E-cigarette use among women of reproductive age: Impulsivity,cigarette smoking status,and other risk factors |
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| Affiliation: | 1. Vermont Center on Behavior and Health, University of Vermont, United States;2. Department of Psychiatry, University of Vermont, United States;3. Department of Psychology, University of Vermont, United States;4. Department of Medical Biostatistics, University of Vermont, United States;5. Department of Psychology, Harvard University, United States;6. Department of Pediatrics, Thomas Jefferson University, United States;1. Department of Psychiatry, Geisel School of Medicine at Dartmouth, Rivermill Complex, Suite B3-1, 85 Mechanic St., Lebanon, NH 03766, United States;2. Department of Psychology, University of Kentucky, 202A Kastle Hall, Lexington, KY 40506, United States;3. National Crime Victims Research and Treatment Center, Medical University of South Carolina, 67 President Street, MSC 861, Charleston, SC 29425, United States;4. Department of Psychological Sciences, Purdue University, 703 Third Street, West Lafayette, IN 47907–2081, United States;1. University of Texas, School of Public Health, Austin Regional Campus, 1616 Guadalupe, Suite 6.300, Austin, TX 78701, USA;2. University of Texas at Austin, Department of Kinesiology and Health Education, 2109 San Jacinto Blvd., Austin, TX 78712-1415, USA;1. Institute for Therapy and Health Research, IFT-Nord, Kiel, Germany;2. University Medical Center, Kiel, Germany;1. Vermont Center on Tobacco Regulatory Science, University of Vermont, United States;2. Westat, United States;3. Center of Excellence in Regulatory Tobacco Science, The Ohio State University, United States |
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| Abstract: | IntroductionThe study aim was to examine impulsivity and other risk factors for e-cigarette use among women of reproductive age comparing current daily cigarette smokers to never cigarette smokers. Women of reproductive age are of special interest because of the additional risk that tobacco and nicotine use represents should they become pregnant.MethodSurvey data were collected anonymously online using Amazon Mechanical Turk in 2014. Participants were 800 women ages 24–44 years from the US. Half (n = 400) reported current, daily smoking and half (n = 400) reported smoking < 100 cigarettes lifetime. Participants completed questionnaires regarding sociodemographics, tobacco/nicotine use, and impulsivity (i.e., delay discounting & Barratt Impulsiveness Scale). Predictors of smoking and e-cigarette use were examined using logistic regression.ResultsDaily cigarette smoking was associated with greater impulsivity, lower education, past illegal drug use, and White race/ethnicity. E-cigarette use in the overall sample was associated with being a cigarette smoker and greater education. E-cigarette use among current smokers was associated with increased nicotine dependence and quitting smoking; among never smokers it was associated with greater impulsivity and illegal drug use. E-cigarette use was associated with hookah use, and for never smokers only with use of cigars and other nicotine products.ConclusionsE-cigarette use among women of reproductive age varies by smoking status, with use among current smokers reflecting attempts to quit smoking whereas among non-smokers use may be a marker of a more impulsive repertoire that includes greater use of alternative tobacco products and illegal drugs. |
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