Perceptions of e-cigarette harm among cancer survivors: Findings from a nationally representative survey

Bjurlin, Marc A.; Basak, Ramsankar; Zambrano, Ibardo; Schatz, Daniel; El-Shahawy, Omar; Sherman, Scott E.; Matulewicz, Richard S.

doi:10.1016/j.canep.2021.102037

Cited by 6 publications

(5 citation statements)

References 42 publications

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“…Questions related to perceptions of harm related to e-cigarette use were sourced from the Health Information National Trends Survey (HINTS) which has been used to report population-weighted harm perception of e-cigarettes compared to combustible cigarettes [16]. The HINTS collects nationally representative data routinely about the American public's use of cancer-related information.…”

Section: Survey Instrumentmentioning

confidence: 99%

Patterns of Smoking Cessation Strategies and Perception of E-cigarette Harm Among Bladder Cancer Survivors1

Chandi,

Soundararajan,

Bukowski

et al. 2024

BLC

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BACKGROUND: Cigarette smoking is the leading preventable cause of bladder cancer (BC). Some proponents of e-cigarettes describe their use as a risk mitigation strategy despite potential carcinogen exposure and uncertain long-term risks. OBJECTIVE: We assessed smoking cessation strategies, including e-cigarette use, and harm perception among patients with BC. METHODS: We performed a cross-sectional study on a convenience sample of patients with BC at a single institution from August 2021 –October 2022. The survey instrument was sourced from the Cancer Patient Tobacco Use Questionnaire (C-TUQ) from the American Association for Cancer Research with standardized questions on tobacco use, cessation questions, and e-cigarette harm perceptions. RESULTS: Of the 104 surveyed BC patients (mean age: 72 years; 27% female; 55% with muscle-invasive disease), 20% were current smokers (median pack years: 40) and 51% were former smokers (median pack years: 20). A minority (9%) had quit smoking at the time of diagnosis. Pharmacotherapy for smoking cessation included nicotine patches (25%), gum (21%), lozenges (8%), e-cigarettes (8%), and Varenicline/Bupropion (4%). Notably, 43% of patients who continued to smoke expressed willingness to switch to e-cigarettes as a cessation aid. E-cigarette users (11%) more commonly perceived e-cigarettes as non-harmful compared to former (4%) and non-smokers (4%) (P = .048), though all groups regarded e-cigarettes as equally addictive as traditional cigarettes. CONCLUSIONS: Despite the prevalence of BC survivors who continue to smoke, a significant proportion perceive e-cigarettes as a viable and less harmful cessation aid. The infrequent use of FDA-approved pharmacotherapies underscores potential implementation gaps. These findings highlight the need for further research and targeted interventions in addressing smoking cessation among BC survivors.

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Section: Survey Instrumentmentioning

confidence: 99%

Patterns of Smoking Cessation Strategies and Perception of E-cigarette Harm Among Bladder Cancer Survivors1

Chandi,

Soundararajan,

Bukowski

et al. 2024

BLC

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“…[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. 12,17,18 E-cigarette use has also been linked to vaping-related lung injuries, including pneumonia, alveolar hemorrhage, and bronchiolitis.…”

Section: Introductionmentioning

confidence: 99%

“…Several studies reported that cancer survivors who vaped also had an increased rate of smoking combustible cigarettes 12–15 . 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 12,17,18 .…”

Section: Introductionmentioning

confidence: 99%

Use of electronic cigarettes among African American cancer survivors

Wharram,

Kyko,

Ruterbusch

et al. 2023

Cancer

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BackgroundThe use of electronic cigarettes (e‐cigarettes) is increasing rapidly in the United States, although the negative health outcomes associated with these products are still unknown. Emerging research has examined the use of e‐cigarettes in the cancer survivor population as a whole, yet none has focused on e‐cigarette use in the African American (AA) cancer survivor population.MethodsThe authors used data from the Detroit Research on Cancer Survivors cohort study, comprised of AA adult cancer survivors. Logistic regression models were used to evaluate factors potentially associated with e‐cigarette ever use and current use.ResultsOf 4443 cancer survivors who completed a baseline interview, 8.3% (n = 370) reported ever using e‐cigarettes, and 16.5% (n = 61) of those reporting ever use also reported current use of e‐cigarettes. Ever users and current users were on average younger than those who did not use e‐cigarettes (57.5 vs. 61.2 years; p < .001). Current cigarette smokers were >20 times more likely (odds ratio, 20.75; 95% confidence interval, 12.84–33.55) and former smokers were almost 10 times more likely (odds ratio, 9.50; 95% confidence interval, 6.03–14.97) to have ever used e‐cigarettes than never‐smokers. Preliminary data suggested that ever use of e‐cigarettes is associated with later stage at diagnosis for breast and colorectal cancers.ConclusionsAs the use of e‐cigarettes increases in the general population, it is important to continue to monitor their use in cancer survivors and to gain more insight as it pertains to the AA cancer survivor population. Elucidation of the factors associated with e‐cigarette use in this population may help inform comprehensive cancer survivorship recommendations and interventions.

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“…The evidence is still inconclusive on whether e-cigarettes are a safe replacement for conventional cigarettes. Although it may be safer 72 , many adults have the perception that e-cigarettes are less safe than conventional cigarettes 73 . This is still a field with large controversies and different beliefs.…”

mentioning

confidence: 99%

“…Other researchers have suggested that one of the reasons tobacco and conventional cigarette usage has declined is that many youths who would have used conventional cigarettes use electronic cigarettes instead 74 . Many adults already believe that e-cigarettes are as or more harmful compared to cigarettes, as shown by HINTS survey data 73 : Researchers should address the unintended consequence of adult misperceptions about e-cigarette harms. In addition, cigarette use among youth has decreased from 2019-2022, e.g.…”

mentioning

confidence: 99%

Electronic Nicotine Delivery Systems (ENDS), Marginalized Populations, and Tobacco Regulatory Policies

Assari,

Sheikhattari

2023

J Lung Health Dis

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Perceptions of e-cigarette harm among cancer survivors: Findings from a nationally representative survey

Cited by 6 publications

References 42 publications

Patterns of Smoking Cessation Strategies and Perception of E-cigarette Harm Among Bladder Cancer Survivors1

Patterns of Smoking Cessation Strategies and Perception of E-cigarette Harm Among Bladder Cancer Survivors1

Use of electronic cigarettes among African American cancer survivors

Electronic Nicotine Delivery Systems (ENDS), Marginalized Populations, and Tobacco Regulatory Policies

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