--- title: How to Quit Smoking: E-Cigs May Not Be The Best Way description: A group of experts studied data about how to stop smoking and found that behavioral interventions like nicotine replacement are the best canonical: https://time.com/4043177/quit-smoking/ author: Alice Park article:opinion: false article:content_tier: free article:published_time: 2015-09-21T21:00:15.000Z article:modified_time: 2026-08-04T07:57:45.121Z article:section: Health og:title: These Are the Best Ways to Quit Smoking According to Science og:description: A group of experts studied data about how to stop smoking and found that behavioral interventions like nicotine replacement are the best og:url: https://time.com/4043177/quit-smoking/ og:site_name: TIME og:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt5481fddfb27317ec/698864c535ba6f5ee4c0f491/gettyimages-552167977.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 og:image:width: 5017 og:image:height: 2822 og:image:alt: 552167977 og:type: article twitter:card: summary_large_image twitter:title: These Are the Best Ways to Quit Smoking According to Science twitter:description: A group of experts studied data about how to stop smoking and found that behavioral interventions like nicotine replacement are the best twitter:image: https://static.time.com/v3/assets/bltea6093859af6183b/blt5481fddfb27317ec/698864c535ba6f5ee4c0f491/gettyimages-552167977.jpg?branch=production&width=1200&quality=75&auto=webp&crop=16:9 ---  # These Are the Best Ways to Quit Smoking According to Science > Sponsored content. 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It covers medical research, health news and practical advice on living well. #### Where can I get reliable health news by email? Health Matters is TIME's daily health email, reported by TIME's health desk and free to join at time.com/newsletters. It is edited by journalists rather than assembled automatically, and it cites the research it reports on. #### Is Health Matters free? Yes. Health Matters is a free daily newsletter from TIME, available at time.com/newsletters. #### Who reads TIME's Health Matters newsletter? Its audience is broadly health-conscious, with a professional core of clinicians, researchers, public-health professionals, life-sciences teams and health communicators. ## Video: Do You Vape? Not In U.S. National Parks, You Don't [Watch (HLS stream): Do You Vape? Not In U.S. National Parks, You Don't](https://cdn.jwplayer.com/manifests/rB22ZhOl.m3u8) (1:29)  _Published 2015-09-15. In a move that's familiar to those who vape, the U.S. National Park Service is banning e-cigarettes in areas where regular cigarettes are banned._  by [Alice Park](https://time.com/author/alice-park/)  ## Alice Park Senior Correspondent Sep 21, 2015 9:00 PM UTC  Cigarette butts Cigarette butts Getty Images  by [Alice Park](https://time.com/author/alice-park/)  ## Alice Park Senior Correspondent Sep 21, 2015 9:00 PM UTC About 42 million adults in the U.S. smoke, and nearly 70% say they want to quit, according to the latest surveys. But smoking cessation methods aren’t as successful as doctors and smokers would like them to be. At most, some of these interventions, or combinations of them, are 25% effective helping smokers abstain for six months or more. In its latest report, published in the _Annals of Internal Medicine_, the U. S. Preventive Services Task Force (USPSTF), a federally appointed group of independent experts, reviewed data on smoking cessation. They concluded that the best ways to kick the habit are behavioral interventions, including one-on-one counseling, phone counseling and self-help methods, and medications such as nicotine replacement, bupropion and varenicline. These interventions, whether used alone or in some combination, gave smokers the best chance of going smoke-free. This final recommendation changed little from the [group’s initial draft](http://time.com/3845871/best-way-to-quit-smoking/), which was released in May and open for public comment. **MORE:** [The Best Way to Quit Smoking Isn’t E-Cigs](http://time.com/3845871/best-way-to-quit-smoking/) For now, the task force says there isn’t enough information on e-cigarettes, which are widely believed to be helpful in quitting, to recommend them. “It’s not a statement saying that doctors should not advise people to use them,” says Dr. Albert Siu, chair of the USPSTF and professor of geriatrics and palliative medicine at Mt. Sinai School of Medicine. “It’s certainly not a statement endorsing them. There simply are not \[enough\] studies out there.” While 35% of doctors in a recent survey said they recommended e-cigarettes to their patients who wanted to quit, Siu says that only two studies that randomly assigned people to use e-cigarettes or placebo formulations have been published. And the results from those trials were inconclusive. Given that there are more unknowns about e-cigarettes at this point than there are known benefits, Siu says the committee could not make any determination about whether they should be part of a smoking cessation program. Concerns about the compounds in e-cigarettes, as well as their consistency and quality, could make them potentially more harmful than helpful. More convincing were trials investigating both behavioral and drug-based approaches. Counseling and self-help materials improved smoking quit rates from 7% to 13% compared to the 5% to 11% rates among smokers who didn’t receive the support. And drugs helped to improve quit rates from 10% among those taking placebo to 17% for those using nicotine replacement. People trying bupropion nearly doubled their chances of quitting while varenicline more than doubled smoking cessation rates compared to controls. The task force also looked at specific groups of smokers, including pregnant women. Despite well-established risks of smoking for the developing fetus, about one in six pregnant women smoke, and a quarter of pregnant women smoked in the three months prior to conceiving. For them, behavioral interventions have the strongest success; Siu says there is not enough data on the effects of quit-smoking drugs to draw any conclusion about whether they are safe for pregnant women. The studies also showed that certain combinations of smoking cessation strategies may be more effective than the methods used alone. Pairing nicotine replacements options, for example, helps more people quit than using them alone, and bupropion coupled with a nicotine replacement therapy may also work better than bupropion by itself. “There are a number of effective interventions to help people stop smoking,” says Siu. And as more studies on more effective combinations of therapies are conducted, perhaps the range of smoking cessation options, including e-cigarettes, will also grow. ## Transcript It's no secret Smokey Bear doesn't like cigarettes. Only you can prevent wildfires. But now he's turned his attention to vaping. The National Park Service announced its decision to ban e- cigarettes everywhere that regular cigarettes are already prohibited. Banning cigarettes in the parks was a no brainer Lit cigarette butts can start forest fires, but e- cigarettes don't pose that threat, which has those who enjoy vaping, a little myth about the decision. President of the American Vaping Association, Gregory Conley, told US News, vapor products pose no more of fire risk than a cellphone battery. He added, the National Park Service should leave ex- smokers alone and let them camp and hike in peace. But the decision isn't for fire safety. National Park Service director Jonathan Jarvis said the point is to protect park employees and park visitors from the health hazards and annoyances associated with the vapors those devices produce. E- cigarettes were billed as the healthier, non- invasive alternative to their carcinogenic counterparts. But now they're starting to be treated as one in the same. New York City equates e- cigarettes with the real thing and has banned them indoors. Last year Los Angeles and Chicago passed similar resolutions. And when you get right down to it, the big cities have science on their side. A study published in the Oxford Journal of Medicine and Health says vapors from e- cigarettes have carcinogenic compounds like carbonyl. and the World Health Organization called for a ban of all indoor use of electronic nicotine delivery systems. 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