Demographic Characteristics, Cigarette Smoking, and e-Cigarette Use Among US Adults

Mayer, Margaret; Reyes-Guzman, Carolyn; Grana, Rachel; Choi, Kelvin; Freedman, Neal D.

doi:10.1001/jamanetworkopen.2020.20694

Cited by 124 publications

(103 citation statements)

References 4 publications

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“…From 2014 to 2016, the prevalence of ever use of e‐cigarettes among US adults increased from 12.6% to 15.3%, whereas current use (used in past 30 days) decreased from 3.7% to 3.2% 64 . In 2018, current use was 3.2% (2018 National Health Interview Survey) 65 and 2.3% in 2018‐2019 (2018‐2019 Tobacco Use Supplement to the Current Population Survey) 66 . The prevalence of current e‐cigarette use among US adult workers during 2017‐2018 was 2.3%, of which 43.1% was among daily users 67 …”

Section: Prevalence Of Ends Usementioning

confidence: 99%

“…Between 2013 and 2015, 44.3% of adult e‐cigarette users maintained dual use, whereas 48.8% stopped using e‐cigarettes and 12.1% quit smoking 68 . In 2018 to 2019, 8.1% of current cigarette smokers were also current e‐cigarette users; current e‐cigarette use prevalence was 4.8% among former smokers and 0.8% among never smokers 66 . During 2017 to 2018, 49.5% of adult workers who were current e‐cigarette users also smoked cigarettes 67 …”

Section: Prevalence Of Ends Usementioning

confidence: 99%

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Clinical Pharmacology of Electronic Nicotine Delivery Systems (ENDS): Implications for Benefits and Risks in the Promotion of the Combusted Tobacco Endgame

Benowitz

Helen

Liakoni

2021

The Journal of Clinical Pharma

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Electronic nicotine delivery systems (ENDS) such as e‐cigarettes and heated tobacco products are novel battery‐operated devices that deliver nicotine without combustion of tobacco. Because cigarette smoking is sustained by nicotine addiction and the toxic combustion products are mainly responsible for the harmful effects of smoking, ENDS could be used to promote smoking cessation while exposing users to lower levels of toxicants compared with conventional cigarettes. The currently available evidence from clinical and observational studies indicates a potential role of e‐cigarettes as smoking cessation aids, although many continue to use e‐cigarettes long after quitting smoking. Nicotine and toxicant delivery vary considerably by device and depend on the characteristics of the e‐liquid formulation. Because smokers tend to titrate their nicotine intake to maintain their desired pharmacologic effects, device and liquid characteristics need to be considered when using ENDS as an aid to quit smoking. Factors potentially limiting their use are the currently still unknown long‐term safety of these products and concerns regarding widespread use among youth. Implications of clinical pharmacology data on ENDS for the cigarette endgame and regulation by the U.S. Food and Drug administration are discussed.

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Section: Prevalence Of Ends Usementioning

confidence: 99%

Section: Prevalence Of Ends Usementioning

confidence: 99%

Clinical Pharmacology of Electronic Nicotine Delivery Systems (ENDS): Implications for Benefits and Risks in the Promotion of the Combusted Tobacco Endgame

Benowitz

Helen

Liakoni

2021

The Journal of Clinical Pharma

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“…[17]. The demographic features of e-smokers in the present study might partly explain unstable psychology and controversial attitudes regarding nicotine dependence and the plan to quit smoking.…”

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confidence: 71%

Nicotine Dependence and Stress Susceptibility in E-Cigarette Smokers: The Korea National Health and Nutrition Examination Survey 2013–2017

et al. 2021

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Background E-cigarettes are steadily gaining popularity in Korea. However, the characteristics of e-cigarette smokers, especially nicotine dependence and stress susceptibility, have not been evaluated in comparison to those of nonsmokers or combustible cigarette smokers in Korea. Methods In this study, 28,059 participants from the Korea National Health and Nutrition Examination Survey (2013–2017) were classified into the following three groups: non-smokers, smokers (current smokers and ex-smokers of combustible cigarettes only), and e-smokers (current smokers and ex-smokers of e-cigarettes regardless of combustible cigarette use). Results Among the participants, 16,980 (60.5%), 9,247 (33.0%), and 1,832 (6.4%) subjects were non-smokers, smokers, and e-smokers, respectively. E-smokers were younger, more educated, and had a higher household income than nonsmokers or smokers. The number of e-smokers who smoked within 5 minutes of waking up (31.5% vs. 19.8%, p<0.001) and who planned to quit smoking within 6 months (39.1% vs. 35.7%, p<0.05) was greater than that of smokers. E-smokers perceived stress as “very much” (7.0% vs. 4.4%, p<0.001) and “a lot” (29.1% vs. 20.5%, p<0.001) compared to non-smokers. Suicidal ideation (6.5% vs. 4.7%, p<0.001), plans (2.4% vs. 1.3%, p<0.001), and attempts (1.1% vs. 0.5%, p<0.001) were higher in e-smokers than in non-smokers. Depressive episodes in 1 year (14.2% vs. 11.4%, p<0.05) and suicidal plans (2.4% vs. 1.8%, p<0.05) were more frequent among e-smokers than among smokers. Conclusion E-smokers were younger, more educated, and had a higher income, but they were more dependent on nicotine and susceptible to stress than non-smokers and smokers. Smoking cessation counseling should be tailored according to the characteristics of e-smokers.

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“…The covariate of interest is HINTS cycle. Predictors and covariates were selected a priori based on review of existing literature on demographic predictors of cigarette and e-cigarette use [ 24 , 25 , 26 ].…”

Section: Methodsmentioning

confidence: 99%

Perceptions and Patterns of Cigarette and E-Cigarette Use among Hispanics: A Heterogeneity Analysis of the 2017–2019 Health Information National Trends Survey

Cardona

Calixte

Rivera

et al. 2021

IJERPH

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There are documented disparities in smoking behaviors among Hispanic adults in the U.S., but little is known about patterns of e-cigarette use. Using data from the HINTS 5 cycle 1–3, we examined cigarette and e-cigarette history and current use, as well as perceptions of the dangers of e-cigarette use relative to cigarette use. Primary predictors were Hispanic ethnic group, gender, age, education, income, and English language proficiency. Binary outcomes were modeled using the logit link, and multinomial outcome variables were modeled using generalized logit model. Fifty-three percent of participants were Mexican, 8% Puerto Rican, 4% were Cuban, and 35% identified as other Hispanics. Of the 1618 respondents, 23% were former cigarette smokers and 10% were current cigarette smokers. Twenty percent reported history of electronic cigarettes and 4% reported current use. In multivariable models, Hispanic women were significantly less likely to report ever being smokers compared to Hispanic men (aOR = 0.61, 95% CI = 0.42, 0.88). Puerto Ricans were 2.4 times as likely to report being current smokers (95% CI = 1.11, 5.11) compared to Mexicans. Among Hispanics, significant differences in e-cigarette and cigarette use behaviors emerged by gender, age, ethnicity, and cancer history, with implications for tailoring smoking prevention and cessation messages.

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Demographic Characteristics, Cigarette Smoking, and e-Cigarette Use Among US Adults

Abstract: This cross-sectional study examines the demographic characteristics of adult cigarette smokers and e-cigarette users in the US.

Cited by 124 publications

References 4 publications

Clinical Pharmacology of Electronic Nicotine Delivery Systems (ENDS): Implications for Benefits and Risks in the Promotion of the Combusted Tobacco Endgame

Clinical Pharmacology of Electronic Nicotine Delivery Systems (ENDS): Implications for Benefits and Risks in the Promotion of the Combusted Tobacco Endgame

Nicotine Dependence and Stress Susceptibility in E-Cigarette Smokers: The Korea National Health and Nutrition Examination Survey 2013–2017

Perceptions and Patterns of Cigarette and E-Cigarette Use among Hispanics: A Heterogeneity Analysis of the 2017–2019 Health Information National Trends Survey

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