| category | factcheck |
| score | Contortion 🟥🟥🟥🟥🟧 |
| claim | "Smokers relapse from E-cigarettes" |
| url | https://doi.org/10.1001/jamanetworkopen.2021.28810 |
| author | American Medical Association / John P. Pierce, PhD |
| tags | ['third-party-fact-check', 'not-quitting', 'pr-study'] |

<img src="/img/rating/mostly-false.png" width=200 height=175 align=right alt=mostly-false>

## Relapse-affine smokers didn't succeed proportionally more with e-cigarettes

To validate pretext claims that e-cigarettes were unfit for smoking
cessation, the study authors misrepresented already misconstrued results.
It relies on counting relapse as one or two later puffs from combustibles.
In reality the abstincency rates didn't differ much from other quit options
in the cohort.

This was the earlier of two analyses of PATH data from J.Pierce. The second
lead to similar [CNN outbursts](doc/trunk/factcheck/cnn.com.2022-02-07.md).

### references

 * <https://pubpeer.com/publications/78696C30B78EF1266881A8E23F3C37>
   <blockquote> Throughout the article and in his public comments, Pierce
   referenced smokers “who switched to e-cigarettes.” That is misleading. 
   PATH collects information on aids that former smokers used to quit (here)
   The only information Pierce et al.  reported was whether former smokers
   at Year 1 were using or not using e-cigarettes/tobacco.  By ignoring the
   quitting information, they undercut the positive results for e-cigarettes
   and distorted the public health message. </blockquote>
 * <https://www.sciencemediacentre.org/expert-reaction-to-study-on-vaping-and-staying-off-cigarettes/>
   <blockquote> The press release badly misreports the study findings.  It
   says that ‘smokers who quit but substitute e-cigarettes are more likely
   to relapse’, but this cohort study found no such effect.  Smokers who
   quit unaided and those who needed e-cigarettes to help them quit did not
   differ in their relapse rates!  </blockquote>

### phrase check

The [press release](/a:https://www.eurekalert.org/news-releases/931794)
isn't all that interesting. The framing wasn't as pronounced here:

|there have been few studies on whether smokers are able to transition|🟧|There's a few more.|
|e-cigarette use—even on a daily basis—did not help smokers successfully stay off cigarettes.|🟧|Misrepresented findings|
|e-cigarettes or other tobacco products|🟫|Misclassing|
|pattern of chronic quitting|🟨|Makes me wonder if they prescribed ATF ecigs|

### verdict

The misrepresentation is mostly down to press releases and media interviews
again. It was widely dissipated, apostling by Glantz validate the lack
of academic candor; ergo "Mostly False".



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