Patterns of and reasons for electronic cigarette use in primary care patients

Kalkhoran, Sara; Alvarado, Nicholas; Vijayaraghavan, Maya; Lum, Paula J.; Yuan, Patrick; Satterfield, Jason M.

doi:10.1007/s11606-017-4123-x

Cited by 15 publications

(17 citation statements)

References 36 publications

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“…Previous studies have shown that e‐cigarette users tend to have higher rates of conventional cigarette use, and our work supports this assertion on a national level. McQueen et al specifically examined 110 patients with head and neck cancer and a smoking history and demonstrated that non–e‐cigarette users achieved higher quit rates than e‐cigarette users.…”

Section: Discussionsupporting

confidence: 89%

Patterns of concurrent cigarette, alcohol, and e‐cigarette use: Off‐setting or additive behaviors?

Parikh

Bhattacharyya

2018

The Laryngoscope

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Section: Discussionsupporting

confidence: 89%

Patterns of concurrent cigarette, alcohol, and e‐cigarette use: Off‐setting or additive behaviors?

Parikh

Bhattacharyya

2018

The Laryngoscope

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“…8 education tried e-cigarettes previously. Few studies have compared current and former e-cigarette users, 5,19 but studies comparing these groups can be helpful in identifying factors potentially associated with persistent e-cigarette use.…”

Section: P-value (Vs Current Use)mentioning

confidence: 99%

“…The finding that the majority of current e-cigarette users in this study reported the reason for using e-cigarettes was to quit smoking cigarettes is consistent with other clinical populations of smokers. 5 It is important that providers caring for newly diagnosed cancer patients are aware of the high prevalence of and reasons for e-cigarette use among smokers, as patients may come to their providers with questions about these products. 20 Patients should be advised of the unknown long-term health risks of e-cigarettes and their unknown efficacy for smoking cessation.…”

Section: T a B L E 3 Behavioral Physical And Psychological Charactementioning

confidence: 99%

“…Electronic cigarette (e‐cigarette) use is prevalent among cigarette smokers in the US, including among those with medical comorbidities such as cancer . Smokers often report using e‐cigarettes to reduce or quit smoking or for health reasons, but reasons for use specifically among patients with cancer are unknown. E‐cigarettes have not been associated with smoking cessation in the few observational studies of patients with cancer, and while e‐cigarettes contain fewer carcinogens than conventional combustible cigarettes, their long‐term safety is unknown.…”

Section: Introductionmentioning

confidence: 99%

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Electronic cigarette use patterns and reasons for use among smokers recently diagnosed with cancer

et al. 2018

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Many patients with cancer use electronic cigarettes (e‐cigarettes), yet little is known about patterns and reasons for use. Using cross‐sectional baseline data from a randomized controlled trial, we aimed to describe prevalence and correlates of e‐cigarette use, frequency of use, and reasons for use among smokers recently diagnosed with cancer. Participants (n = 302) included adults (age ≥18 years) recently diagnosed with varied cancer types who smoked ≥1 cigarette within the past 30‐d from two US academic medical centers. Participants reported ever and current e‐cigarette use, and current e‐cigarette users reported days of e‐cigarette use and the main reason for use. We compared current, former, and never e‐cigarette users by sociodemographics, cancer type, medical comorbidities, smoking behaviors, attitudes, and emotional symptoms, and described use among current e‐cigarette users. Of smokers recently diagnosed with cancer, 49% (n = 149) reported ever e‐cigarette use and 19% (n = 56) reported current use. Of current e‐cigarette users, 29% (n = 16) reported daily use. Current e‐cigarette users did not differ from former and never e‐cigarette users by cancer type, smoking behaviors, or emotional symptoms. Women were more likely to be current users than never users, and current e‐cigarette users had less education than former users. Most current e‐cigarette users reported using them to help quit smoking (75%). One in five smokers with cancer report current e‐cigarette use, but most are not using e‐cigarettes daily. The majority report using e‐cigarettes to quit smoking. E‐cigarette use by patients with cancer appears to reflect a desire to quit smoking.

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“…T he study by Kalkhoran et al 1 uses data from a smokingcessation trial to describe e-cigarette use among primary care patients. The study participants were recruited from patients in three primary care practices in San Francisco who were enrolled in a test of a tablet-based intervention.…”

mentioning

confidence: 99%

Capsule Commentary on Kalkhoran et al., Patterns of and Reasons for Electronic Cigarette Use in Primary Care Patients

Grossman

2017

J GEN INTERN MED

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T he study by Kalkhoran et al. 1 uses data from a smokingcessation trial to describe e-cigarette use among primary care patients. The study participants were recruited from patients in three primary care practices in San Francisco who were enrolled in a test of a tablet-based intervention. At baseline, they were asked questions about their use of ecigarettes and reasons for doing so. Of the 788 participants, 52% reported they had ever used an e-cigarette and 20% had used one in the last month. E-cigarette users tended to be younger than non-users, and use was least prevalent at the safety-net general internal medicine practice. Only 9% of current e-cigarette users reported using them daily, and 66% had used them on ≤5 days in the past month. Most e-cigarette users did not know the nicotine content of their devices; seeking assistance in cutting down or quitting conventional cigarettes and reducing harm were the most common reasons for use.In sum, although the study was limited to one West Coast city, these results are similar to other studies describing e-cigarette use in the general U.S. population. 2 The vast majority of e-cigarette users also smoke (or have smoked) conventional cigarettes, so this population is a reasonable one for focus. On a practical level, clinicians and health-care systems who ask about ecigarette use may uncover a population of smokers who want to quit, and this may open a discussion of evidence-based tools that can help (i.e. not necessarily e-cigarettes).The perception of e-cigarettes as less harmful than conventional cigarettes demonstrates how powerful marketing and media can be, and should serve as a note of caution both for this product and for others to come. It was not until recently that we had solid evidence comparing e-cigarettes to conventional cigarettes in terms of carcinogen or toxin exposure, 3 and yet e-cigarette marketers were able to strongly impress upon the public that these devices were safer than conventional cigarettes. The use of such devices has skyrocketed in the U.S., and public-health messaging has been somewhat slow to solidify; we owe it to our patients to discuss both ecigarettes and conventional cigarettes routinely.

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Patterns of and reasons for electronic cigarette use in primary care patients

Cited by 15 publications

References 36 publications

Patterns of concurrent cigarette, alcohol, and e‐cigarette use: Off‐setting or additive behaviors?

Patterns of concurrent cigarette, alcohol, and e‐cigarette use: Off‐setting or additive behaviors?

Electronic cigarette use patterns and reasons for use among smokers recently diagnosed with cancer

Capsule Commentary on Kalkhoran et al., Patterns of and Reasons for Electronic Cigarette Use in Primary Care Patients

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