Abstract
Background
E-cigarettes are growing in popularity. Dual use of e-cigarettes and cigarettes is
an increasingly common practice, but little is known about patterns of dual use in
parents. We sought to describe smoking-related behaviors among dual-users.
Methods
Parent exit surveys were conducted following their child's visit in 5 control pediatric
practices in 5 states participating in the Clinical Effort Against Secondhand Smoke
Exposure trial. We examined factors associated with dual use of e-cigarettes and cigarettes
versus cigarette-only smokers, assessed by self-report.
Results
Of 1382 smokers or recent quitters screened after their child's visit between April
and October 2017, 943 (68%) completed the survey. Of these, 727 parents reported current
use of cigarettes; of those, 81 (11.1%) also reported e-cigarette use, meeting the
definition of dual use. Compared with cigarette-only smokers, dual users were more
likely to have a child younger than 1 year old, planned to quit in the next 6 months,
and had tried to quit in the past (had a quit attempt in the past 3 months, called
the quitline, or used medicine to quit in the past 2 years; P < .05 for each).
Conclusions
Parents who use both e-cigarettes and cigarettes may have greater rates of contemplating
smoking cessation than parents who only smoke cigarettes. These parents may be using
e-cigarettes for harm reduction or as a step toward cessation. Identification of these
parents may provide an opportunity to deliver effective treatment, including nicotine-replacement
therapies that do not expose infants and children to e-cigarette aerosol.
Keywords
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Article Info
Publication History
Published online: April 10, 2019
Accepted:
April 6,
2019
Received:
January 7,
2019
Footnotes
The authors have no conflicts of interest relevant to this article to disclose. Not related to this article, Dr. Rigotti receives royalties from UpToDate, Inc, is an unpaid consultant to Pfizer regarding smoking cessation, and is a paid consultant to Achieve LifeSciences regarding an investigational smoking cessation aid.
Clinical Trial Registration: (ClinicalTrials.gov, Identifier: NCT01882348, https://clinicaltrials.gov/ct2/show/NCT01882348).
Identification
Copyright
Copyright © 2019 by Academic Pediatric Association
