Use of Electronic Cigarettes Among U.S. Adults With Medical Comorbidities

Kruse, Gina; Kalkhoran, Sara; Rigotti, Nancy A.

doi:10.1016/j.amepre.2016.12.004

Cited by 46 publications

(53 citation statements)

References 12 publications

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“…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.…”

Section: Introductionmentioning

confidence: 99%

“…13 To best counsel and assist cancer patients who smokers with smoking cessation, it is necessary to understand their use of other nicotine and tobacco products such as e-cigarettes. We aimed to describe, among smokers recently diagnosed with cancer: (1) prevalence and correlates of ecigarette use, (2) patterns of e-cigarette use, and (3) reasons for e-cigarette use.…”

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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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Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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

et al. 2018

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“…Similarly, dual users of e-cigarettes and combustible cigarettes in recent clinical trials were no more likely to quit combustible cigarettes at follow-up (Manzoli et al, 2016; Rigotti et al, 2017). Our findings are consistent with studies in the general population and within specific disease states such as acute coronary artery syndrome, serious mental illness and head and neck cancer (Prochaska and Grana, 2014; Busch et al, 2016; Manzoli et al, 2016; McQueen et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…Evidence from the National Health Interview Survey suggests that cigarette smokers with medical comorbidities are more likely to use e-cigarettes (Kruse et al, 2017), yet few studies have examined the prevalence of e-cigarette use among inpatient smokers (Harrington et al, 2014; Baumann et al, 2015). In 1 study conducted in Birmingham, Alabama in 2012–2013, hospitalized smokers reported that they expected e-cigarettes to be less effective at relieving negative affect and satisfying nicotine cravings and that the taste would not be as pleasant as combustible cigarettes (Hendricks et al, 2015).…”

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Electronic Cigarette Use Among Counseled Tobacco Users Hospitalized in 2015

Genna

Ylioja

Schulze

et al. 2017

Journal of Addiction Medicine

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Objectives: Few studies have examined the prevalence of electronic cigarette use among the inpatient population regardless of the patients’ cessation goals. The objectives of this study were to examine the prevalence of electronic cigarette use among counseled tobacco users admitted to 2 academic hospitals. Methods: Cross-sectional data of hospitalized adult tobacco users who were admitted between January 1, 2015 and December 31, 2015 and who received bedside tobacco cessation counseling from a tobacco treatment service counselor were examined. Demographic and smoking history items were compared as a function of electronic cigarette use using chi-square and independent t tests. Logistic regression was used to test independent associations with electronic cigarette use. Results: Of 2194 hospitalized tobacco users counseled, 22% had used an electronic cigarette. Most of these patients used electronic cigarettes to quit or reduce use of combustible cigarettes. Adjusted odds of electronic cigarette use were higher for females (adjusted odds ratio [AOR] 0.60 for male patients, 95% confidence interval [CI] 0.47–0.76), younger patients (AOR 0.98 for older patients, 95% CI 0.97–0.99), and individuals who initiated tobacco use earlier in life (AOR 0.97 for later smoking initiation, 95% CI 0.95–0.99). Conclusions: Screening hospitalized cigarette smokers for electronic cigarette use offers an opportunity to counsel all patients on evidence-based quit aids. Young, female patients are most likely to use electronic cigarettes and may benefit most from directed discussions about electronic cigarette use and Federal Drug Administration-approved cessation methods during smoking cessation counseling.

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“…Chronic obstructive pulmonary disease (COPD) commonly results from years of smoking, but cessation can improve disease symptoms and reduce rate of lung function decline. Data suggest that former and current smokers with COPD are likely to use e‐cigarettes . A retrospective study conducted in four Italian hospitals compared patients with COPD reporting daily use of e‐cigarettes with age‐ and sex‐matched COPD patients reporting to be regular smokers .…”

Section: Patient Populationsmentioning

confidence: 99%

Do Electronic Cigarettes Have a Role in Tobacco Cessation?

2018

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Tobacco use continues to be a major cause of morbidity and mortality. Even with behavioral and pharmacologic treatment, long-term tobacco cessation rates are low. Electronic nicotine delivery systems, commonly referred to as electronic cigarettes or e-cigarettes, are increasingly used for tobacco cessation. Because e-cigarettes are widely used in this setting, health care professionals need to know if they are safe and effective. The purpose of this article is to review literature regarding use of e-cigarettes as a tool for tobacco cessation in patients who are ready to quit, as well as those who are not ready to quit, along with some selected patient populations. The safety and clinical implications of e-cigarette use are also reviewed. Small, short-term studies assessing smokers' use of e-cigarettes suggest that e-cigarettes may be well tolerated and modestly effective in achieving abstinence. High-quality studies are lacking to support e-cigarettes use for cessation in patients with mental health issues. One small prospective cohort study concluded that patients with mental health issues reduced cigarette use with e-cigarette use. Although one study found that patients with cancer reported using e-cigarettes as a tobacco-cessation strategy, e-cigarettes were not effective in supporting abstinence 6 and 12 months later. Additional research is needed to evaluate the use of e-cigarettes for smoking cessation in patients with pulmonary diseases. No data exist to describe the efficacy of e-cigarettes for smoking cessation in pregnant women. Although study subjects report minimal adverse effects with e-cigarettes and the incidence of adverse effects decreases over time, long-term safety data are lacking. Health care providers should assess e-cigarette use in their patients as part of the tobacco cessation process.

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Use of Electronic Cigarettes Among U.S. Adults With Medical Comorbidities

Cited by 46 publications

References 12 publications

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

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

Electronic Cigarette Use Among Counseled Tobacco Users Hospitalized in 2015

Do Electronic Cigarettes Have a Role in Tobacco Cessation?

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