Electronic Cigarette Use Prevalence, Associated Factors, and Pattern by Cigarette Smoking Status in the United States From NHANES (National Health and Nutrition Examination Survey) 2013–2014

Background To examine the prevalence and patterns of recent electronic cigarette (e‐cigarette) use in a nationally representative sample of US adults and adolescents. Methods and Results Using tobacco information from NHANES (National Health and Nutrition Examination Survey) 2013–2014, 5423 adults a...

Full description

Bibliographic Details
Main Authors: Rana M. Jaber, Mohammadhassan Mirbolouk, Andrew P. DeFilippis, Wasim Maziak, Rachel Keith, Thomas Payne, Andrew Stokes, Emelia Benjamin, Aruni Bhatnagar, Ron Blankstein, Anshul Saxena, Michael J. Blaha, Khurram Nasir
Format: Article
Language:English
Published: Wiley 2018-07-01
Series:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
Subjects:
Online Access:https://www.ahajournals.org/doi/10.1161/JAHA.117.008178
_version_ 1818774907853471744
author Rana M. Jaber
Mohammadhassan Mirbolouk
Andrew P. DeFilippis
Wasim Maziak
Rachel Keith
Thomas Payne
Andrew Stokes
Emelia Benjamin
Aruni Bhatnagar
Ron Blankstein
Anshul Saxena
Michael J. Blaha
Khurram Nasir
author_facet Rana M. Jaber
Mohammadhassan Mirbolouk
Andrew P. DeFilippis
Wasim Maziak
Rachel Keith
Thomas Payne
Andrew Stokes
Emelia Benjamin
Aruni Bhatnagar
Ron Blankstein
Anshul Saxena
Michael J. Blaha
Khurram Nasir
author_sort Rana M. Jaber
collection DOAJ
description Background To examine the prevalence and patterns of recent electronic cigarette (e‐cigarette) use in a nationally representative sample of US adults and adolescents. Methods and Results Using tobacco information from NHANES (National Health and Nutrition Examination Survey) 2013–2014, 5423 adults and 895 adolescents (aged 13–17 years) were included in this analysis. Demographic, tobacco use, and drug use information were self‐reported. Recent e‐cigarette use (within the previous 5 days) was stratified by smoking status. Of 125 e‐cigarette users, 116 participants were aged ≥18 years, corresponding to 2.6% (95% confidence interval [CI], 2.0–3.1) and 1.21% (95% CI, 0.3–2.1) prevalence of e‐cigarette use among US adults and adolescents, respectively. E‐cigarette adult users were current smokers (68.1%), former smokers (23.7%), and never smokers (8.2%). The highest prevalence of e‐cigarette use was among current smokers (8.2%; 95% CI, 6.3–10.1), followed by former smokers (2.7%; 95% CI, 1.4–4.1), and then never smokers (0.4%; 95% CI, 0.2–0.6). After adjusting for age, sex, and ethnicity, e‐cigarette users had higher odds of being exposed to secondhand smoke (odds ratio: 6.3; 95% CI, 3.6–11.1) and drinking alcohol (odds ratio: 4.2; 95% CI, 1.8–10.0) and lower odds of having at least a college education or a higher income, compared with tobacco nonusers. Conclusions Between 2013 and 2014, e‐cigarette use in the United States was more common among younger people, those with low socioeconomic status, and current and former smokers. These findings will help inform future research as well as public policy and regulatory actions.
first_indexed 2024-12-18T10:48:36Z
format Article
id doaj.art-76142676ced446439b97c87aa546117f
institution Directory Open Access Journal
issn 2047-9980
language English
last_indexed 2024-12-18T10:48:36Z
publishDate 2018-07-01
publisher Wiley
record_format Article
series Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
spelling doaj.art-76142676ced446439b97c87aa546117f2022-12-21T21:10:30ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802018-07-0171410.1161/JAHA.117.008178Electronic Cigarette Use Prevalence, Associated Factors, and Pattern by Cigarette Smoking Status in the United States From NHANES (National Health and Nutrition Examination Survey) 2013–2014Rana M. Jaber0Mohammadhassan Mirbolouk1Andrew P. DeFilippis2Wasim Maziak3Rachel Keith4Thomas Payne5Andrew Stokes6Emelia Benjamin7Aruni Bhatnagar8Ron Blankstein9Anshul Saxena10Michael J. Blaha11Khurram Nasir12American Heart Association Tobacco Regulation and Addiction Center Miami FLAmerican Heart Association Tobacco Regulation and Addiction Center Miami FLAmerican Heart Association Tobacco Regulation and Addiction Center Miami FLDepartment of Epidemiology Robert Stempel College of Public Health Florida International University Miami FLAmerican Heart Association Tobacco Regulation and Addiction Center Miami FLAmerican Heart Association Tobacco Regulation and Addiction Center Miami FLAmerican Heart Association Tobacco Regulation and Addiction Center Miami FLAmerican Heart Association Tobacco Regulation and Addiction Center Miami FLAmerican Heart Association Tobacco Regulation and Addiction Center Miami FLHarvard Medical School Boston MACenter for Prevention and Wellness Research Baptist Health South Florida Medical Group Coral Gables FLAmerican Heart Association Tobacco Regulation and Addiction Center Miami FLCenter for Prevention and Wellness Research Baptist Health South Florida Medical Group Coral Gables FLBackground To examine the prevalence and patterns of recent electronic cigarette (e‐cigarette) use in a nationally representative sample of US adults and adolescents. Methods and Results Using tobacco information from NHANES (National Health and Nutrition Examination Survey) 2013–2014, 5423 adults and 895 adolescents (aged 13–17 years) were included in this analysis. Demographic, tobacco use, and drug use information were self‐reported. Recent e‐cigarette use (within the previous 5 days) was stratified by smoking status. Of 125 e‐cigarette users, 116 participants were aged ≥18 years, corresponding to 2.6% (95% confidence interval [CI], 2.0–3.1) and 1.21% (95% CI, 0.3–2.1) prevalence of e‐cigarette use among US adults and adolescents, respectively. E‐cigarette adult users were current smokers (68.1%), former smokers (23.7%), and never smokers (8.2%). The highest prevalence of e‐cigarette use was among current smokers (8.2%; 95% CI, 6.3–10.1), followed by former smokers (2.7%; 95% CI, 1.4–4.1), and then never smokers (0.4%; 95% CI, 0.2–0.6). After adjusting for age, sex, and ethnicity, e‐cigarette users had higher odds of being exposed to secondhand smoke (odds ratio: 6.3; 95% CI, 3.6–11.1) and drinking alcohol (odds ratio: 4.2; 95% CI, 1.8–10.0) and lower odds of having at least a college education or a higher income, compared with tobacco nonusers. Conclusions Between 2013 and 2014, e‐cigarette use in the United States was more common among younger people, those with low socioeconomic status, and current and former smokers. These findings will help inform future research as well as public policy and regulatory actions.https://www.ahajournals.org/doi/10.1161/JAHA.117.008178adulte‐cigaretteNational Health and Nutrition Examination Surveytobacco
spellingShingle Rana M. Jaber
Mohammadhassan Mirbolouk
Andrew P. DeFilippis
Wasim Maziak
Rachel Keith
Thomas Payne
Andrew Stokes
Emelia Benjamin
Aruni Bhatnagar
Ron Blankstein
Anshul Saxena
Michael J. Blaha
Khurram Nasir
Electronic Cigarette Use Prevalence, Associated Factors, and Pattern by Cigarette Smoking Status in the United States From NHANES (National Health and Nutrition Examination Survey) 2013–2014
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
adult
e‐cigarette
National Health and Nutrition Examination Survey
tobacco
title Electronic Cigarette Use Prevalence, Associated Factors, and Pattern by Cigarette Smoking Status in the United States From NHANES (National Health and Nutrition Examination Survey) 2013–2014
title_full Electronic Cigarette Use Prevalence, Associated Factors, and Pattern by Cigarette Smoking Status in the United States From NHANES (National Health and Nutrition Examination Survey) 2013–2014
title_fullStr Electronic Cigarette Use Prevalence, Associated Factors, and Pattern by Cigarette Smoking Status in the United States From NHANES (National Health and Nutrition Examination Survey) 2013–2014
title_full_unstemmed Electronic Cigarette Use Prevalence, Associated Factors, and Pattern by Cigarette Smoking Status in the United States From NHANES (National Health and Nutrition Examination Survey) 2013–2014
title_short Electronic Cigarette Use Prevalence, Associated Factors, and Pattern by Cigarette Smoking Status in the United States From NHANES (National Health and Nutrition Examination Survey) 2013–2014
title_sort electronic cigarette use prevalence associated factors and pattern by cigarette smoking status in the united states from nhanes national health and nutrition examination survey 2013 2014
topic adult
e‐cigarette
National Health and Nutrition Examination Survey
tobacco
url https://www.ahajournals.org/doi/10.1161/JAHA.117.008178
work_keys_str_mv AT ranamjaber electroniccigaretteuseprevalenceassociatedfactorsandpatternbycigarettesmokingstatusintheunitedstatesfromnhanesnationalhealthandnutritionexaminationsurvey20132014
AT mohammadhassanmirbolouk electroniccigaretteuseprevalenceassociatedfactorsandpatternbycigarettesmokingstatusintheunitedstatesfromnhanesnationalhealthandnutritionexaminationsurvey20132014
AT andrewpdefilippis electroniccigaretteuseprevalenceassociatedfactorsandpatternbycigarettesmokingstatusintheunitedstatesfromnhanesnationalhealthandnutritionexaminationsurvey20132014
AT wasimmaziak electroniccigaretteuseprevalenceassociatedfactorsandpatternbycigarettesmokingstatusintheunitedstatesfromnhanesnationalhealthandnutritionexaminationsurvey20132014
AT rachelkeith electroniccigaretteuseprevalenceassociatedfactorsandpatternbycigarettesmokingstatusintheunitedstatesfromnhanesnationalhealthandnutritionexaminationsurvey20132014
AT thomaspayne electroniccigaretteuseprevalenceassociatedfactorsandpatternbycigarettesmokingstatusintheunitedstatesfromnhanesnationalhealthandnutritionexaminationsurvey20132014
AT andrewstokes electroniccigaretteuseprevalenceassociatedfactorsandpatternbycigarettesmokingstatusintheunitedstatesfromnhanesnationalhealthandnutritionexaminationsurvey20132014
AT emeliabenjamin electroniccigaretteuseprevalenceassociatedfactorsandpatternbycigarettesmokingstatusintheunitedstatesfromnhanesnationalhealthandnutritionexaminationsurvey20132014
AT arunibhatnagar electroniccigaretteuseprevalenceassociatedfactorsandpatternbycigarettesmokingstatusintheunitedstatesfromnhanesnationalhealthandnutritionexaminationsurvey20132014
AT ronblankstein electroniccigaretteuseprevalenceassociatedfactorsandpatternbycigarettesmokingstatusintheunitedstatesfromnhanesnationalhealthandnutritionexaminationsurvey20132014
AT anshulsaxena electroniccigaretteuseprevalenceassociatedfactorsandpatternbycigarettesmokingstatusintheunitedstatesfromnhanesnationalhealthandnutritionexaminationsurvey20132014
AT michaeljblaha electroniccigaretteuseprevalenceassociatedfactorsandpatternbycigarettesmokingstatusintheunitedstatesfromnhanesnationalhealthandnutritionexaminationsurvey20132014
AT khurramnasir electroniccigaretteuseprevalenceassociatedfactorsandpatternbycigarettesmokingstatusintheunitedstatesfromnhanesnationalhealthandnutritionexaminationsurvey20132014