Page 24 - ARUBA TODAY
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A24    TECHNOLOGY
                   Thursday 24 May 2018
            E-cigarettes disappoint in a workplace quit-smoking study




            By MARILYNN MARCHIONE                                                                                               useless,”   said   Georges
            Associated Press                                                                                                    Touaichi, a 22-year-old San
            It’s a big question for smok-                                                                                       Diego  hotel  worker  who
            ers and policymakers alike:                                                                                         tried e-cigarettes but went
            Do  electronic  cigarettes                                                                                          back  to  smoking  after  a
            help people quit? In a large                                                                                        day or two.
            study of company wellness                                                                                           An FDA spokesman said the
            programs,      e-cigarettes                                                                                         agency was pondering the
            worked no better than tra-                                                                                          results,  but  that  this  is  not
            ditional stop-smoking tools,                                                                                        the  type  of  study  needed
            and the only thing that re-                                                                                         to evaluate safety and ef-
            ally  helped  was  paying                                                                                           fectiveness  of  e-cigarettes
            folks to kick the habit.                                                                                            for smoking cessation.
            Critics  of  the  study  say  it                                                                                    LUNG CANCER RATES
            doesn’t  close  the  case  on                                                                                       For  the  other  study  in  the
            these popular vaping prod-                                                                                          journal,  researchers  used
            ucts. It didn’t rigorously test                                                                                     U.S.  cancer  registries  and
            effectiveness,  just  com-                                                                                          federal   health   statistics
            pared  e-cigarettes  to  oth-                                                                                       to  track  new  lung  cancer
            er  methods  among  6,000                                                                                           cases by gender and race
            smokers  who  were  offered                                                                                         over  various  time  periods.
            help to quit. That’s still valu-                                                                                    Rates   historically   have
            able  information  because                                                                                          been  higher  in  men  but
            it’s  what  happens  in  daily                                                                                      that trend reversed among
            life.                                                                                                               whites  and  Hispanics  born
            Providing e-cigarettes “did                                                                                         since the mid-1960s.
            not  improve  the  number                                                                                           For   example,     among
            of  people  who  quit  com-                                                                                         people ages 45 to 49 and
            pared  to  essentially  do-                                                                                         diagnosed  from  1995  to
            ing nothing,” said Dr. Scott   In this Feb. 20, 2014 file photo, a customer exhales vapor from an e-cigarette at a store in New   1999, rates in women were
            Halpern  of  the  University   York.                                                                                26  percent  lower  than  for
            of  Pennsylvania.  “The  very                                                                      Associated Press  men. But in a more recent
            best way to help them quit                                                                                          time  period,  2010  to  2014,
            is to offer them money.”     in  54  company  wellness  — from 0.7 percent to near-    ic”  because  smokers  were  women  had  an  8  percent
            He led the study, published  programs and asked those  ly  13  percent  —  among  automatically enrolled and  higher incidence rate than
            Wednesday  by  the  New  who didn’t want to join to  1,200 smokers who actively  may  not  have  wanted  to  men,  said  one  study  lead-
            England  Journal  of  Medi-  opt  out.  Only  125  did,  but  participated.            quit.    “You’re  just  thrusting  er,  the  American  Cancer
            cine.  It  was  sponsored  by  the  vast  majority  of  the  COST                      the  product  on  people,”  Society’s Ahmedin Jemal.
            the  Vitality  Group,  which  rest  didn’t  actively  partici-  Average  costs  were  less  he  said.  Dr.  Nancy  Rigotti,  Women  are  catching  up
            runs   company     wellness  pate  yet  their  results  were  than  a  dollar  per  par-  director  of  the  tobacco  to men in smoking rates —
            programs.  The  makers  of  tracked  as  part  of  the  ticipant  in  the  usual  care  research  and  treatment  14  percent  smoke  versus
            NJOY  e-cigarettes  provid-  study.                       group and around $100 for  center  at  Massachusetts  17  percent  of  men  —  but
            ed them but had no role in  They  were  put  into  five  those  given  redeemable  General  Hospital  who  was  that’s  not  enough  to  ex-
            the research.                groups:  usual  care,  which  cash  accounts.  But  when  on the expert panel, said it  plain  the  switch,  he  said.
            Separately  in  the  journal,  was  information  on  ben-  looked  at  per  successful  was a well-done study that  Women  also  smoke  fewer
            another  study  reports  that  efits of quitting and motiva-  quitter, the cash programs  gives  “a  little  discouraging  cigarettes than men.
            lung cancer rates are now  tional  text  messages;  free  cost  less  than  e-cigarettes  and  surprising”  results.  The  One  theory  is  that  certain
            higher  for  white  and  His-  quit-smoking  aids  such  as  or traditional methods.   value  of  traditional  meth-  types  of  lung  cancer  are
            panic  women  under  50  nicotine patches and med-        Most  big  companies  of-    ods  is  well  established,  so  more  common  in  women
            than  for  men  that  age,  a  icines like Chantix or Zyban  fer  stop-smoking  programs  counseling  and  support  and  the  risk  of  them  de-
            reversal of a longtime trend  plus  e-cigarettes  if  those  and  half  of  them  offer  fi-  might  have  been  inade-  clines  more  slowly  after
            that can’t be explained by  failed;  free  e-cigarettes  nancial  incentives,  study  quate in this study, she said.  someone  quits,  and  wom-
            smoking patterns alone.      without  any  requirement  leaders  said.  It  costs  com-  Others  were  critical  of  the  en  have  lagged  behind
            VAPING TO QUIT SMOKING       to  try  other  methods  first;  panies $3,000 to 6,000 more  study’s  methods.  David  men in cessation rates, said
            E-cigarettes  are  battery-  free quit-smoking aids and  per year to employ a smok-    Abrams, a former tobacco  Caitlin  Murphy  of  the  Sim-
            powered  devices  that  va-  a  $600  reward  if  people  er versus a non-smoker.      researcher  at  the  National  mons Cancer Center at UT
            porize  nicotine.  They’ve  were  abstinent  six  months  WHAT OTHERS SAY              Institutes of Health and now  Southwestern in Dallas.
            been sold in the U.S. since  later;  and  free  cessation  “E-cigarettes  are  substan-  at New York University, said  “Maybe  women  are  get-
            2007 and contain less toxic  tools  plus  $600  placed  in  tially  less  harmful  than  researchers  don’t  know  ting  diagnosed  more  of-
            substances than traditional  an account at the start of  burned or lit cigarettes, but  how  many  in  each  group  ten through CT screening,”
            cigarettes.  The  Food  and  the study that they’d lose if  that doesn’t mean they’re  actually  used  the  quit-   which  also  would  boost
            Drug Administration is mull-  they didn’t quit.           helpful  for  cessation”  and  smoking tools.             their  rates  compared  to
            ing  how  to  regulate  them,  The results: Only 0.1 percent  they’re  not  regulated  for  “You  can’t  conclude  that  men,  said  Murphy,  who
            and  earlier  this  year,  a  in the usual care group suc-  that, said Cliff Douglas, the  the treatments didn’t work  had no role in the work.
            national  panel  of  experts  ceeded; rates ranged from  American Cancer Society’s  if nobody used them,” said  For  smokers  who  are  50,
            said vaping may help folks  0.5 percent to nearly 3 per-  tobacco policy expert.       Abrams,  who  called  e-     “if they quit now they can
            reduce  smoking  but  that  cent for the rest. The groups  Gregory   Conley,    who  cigarettes  “the  best  thing  gain about six years of life,”
            more research is needed.     offered cash did best; rates  heads  the  American  Vap-  that’s  come  along  in  10  Jemal said. “They have this
            The  new  study  differed  among  the  other  groups  ing  Association,  said  the  years to help people quit.”     opportunity  to  avoid  not
            from usual studies of smok-  did  not  differ  much  from  type  used  in  this  study  is  A  smoker  took  a  different  only  lung  cancer  but  also
            ers wanting to quit: It auto-  each other.                obsolete,  and  all  of  the  view.                       other  causes  of  smoking-
            matically  enrolled  smokers  Success  rates  were  higher  methods  proved  “pathet-  “For  me  personally,  it  was  related deaths.”q
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