BACKGROUND: Youth vaping is a serious public health concern, being more prevalent than any other tobacco use. To inform cessation interventions, we explored what adolescents perceive as their reasons for quitting and strategies to help them quit.
METHODS: Semi-structured interviews were conducted with a convenience sample of 11 adolescents reporting vaping in the past 90 days and recruited from a high school in Massachusetts. Interviews were transcribed and dual-coded. Inductive thematic analysis was employed, and thematic summaries were prepared.
RESULTS: Reasons adolescents reported for quitting included cost, experiencing \"nic-sick\" from nicotine withdrawal or excess intake, negative impacts on mood, concentration, or health, and experiencing symptoms of nicotine dependence. Nearly all tried to quit multiple times. Barriers to quitting included exposure to vaping, access to vape products, stress, and \"cool\" new products or flavors. Quit strategies included avoiding others vaping, seeking social support to quit, addressing peer pressure to continue vaping, learning successful quit strategies from peers, and using distraction strategies or alternatives to vaping.
CONCLUSIONS: Many adolescents who vape want to quit, and most have tried multiple times. Interventions need to engage adolescents with varying reasons to quit, barriers, and quit strategy preferences.
BACKGROUND: This study is registered through ClinicalTrials.gov. The trial registration number is NCT05140915. The trial registration date is 11/18/2021.

UNASSIGNED: Youth vaping is an epidemic, being more prevalent than any other tobacco use. To inform cessation interventions, we explored what adolescents perceive to be their reasons for quitting and strategies to help in their quit efforts.
UNASSIGNED: Semi-structured interviews were conducted with a convenience sample of 11 adolescents reporting vaping in the past 90 days and recruited from a high school in Massachusetts. Interviews were transcribed, and dual coded. Inductive thematic analysis was employed and thematic summaries were prepared.
UNASSIGNED: Reasons adolescents reported for quitting included: cost; experiencing \"nic-sick\" from nicotine withdrawal or excess intake; negative impacts on mood, concentration, or health; and experiencing symptoms of nicotine dependence. Nearly all tried to quit multiple times. Barriers to quitting included: exposure to vaping; access to vape products; stress; and \"cool\" new products or flavors. Quit strategies included: avoiding others vaping; seeking social support to quit; addressing peer pressure to continue vaping; learning successful quit strategies from peers; and using distraction strategies or alternatives to vaping.
UNASSIGNED: Many adolescents who vape want to quit and most have tried multiple times. Interventions need to engage adolescents with varying reasons to quit, barriers, and quit strategy preferences.
UNASSIGNED: This study is registered through ClinicalTrials.gov. The trial registration number is NCT05140915. The trial registration date is 11/18/2021.

BACKGROUND: This study examined reasons why people planned to reduce or stop tobacco consumption and their relationship with MPOWER scores, adjusting for sociodemographic, cultural, and economic factors.
METHODS: Data used were Euromonitor International\'s Voice of the Consumer: Nicotine Survey 2019-2020, World Bank\'s country income and WHO\'s MPOWER policy scores. Analytical sample included 21913 adults of legal smoking age in 21 middle- and high-income countries who used nicotine and tobacco products and planned to reduce or stop their consumption in the next 12 months. Poisson regression models with robust error variance, adjusted for sociodemographic and tobacco use covariables, generated adjusted risk ratios (ARRs) of selecting a certain reason to reduce tobacco consumption dependent on continuous MPOWER scores.
RESULTS: Main reasons to reduce or stop tobacco consumption were improving health (85%), saving money (65%), pressure from family (19%), and using another substance instead (4%). Country variation was observed by MPOWER scores. Positive associations were found between some MPOWER scores and reasons to reduce or stop tobacco consumption: enforcing bans on tobacco advertising and using another substance (ARR=1.28; 95% CI: 1.11-1.47); warning about dangers of tobacco and saving money (ARR=1.25; 95% CI: 1.19-1.32); offering help to quit tobacco and using another substance (ARR=1.26; 95% CI: 1.10-1.45) or family pressure (ARR=1.11; 95% CI: 1.04-1.17); anti-tobacco campaigns and using another substance (ARR=1.15; 95% CI: 1.08-1.23); and raising taxes and saving money (ARR=1.11; 95% CI: 1.09-1.13).
CONCLUSIONS: MPOWER scores are associated with reported reasons to quit tobacco including to improve health, save money, respond to family pressure or use another substance instead.

The aim of this study was to contribute to the understanding of why volunteers in a time bank known as \"NeighborhoodPension,\" which involves community-based care, are motivated to start, continue, and quit volunteering. The time bank started in 2013 and is the first time bank in Brussels, Belgium. A planned prospective longitudinal study involving qualitative focus group interviews was used to study a group of volunteers at four time points over 1 year. There were two main themes, the first of which pertains to older adults\' motives for volunteering with the time bank. These motives are largely attributable to the volunteer organization\'s contextual factors. The second theme focuses on reasons for quitting volunteering. Factors for retaining volunteers relate strongly to the purpose of the volunteer organization. Co-production (i.e., engaging the volunteers in the design of the project) and having an attention officer (i.e., a confidant who listens to the volunteers\' worries) are examples of retention strategies. Moreover, earning time credits did not appear to be a motive for continued volunteering. These theoretical perspectives could help to improve organizational support of volunteers and increase the participation of older citizens in community-based volunteering. The complexity associated with retaining volunteers stems from the fact that although initial motives for volunteering are generally clearly defined, other contextual factors (such as relationships with other volunteers and organizational structure) change the initial motives and can result in volunteer turnover.