Patterns of Electronic Cigarette Use Among Adults in the United States

Delnevo, Cristine D.; Giovenco, Daniel P.; Steinberg, Michael B.; Villanti, Andrea C.; Pearson, Jennifer; Niaura, Raymond; Abrams, David B.

doi:10.1093/ntr/ntv237

Cited by 205 publications

(237 citation statements)

References 20 publications

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“…A growing body of evidence supports dual tobacco‐product use as the most prevalent tobacco‐use pattern 18, 19, 20. In line with our findings, the PATH (Population Assessment of Tobacco and Health) study, the CDC, and the NHIS (National Health Interview Survey) have indicated that e‐cigarette users are more likely to be current or former smokers 18, 19, 20. The high prevalence of e‐cigarette use among current smokers should be interpreted carefully.…”

Section: Discussionmentioning

confidence: 99%

Electronic Cigarette Use Prevalence, Associated Factors, and Pattern by Cigarette Smoking Status in the United States From NHANES (National Health and Nutrition Examination Survey) 2013–2014

Jaber

Mirbolouk

DeFilippis

et al. 2018

JAHA

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BackgroundTo examine the prevalence and patterns of recent electronic cigarette (e‐cigarette) use in a nationally representative sample of US adults and adolescents.Methods and ResultsUsing tobacco information from NHANES (National Health and Nutrition Examination Survey) 2013–2014, 5423 adults and 895 adolescents (aged 13–17 years) were included in this analysis. Demographic, tobacco use, and drug use information were self‐reported. Recent e‐cigarette use (within the previous 5 days) was stratified by smoking status. Of 125 e‐cigarette users, 116 participants were aged ≥18 years, corresponding to 2.6% (95% confidence interval [CI], 2.0–3.1) and 1.21% (95% CI, 0.3–2.1) prevalence of e‐cigarette use among US adults and adolescents, respectively. E‐cigarette adult users were current smokers (68.1%), former smokers (23.7%), and never smokers (8.2%). The highest prevalence of e‐cigarette use was among current smokers (8.2%; 95% CI, 6.3–10.1), followed by former smokers (2.7%; 95% CI, 1.4–4.1), and then never smokers (0.4%; 95% CI, 0.2–0.6). After adjusting for age, sex, and ethnicity, e‐cigarette users had higher odds of being exposed to secondhand smoke (odds ratio: 6.3; 95% CI, 3.6–11.1) and drinking alcohol (odds ratio: 4.2; 95% CI, 1.8–10.0) and lower odds of having at least a college education or a higher income, compared with tobacco nonusers.ConclusionsBetween 2013 and 2014, e‐cigarette use in the United States was more common among younger people, those with low socioeconomic status, and current and former smokers. These findings will help inform future research as well as public policy and regulatory actions.

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Section: Discussionmentioning

confidence: 99%

Electronic Cigarette Use Prevalence, Associated Factors, and Pattern by Cigarette Smoking Status in the United States From NHANES (National Health and Nutrition Examination Survey) 2013–2014

Jaber

Mirbolouk

DeFilippis

et al. 2018

JAHA

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“…44 Use is more common in younger adults; 21.6% of people 18 -24 y old have tried e-cigarettes versus 3.7% of people Ͼ65 y old. 3 Individuals who report recently quitting tobacco are significantly more likely to report active use of e-cigarettes, with 22% of recent quitters reporting use versus 3.7% of all adults.…”

Section: Epidemiologymentioning

confidence: 99%

“…3 Individuals who report recently quitting tobacco are significantly more likely to report active use of e-cigarettes, with 22% of recent quitters reporting use versus 3.7% of all adults. 44 Overall, use of e-cigarettes by adults is primarily limited to smokers and recent former smokers, with only 0.4% of never smokers and 0.8% of smokers quitting Ͼ4 y prior reporting e-cigarette use. 44 E-cigarette use appears to be increasing among in young adults.…”

Section: Epidemiologymentioning

confidence: 99%

E-Cigarettes: The Science Behind the Smoke and Mirrors

Cobb

Sonti

2016

Respir Care

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SummaryE-cigarettes are a diverse set of devices that are designed for pulmonary delivery of nicotine through an aerosol, usually consisting of propylene glycol, nicotine, and flavorings. The devices heat the nicotine solution using a battery-powered circuit and deliver the resulting vapor into the proximal airways and lung. Although the current devices on the market appear to be safer than smoking combusted tobacco, they have their own inherent risks, which remain poorly characterized due to widespread product variability. Despite rising use throughout the United States, predominantly by smokers, limited evidence exists for their efficacy in smoking cessation. Pending regulation by the FDA will enforce limited disclosures on the industry but will not directly impact safety or efficacy. Meanwhile, respiratory health practitioners will need to tailor their discussions with patients, taking into account the broad range of existing effective smoking cessation techniques, including pharmaceutical nicotine replacement therapy.

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“…Since vape shops predominantly sell ENDS, we might expect their customers to be similar to ENDS users. In a 2014 national sample of adults, ever use of e-cigarettes was correlated with daily cigarette smoking, White race, younger age (age [18][19][20][21][22][23][24], and living in the Western U.S 7 . One study noted an increase in lifetime e-cigarette use in young adults (aged 18-24) since 2010, 8 but another showed that ever e-cigarette use remained stable in this age group 9 .…”

Section: Introductionmentioning

confidence: 99%

“…A recent national study found that young adults (18)(19)(20)(21)(22)(23)(24) were more likely to be some day or every day e-cigarette users than were adults over age 45. 7 Young adult past 30-day e-cigarette users compared with those with no past-month use have also reported higher prevalence of marijuana use (some days or ever day 10 or in the past 12 months 11 ), some days or every day alcohol use, 10 past 30-day binge drinking, 11 and past 30-day other tobacco (defined as use of cigars, pipes, chewing tobacco, snuff, snus, hookah, clove cigarettes, bidis, or other) product use 11 . This pattern of e-cigarette co-use with a variety of other substances may indicate a common liability to use addictive substances based on genetic, neurochemical, physiological, behavioral, and/ or environmental factors [12][13] .…”

Section: Introductionmentioning

confidence: 99%

Visited a vape shop? Prevalence and correlates from a national sample of U.S. young adults

Rose¹,

Cohn²,

Pearson³

et al. 2016

Tob. Prev. Cessation

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INTRODUCTION The increasing popularity of electronic nicotine delivery systems (ENDS) has brought with it the emergence of “vape shops,” retail outlets designed for the sale of ENDS, nicotine fluid, and accessories. To understand user characteristics of this rapidly-growing retail environment, this study examined the prevalence and correlates of having ever visited a vape shop among U.S. young adults. METHODS Data were drawn from Wave 7 (weighted n = 3,542) of the Truth Initiative Young Adult Cohort, a national sample of individuals aged 18 to 34 (October 2014). Multivariable logistic analysis examined odds of ever visiting a vape shop as a function of demographics, tobacco use, and substance use. RESULTS Results showed that 11% of young adults had ever visited a vape shop. Significant bivariate relationships existed between all tobacco products and other substance use and vape shop visiting. Significant correlates of ever visiting a vape shop in multivariable analyses were: past 30-day use of cigarettes, past 30-day or ever use of an e-cigarette or hookah, past 30-day use of marijuana or other drugs, younger age (18–24 vs 25–34), Hispanic and other race (vs White race), and limited financial means. CONCLUSIONS Young adult vape shop ever visitors share common characteristics with tobacco, other drug and ENDS users and likely reflect an underlying propensity to engage in risk behaviors. Future research should determine reasons why young adults visit vape shops and the potential impact of vape shop visits and purchases on ENDS use and trajectories of use of other tobacco products.

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Patterns of Electronic Cigarette Use Among Adults in the United States

Cited by 205 publications

References 20 publications

Electronic Cigarette Use Prevalence, Associated Factors, and Pattern by Cigarette Smoking Status in the United States From NHANES (National Health and Nutrition Examination Survey) 2013–2014

Electronic Cigarette Use Prevalence, Associated Factors, and Pattern by Cigarette Smoking Status in the United States From NHANES (National Health and Nutrition Examination Survey) 2013–2014

E-Cigarettes: The Science Behind the Smoke and Mirrors

Visited a vape shop? Prevalence and correlates from a national sample of U.S. young adults

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