[2951.661] Use of Electronic Cigarettes Among Parents

Robert C. McMillen, Regina Shaefer, Karen Wilson. Richmond Center, AAP, Elk Grove Village, IL; Social Science Research Center, Mississippi State University, Starkville, MS; Children's Hospital Colorado, University of Colorado, Denver, CO.

BACKGROUND: Electronic cigarettes entered the U.S. market in 2007, and the affordability, availability, and marketing of these products has increased over recent years. Little is known about the use of these products among parents.
OBJECTIVE: We assessed electronic cigarette use among parents, predictors of use, and motivations for use.
DESIGN/METHODS: We administered a survey to adults who lived in multi-unit housing, using a probability-based internet panel. This panel is based on a sampling frame which includes both listed and unlisted numbers, those without a landline telephone, and does not accept self-selected volunteers. Survey items to assess electronic cigarette use are from the PATH study. Chi-Square analyses were used to examine predictors of use, while multivariable analyses controlled for demographics.
RESULTS: Of eligible panelists contacted, 88% completed the survey. 715 of these adults (22%) were parents. Among parents, 13% had tried an electronic cigarette and 6% reported past 30 day use. Although use is higher among current smokers, 45% of parents who had tried electronic cigarettes and 49% of parents who report past 30 day use of electronic cigarettes are never or former smokers (12 of 142 former smokers reported using electronic cigarettes to quit tobacco). Ever users endorsed several reasons for using these products; can be used in places where smoking is not allowed (72%), less harmful than cigarettes (79%), might be less harmful to people nearby (81%), and to help them quit using tobacco (62%). In multivariable analyses, ever use of electronic cigarettes was associated with younger age, current or former cigarette smoking, and high school diploma or some college. Use did not vary by sex.
CONCLUSIONS: Many parents are using electronic cigarettes, and half of current users are never or former smokers. Use of electronic cigarettes raises concerns about nonsmokers being at risk for nicotine dependence and current smokers maintaining their dependence. The risks of exposure are unknown, yet many parents report using these electronic cigarettes to reduce harm to others. Greater awareness of the prevalence of use for these products and the high risk demographic user groups will inform efforts to determine appropriate public health policy and regulatory action. Future research should address cigarette use trajectories among smokers and nonsmokers who use electronic cigarettes and social influences on electronic cigarette use.


Session: Poster Session: General Pediatrics & Preventive Pediatrics (4:15 PM - 7:30 PM)
Date/Time: Sunday, May 4, 2014 - 4:15 PM
Room: Exhibit Hall C - Vancouver Convention Centre
Board: 661
Course Code: 2951


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