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Participants were 8511 adult (21+) established smokers (at baseline), in which 50.3% are daily smokers, in a longitudinal observational study who completed a survey 12\u2009months after first purchasing a JUUL Starter Kit. At baseline, participants reported attempts to quit smoking in the prior year and use of pharmacotherapy (nicotine replacement therapy [NRT] or prescription medication) in their most recent attempt. The outcomes were switching (self\u2010reported no past\u201030\u2010day smoking) and 50%+ reductions in cigarette consumption. Multivariable analyses were adjusted for baseline covariates. Two thirds of the participants had made a quit attempt in the year before purchasing JUUL. Overall, 59% [58%, 60%] had switched at 12\u2009months. Switching was more likely in those who had used NRT and who attempted quitting without medication versus those who used prescription medications or made no quit attempt. In adjusted multivariable analyses, only making a past\u2010year quit attempt (vs. not) was associated with higher odds of switching (OR\u2009=\u00a01.15 [1.04, 1.28]). Over 60% of dual users reduced cigarette consumption by \u226550%. These associations were largely similar in daily smokers. Twelve months after purchasing JUUL, almost all smokers reported either switching or reducing their smoking by 50%+, including those who had recently failed to quit smoking with approved pharmacotherapies. E\u2010cigarettes provide an alternative route to abstinence from smoking for smokers with a history of cessation and cessation treatment failure.<\/jats:p>","DOI":"10.1002\/dta.3551","type":"journal-article","created":{"date-parts":[[2023,7,25]],"date-time":"2023-07-25T03:59:08Z","timestamp":1690257548000},"page":"1281-1296","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Switching away from smoking at 12\u2009months among adult JUUL users varying in recent history of quit attempts made with and without smoking cessation medication"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9639-490X","authenticated-orcid":false,"given":"Saul","family":"Shiffman","sequence":"first","affiliation":[{"name":"Pinney Associates, Inc  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J.","family":"Hannon","sequence":"additional","affiliation":[{"name":"Pinney Associates, Inc  Pittsburgh Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,7,25]]},"reference":[{"volume-title":"Smoking cessation: a report of the surgeon general","year":"1990","author":"US Department of Health and Human Services","key":"e_1_2_11_2_1"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6946a4"},{"volume-title":"WHO global report on trends in prevalence of tobacco use 2000\u20132025","year":"2019","author":"World Health Organization","key":"e_1_2_11_4_1"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1707409"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/tobaccocontrol\u20102017\u2010053759"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010publhealth\u2010040617\u2010013849"},{"volume-title":"E\u2010cigarettes: balancing risks and opportunities","year":"2017","author":"British Medical Association","key":"e_1_2_11_8_1"},{"volume-title":"Evidence review of e\u2010cigarettes and heated tobacco products 2018. 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