers use e-cigarettes to keep away from long haul smoking backslide. New subjective proof
from our examination has recommended that e-cigarettes might be significant in assisting
individuals with keeping up long haul smoking forbearance, by subbing the physical as well as
the mental and social perspectives that ex-smokers had recently appreciated about smoking 6. It
is additionally imperative to see how the individuals who quit smoking utilizing an e-cigarette
experience tobacco smoking failure and backslide. This is with the goal that we can foster proof
based counsel, direction or mediations to help the individuals who have stopped smoking to
remain abstinent in the more extended term, as backsliding back to tobacco smoking is so
destructive to wellbeing 7. In the extra examination announced in this article, we expand on our
exploration discoveries by embraced investigation of an unmistakable and extraordinary
informational collection zeroed in on member encounters of smoking breach (Dawkins et al.,
2019)

III. METHODOLOGY

The study comprised qualitative interviews using purposive sampling. Participants were
initially recruited using established personal networks of the research team, via self-referral
through advertising in local, national and social media, and snowballing to seek referrals from
interviewees. From eligible referrals, a purposive sample of 40 UK vapers was matched by
gender and age to a sampling frame of demographic characteristics from a representative sample
of UK quitters. This sample size was adequate to reach saturation of experiences and key themes.
Cross-sectional semi-structured qualitative interviews were conducted between September 2016
and May 2017.

IV.SIGNIFICANCE OF THE STUDY

In this study, the researcher will focus on the prevention of using tobacco smoking and
using e-cigarettes as an alternative in smoking tobacco. This study will help people to convince
to stop smoking tobacco for their own safety.
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