Increasing Prevalence of Electronic Cigarette Use Among Smokers Hospitalized in 5 US Cities, 2010-2013

被引:23
|
作者
Rigotti, Nancy A. [1 ,2 ]
Harrington, Kathleen F. [3 ]
Richter, Kimber [4 ]
Fellows, Jeffrey L. [5 ]
Sherman, Scott E. [6 ]
Grossman, Ellie [6 ]
Chang, Yuchiao [1 ,2 ]
Tindle, Hilary A. [7 ]
Ylioja, Thomas [7 ]
机构
[1] Massachusetts Gen Hosp, Dept Med, Tobacco Res & Treatment Ctr, Boston, MA 02114 USA
[2] Harvard Univ, Sch Med, Boston, MA USA
[3] Univ Alabama Birmingham, Div Pulm Allergy & Crit Care Med, Birmingham, AL USA
[4] Univ Kansas, Sch Med, Dept Prevent Med & Publ Hlth, Kansas City, KS USA
[5] Kaiser Permanente Ctr Hlth Res, Portland, OR USA
[6] NYU, Sch Med, Div Gen Internal Med, New York, NY USA
[7] Univ Pittsburgh, Sch Med, Div Gen Med, Pittsburgh, PA USA
关键词
NICOTINE DELIVERY-SYSTEMS; SMOKING-CESSATION; PROTOCOL; AWARENESS; ADULTS; HEALTH;
D O I
10.1093/ntr/ntu138
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Introduction: Little is known about the pattern of electronic cigarette (e-cigarette) use over time or among smokers with medical comorbidity. Methods: We assessed current cigarette smokers' use of e-cigarettes during the 30 days before admission to 9 hospitals in 5 geographically dispersed US cities: Birmingham, AL; Boston, MA; Kansas City, KS; New York, NY; and Portland, OR. Each hospital was conducting a randomized controlled trial as part of the NIH-sponsored Consortium of Hospitals Advancing Research on Tobacco (CHART). We conducted a pooled analysis using multiple logistic regression to examine changes in e-cigarette use over time and to identify correlates of e-cigarette use. Results: Among 4,660 smokers hospitalized between July 2010 and December 2013 (mean age 57 years, 57% male, 71% white, 56% some college, average 14 cigarettes/day), 14% reported using an e-cigarette during the 30 days before admission. The prevalence of e-cigarette use increased from 1.1% in 2010 to 10.3% in 2011, 10.2% in 2012, and 18.4% in 2013; the increase was statistically significant (p < .0001) after adjustment for age, sex, education, and CHART study. Younger, better educated, and heavier smokers were more likely to use e-cigarettes. Smokers who were Hispanic, non-Hispanic black, and who had Medicaid or no insurance were less likely to use e-cigarettes. E-cigarette use also varied by CHART project and by geographic region. Conclusions: E-cigarette use increased substantially from 2010 to 2013 among a large sample of hospitalized adult cigarette smokers. E-cigarette use was more common among heavier smokers and among those who were younger, white, and who had higher socioeconomic status.
引用
收藏
页码:236 / 244
页数:9
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