Use of Cigarettes and E-Cigarettes and Dual Use Among Adult Employees in the US Workplace

Abstract

What is already known on this topic? US smoking rates have steadily declined over time, but e-cigarette use and dual use are becoming increasingly popular. Increased worksite evidencebased interventions are still needed for tobacco control. What is added by this report? Employment type, age, sex, race/ethnicity, education, and health care coverage were associated with e-cigarette use and dual cigarette and ecigarette use. Recent quit attempts were higher among dual users. Tobacco-product use varied by state. What are the implications for public health practice? These findings suggest the importance of targeting efforts when designing and implementing worksite interventions for tobacco control and cessation in the workplace.

Vaping in the Workplace

“…There were many more current e-cigarette users in the sample than in the general working adult population. 6 Given that those who vape were more likely to observe coworkers vaping, this oversample of e-cigarette users may have inflated the prevalence of observed workplace vaping and our results should not be interpreted as a precise estimate of workplace vaping. However, the oversample of users is likely to have led to an underestimate of the prevalence of negative attitudes about workplace vaping.…”

“… 5 A recent study using a nationally representative sample found that vaping among working adults was higher than among adults in the United States generally. 6 The study found 4.8% of working adults were current e-cigarette users, and about half of those were dual users of e-cigarettes and combustible cigarettes. 6 Working adults who vape are also more likely to be younger, male, non-Hispanic white, to have less education, and to be without healthcare coverage than working adults who don’t use e-cigarettes or combustible cigarettes.…”

“… 6 Working adults who vape are also more likely to be younger, male, non-Hispanic white, to have less education, and to be without healthcare coverage than working adults who don’t use e-cigarettes or combustible cigarettes. 5 , 6 …”

“…15 Yet, given their relatively recent entry into the marketplace, e-cigarettes are not always formally included in smoke-free or other policies prohibiting tobacco use. 6 According to the Public Health Law Center, as of December 2019, only 19 states ban vaping in most workplaces. 16 One recent study found that less than 20% of workplaces reported having comprehensive smoke-free policies banning all tobacco use.…”

Cardiovascular Outcomes Associated With Adult Electronic Cigarette Use

“…Recent prevalence data revealed that the adult users aged 25-44 years and aged 45-64 years had increased to 4.2% among adults aged 25-44 years and 2.1% among adults aged 45-64 years as per the National Health Interview Survey (NHIS) data in 2018 [1]. In the United States, the proportion of current E-Cigs users has increased to 4.8% of the adult population, and 2.3% of whom also use tobacco use (dual users), and 17.8% of whom are former users [2]. This study sought to assess and compare cardiovascular outcomes between E-Cigs users and tobacco smokers through a self-reported NHIS data questionnaire.…”