Trends in frequency of e-cigarette use among cancer patients and survivors in the United States, 2014–2018

Use of electronic cigarettes among African American cancer survivors

“…37 Lung cancer development is strongly associated with cigarette smoking, and these cancers tend to be diagnosed at distant stages, 38 thus examining whether ever use of cigarettes is associated with more aggressive disease is difficult; however, it is established that continued use after a diagnosis is associated with a poorer prognosis. 39,40 Research delineating the effects of e-cigarette use on cancer incidence is just emerging; however, a continued focus on e- Finally, cigarette smoking status at enrollment showed the strongest and largest association with having ever or currently used e-cigarettes, and our analysis indicated stronger associations compared with those reported by Dewar et al 14 This may be related to research suggesting that AA smokers have lower odds of quitting smoking than all other racial/ethnic groups in the United States other than American Indian/Alaska Natives. 42 Thus strategies to reduce cigarette smoking initiation need to continue to be developed for those at greatest risk, along with concurrent support for cessation.…”

“…[7][8][9][10][11] Several studies reported that cancer survivors who vaped also had an increased rate of smoking combustible cigarettes. [12][13][14][15] In addition, cancer survivors have mixed beliefs with respect to whether they think that e-cigarettes are less harmful compared with combustible cigarettes. 9,16 The belief that e-cigarettes are a relatively harmless provider of nicotine has also been called into question because tobacco products are linked to negative health outcomes, such as secondary cancers, cancer reoccurrence, and cardiovascular and respiratory issues.…”

“…The majority of studies indicate that cancer survivors who use e-cigarettes are most likely to be young adults between ages 18 and 40 years, 9,12,13,20,21 although one study reported that cancer survivors aged 45-54 years were the age group most likely to use e-cigarettes. 14 It has been observed that female cancer survivors are more likely to use e-cigarettes than male cancer survivors. 4,12,22,23 In addition, non-Hispanic White cancer survivors had higher rates of e-cigarette use than non-Hispanic Black cancer survivors, [13][14][15] and one study reported that Hispanic cancer survivors were the most likely to use e-cigarettes.…”

“…14 It has been observed that female cancer survivors are more likely to use e-cigarettes than male cancer survivors. 4,12,22,23 In addition, non-Hispanic White cancer survivors had higher rates of e-cigarette use than non-Hispanic Black cancer survivors, [13][14][15] and one study reported that Hispanic cancer survivors were the most likely to use e-cigarettes. 22 It is well documented that the marketing strategies to promote the use of combustible cigarettes intentionally and differentially targeted communities with higher proportions of African American (AA) residents.…”

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

“…This might implicate that, with time and increased health information seeking, Hispanics have become increasingly aware of the dangers and potential side effects that can result from both cigarette and e-cigarette smoking. Additional studies using nationally representative samples have documented similar patterns of decreased e-cigarette consumption within the U.S. [ 36 ]. Further, recent implementation of e-cigarette smoke-free policies across states, excise taxes on e-cigarettes, and raising the tobacco legal purchasing age to 21 years may have impacted changes in e-cigarette use across HINTS cycles [ 37 ]…”