Parental Dual use of E-cigarettes and Traditional Cigarettes.
Wednesday, April 24, 2019
Posted by: Natalia Gromov
Nabi-Burza E, Regan S, Walters BH, Drehmer JE, Rigotti NA, Ossip DJ, Gorzkowski JA, Levy DE, Winickoff JP.
Parental Dual use of E-cigarettes and Traditional Cigarettes.
Acad Pediatr. 2019 Apr 10. pii: S1876-2859(19)30111-1. doi: 10.1016/j.acap.2019.04.001. [Epub ahead of print]
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. To describe smoking-related behaviors among dual-users. Parent exit surveys were conducted following their child's visit in five control pediatric practices in five states participating in the CEASE trial. We examined factors associated with dual use of e-cigarettes and cigarettes vs. cigarette-only smokers, assessed by self-report. Of 1382 smokers or recent quitters screened after their child's visit between April-October 2017, 943 (68%) completed the survey. Of these, 727 parents reported current use of cigarettes; and of those, 81 (11.1%) also reported e-cigarette use, meeting the definition of dual use. Compared to 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). Parents who use both e-cigarettes and cigarettes may have higher 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 towards 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.
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