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E-Cigarette Use Among Adult Primary Care Patients: Results from a Multisite Study.

Publication ,  Journal Article
John, WS; Grover, K; Greenblatt, LH; Schwartz, RP; Wu, L-T
Published in: J Gen Intern Med
January 2020

BACKGROUND: Primary care settings provide opportunities to identify electronic-cigarette (e-cigarette) use and to implement strategies for changing tobacco use behavior. However, a better understanding of the extent and associated characteristics of e-cigarette use among primary care patients are needed to inform such efforts. OBJECTIVE: To describe patient demographic and substance use characteristics by e-cigarette use status among a large sample of primary care patients. To examine the prevalence and correlates of e-cigarette use among tobacco users in the sample. DESIGN: Cross-sectional analysis from a multisite validation study of a substance use screening instrument. PARTICIPANTS: Adult primary care patients aged 18 and older (n = 2000) recruited across 5 primary care clinics in the Eastern USA from 2014 to 2015. MAIN MEASURES: Patients reported past 3-month e-cigarette use, sociodemographics, tobacco use, and other substance use. Current nicotine dependence and DSM-5 criteria for past-year substance use disorders were also assessed. KEY RESULTS: Among the total sample, 7.7% (n = 154) adults reported past 3-month e-cigarette use. Adults who reported e-cigarette use (vs. no use) were more likely to be younger, white, or have frequent tobacco use, nicotine dependence, or past-year illicit drug use/disorders. Among past 3-month tobacco users, 16.3% reported e-cigarette use. Adjusted logistic regression indicated that odds of e-cigarette use were greater among tobacco users who had some college education or more (vs. < high school) or were daily/almost daily tobacco users (vs. not); odds were lower among Blacks/African-Americans (vs. whites). E-cigarette use among tobacco users was associated with increased odds of current nicotine dependence or tobacco use disorder as well as more severe dependence/disorder. CONCLUSIONS: Enhanced surveillance of e-cigarette use among adult tobacco users in primary care, particularly among those who use tobacco frequently, may have implications for helping patients with tobacco cessation using established approaches including behavioral support, pharmacotherapy, or referral to specialized care.

Duke Scholars

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Published In

J Gen Intern Med

DOI

EISSN

1525-1497

Publication Date

January 2020

Volume

35

Issue

1

Start / End Page

268 / 275

Location

United States

Related Subject Headings

  • Vaping
  • Tobacco Use Disorder
  • Primary Health Care
  • Humans
  • General & Internal Medicine
  • Electronic Nicotine Delivery Systems
  • Cross-Sectional Studies
  • Adult
  • Adolescent
  • 4206 Public health
 

Citation

APA
Chicago
ICMJE
MLA
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John, W. S., Grover, K., Greenblatt, L. H., Schwartz, R. P., & Wu, L.-T. (2020). E-Cigarette Use Among Adult Primary Care Patients: Results from a Multisite Study. J Gen Intern Med, 35(1), 268–275. https://doi.org/10.1007/s11606-019-05488-4
John, William S., Kiran Grover, Lawrence H. Greenblatt, Robert P. Schwartz, and Li-Tzy Wu. “E-Cigarette Use Among Adult Primary Care Patients: Results from a Multisite Study.J Gen Intern Med 35, no. 1 (January 2020): 268–75. https://doi.org/10.1007/s11606-019-05488-4.
John WS, Grover K, Greenblatt LH, Schwartz RP, Wu L-T. E-Cigarette Use Among Adult Primary Care Patients: Results from a Multisite Study. J Gen Intern Med. 2020 Jan;35(1):268–75.
John, William S., et al. “E-Cigarette Use Among Adult Primary Care Patients: Results from a Multisite Study.J Gen Intern Med, vol. 35, no. 1, Jan. 2020, pp. 268–75. Pubmed, doi:10.1007/s11606-019-05488-4.
John WS, Grover K, Greenblatt LH, Schwartz RP, Wu L-T. E-Cigarette Use Among Adult Primary Care Patients: Results from a Multisite Study. J Gen Intern Med. 2020 Jan;35(1):268–275.
Journal cover image

Published In

J Gen Intern Med

DOI

EISSN

1525-1497

Publication Date

January 2020

Volume

35

Issue

1

Start / End Page

268 / 275

Location

United States

Related Subject Headings

  • Vaping
  • Tobacco Use Disorder
  • Primary Health Care
  • Humans
  • General & Internal Medicine
  • Electronic Nicotine Delivery Systems
  • Cross-Sectional Studies
  • Adult
  • Adolescent
  • 4206 Public health