Patterns of E-Cigarette Use Among Primary Care Patients at an Urban Community Center |
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Authors: | O’Cleirigh Conall King Dana Stanton Amelia M. Goldin Amanda Kirakosian Norik Crane Heidi M. Grasso Chris |
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Affiliation: | 1.Department of Psychiatry, Massachusetts General Hospital, One Bowdoin Square, Boston, MA, 02114, USA ;2.Harvard Medical School, Boston, MA, USA ;3.The Fenway Institute, Fenway Health, Boston, MA, USA ;4.Division of Allergy & Infectious Diseases, Department of Medicine, University of Washington, Seattle, WA, USA ;5.Madison HIV Metabolic Clinic, Harborview Medical Center, Seattle, WA, USA ; |
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Abstract: | Tobacco use remains the leading cause of preventable disease and death in the US. The number of tobacco products has grown over the past decade. E-cigarette use has increased rapidly in recent years, but patterns and correlates of use have not been thoroughly assessed. We examined relationships among demographic factors, e-cigarette and conventional cigarette use in a large sample (N?=?12,409) of adult patients at a community health center in the Northeastern US. Overall, 13% (N?=?1675) of the sample reported ever using e-cigarettes. In logistic regression models, ever having used e-cigarettes was associated with younger age (ages 18–25; OR?=?3.5, p?0.001). Being transgender (OR?=?1.8, p?0.001), bisexual (OR?=?1.5, p?0.001), un-partnered (OR?=?1.5, p?0.001), having a lower income (OR?=?1.6, p?0.001) or a high BMI (OR?=?1.4, p?=?0.009) were associated with increased odds of use, whereas being a woman (OR?=?0.7, p?0.001) or Black/African American (OR?=?0.7, p?=?0.007) were associated with lower odds of use. Of the participants who reported e-cigarette use, a majority also endorsed current or former use of conventional cigarettes. Individuals who formerly used conventional cigarettes were nearly three times more likely to report daily e-cigarette use than current users. Among primary care patients at a community health center, e-cigarette use was reported by a sizeable portion of the sample. Overall, odds of use were higher in certain patient populations, and individuals who formally used cigarettes were more likely to report e-cigarette use than individuals who currently smoke, suggesting that e-cigarettes may be functioning as a cessation aid or a strategy to reduce conventional cigarette use. |
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