E-Cigarette Use Without a History of Combustible Cigarette Smoking Among U.S. Adults: Behavioral Risk Factor Surveillance System, 2016
Authors: Mohammadhassan Mirbolouk, Paniz Charkhchi, Olusola A. Orimoloye, S.M. Iftekhar Uddin, Sina Kianoush, Rana Jaber, Aruni Bhatnagar, Emelia J. Benjamin, Michael E. Hall, Andrew P. DeFilippis, Wasim Maziak, Khurram Nasir, Michael J. Blaha
Journal: Annals of Internal Medicine (2018)

Letters1 January 2019E-Cigarette Use Without a History of Combustible Cigarette Smoking Among U.S. Adults: Behavioral Risk Factor Surveillance System, 2016Mohammadhassan Mirbolouk, MD, Paniz Charkhchi, MD, Olusola A. Orimoloye, MBBS, MPH, S.M. Iftekhar Uddin, MBBS, MSPH, Sina Kianoush, MD, MPH, Rana Jaber, PhD, Aruni Bhatnagar, PhD, Emelia J. Benjamin, MD, ScM, Michael E. Hall, MD, MSc, Andrew P. DeFilippis, MD, MSc, Wasim Maziak, MD, PhD, Khurram Nasir, MD, MPH, and Michael J. Blaha, MD, MPHMohammadhassan Mirbolouk, MDThe American Heart Association Tobacco Regulation and Addiction Center, Dallas, Texas, and Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University, Baltimore, Maryland (M.M., O.A.O., S.I.U., M.J.B.), Paniz Charkhchi, MDCiccarone Center for the Prevention of Heart Disease, Johns Hopkins University, Baltimore, Maryland, and University of Michigan, Ann Arbor, Michigan (P.C.), Olusola A. Orimoloye, MBBS, MPHThe American Heart Association Tobacco Regulation and Addiction Center, Dallas, Texas, and Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University, Baltimore, Maryland (M.M., O.A.O., S.I.U., M.J.B.), S.M. Iftekhar Uddin, MBBS, MSPHThe American Heart Association Tobacco Regulation and Addiction Center, Dallas, Texas, and Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University, Baltimore, Maryland (M.M., O.A.O., S.I.U., M.J.B.), Sina Kianoush, MD, MPHCiccarone Center for the Prevention of Heart Disease, Johns Hopkins University, Baltimore, Maryland, and Yale University School of Medicine, New Haven, Connecticut (S.K.), Rana Jaber, PhDThe American Heart Association Tobacco Regulation and Addiction Center, Dallas, Texas, and Robert Stempel College of Public Health, Florida International University, Miami, Florida (R.J.), Aruni Bhatnagar, PhDThe American Heart Association Tobacco Regulation and Addiction Center, Dallas, Texas, and Diabetes and Obesity Center, University of Louisville, Louisville, Kentucky (A.B.), Emelia J. Benjamin, MD, ScMThe American Heart Association Tobacco Regulation and Addiction Center, Dallas, Texas, and Boston University School of Medicine, Boston University School of Public Health, Boston, Massachusetts (E.J.B.), Michael E. Hall, MD, MScThe American Heart Association Tobacco Regulation and Addiction Center, Dallas, Texas, and University of Mississippi Medical Center, Jackson, Mississippi (M.E.H.), Andrew P. DeFilippis, MD, MScThe American Heart Association Tobacco Regulation and Addiction Center, Dallas, Texas, and University of Louisville, Louisville, Kentucky (A.P.D.), Wasim Maziak, MD, PhDRobert Stempel College of Public Health, Florida International University, Miami, Florida, and Syrian Center for Tobacco Studies, Aleppo, Syria (W.M.), Khurram Nasir, MD, MPHCiccarone Center for the Prevention of Heart Disease, Johns Hopkins University, Baltimore, Maryland, Yale University School of Medicine, New Haven, Connecticut, Population Health & Health Systems Research, Center for Outcomes Research and Evaluation (CORE), Yale University School of Medicine, New Haven, Connecticut; and Robert Stempel College of Public Health, Florida International University, Miami, Florida (K.N.), and Michael J. Blaha, MD, MPHThe American Heart Association Tobacco Regulation and Addiction Center, Dallas, Texas, and Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University, Baltimore, Maryland (M.M., O.A.O., S.I.U., M.J.B.)Author, Article, and Disclosure Informationhttps://doi.org/10.7326/M18-1826 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: Combustible cigarette smoking is the leading cause of preventable death in the United States (1). E-cigarettes remain the most controversial smoking cessation intervention, and public health authorities are concerned that e-cigarette uptake among tobacco-naive people might outstrip the potential utility of e-cigarettes as quit devices (2). Indeed, the newest generations of e-cigarettes (including JUUL) are designed and marketed to appeal to non–combustible cigarette smokers (3). Therefore, a description of sole e-cigarette users (defined as users who never smoked combustible cigarettes) is vital to understand determinants of e-cigarette use and for devising effective interventions and policies.Objective: We used the ...References1. Wackowski OA, Delnevo CD, Steinberg MB. Perspectives for clinicians on regulation of electronic cigarettes. Ann Intern Med. 2016;165:665-6. [PMID: 27571380]. doi:10.7326/M16-1345 LinkGoogle Scholar2. Murthy VH. E-cigarette use among youth and young adults: a major public health concern. JAMA Pediatr. 2017;171:209-10. [PMID: 27928577] doi:10.1001/jamapediatrics.2016.4662 CrossrefMedlineGoogle Scholar3. Huang J, Duan Z, Kwok J, Binns S, Vera LE, Kim Y, et al. Vaping versus JUULing: how the extraordinary growth and marketing of JUUL transformed the US retail e-cigarette market. Tob Control. 2018. [PMID: 29853561] doi:10.1136/tobaccocontrol-2018-054382 CrossrefMedlineGoogle Scholar4. Mirbolouk M, Charkhchi P, Kianoush S, Uddin SMI, Orimoloye OA, Jaber R, et al. Prevalence and distribution of e-cigarette use among U.S. adults: Behavioral Risk Factor Surveillance System, 2016. Ann Intern Med. 2018. [PMID: 30167658]. doi:10.7326/M17-3440 LinkGoogle Scholar5. Royal College of Physicians. Nicotine without smoke: tobacco harm reduction. 28 April 2016. Accessed at www.rcplondon.ac.uk/projects/outputs/nicotine-without-smoke-tobacco-harm-reduction-0 on 3 June 2016. Google Scholar6. Apelberg BJ, Feirman SP, Salazar E, Corey CG, Ambrose BK, Paredes A, et al. Potential public health effects of reducing nicotine levels in cigarettes in the United States. N Engl J Med. 2018;378:1725-33. [PMID: 29543114] doi:10.1056/NEJMsr1714617 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: The American Heart Association Tobacco Regulation and Addiction Center, Dallas, Texas, and Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University, Baltimore, Maryland (M.M., O.A.O., S.I.U., M.J.B.)Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University, Baltimore, Maryland, and University of Michigan, Ann Arbor, Michigan (P.C.)Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University, Baltimore, Maryland, and Yale University School of Medicine, New Haven, Connecticut (S.K.)The American Heart Association Tobacco Regulation and Addiction Center, Dallas, Texas, and Robert Stempel College of Public Health, Florida International University, Miami, Florida (R.J.)The American Heart Association Tobacco Regulation and Addiction Center, Dallas, Texas, and Diabetes and Obesity Center, University of Louisville, Louisville, Kentucky (A.B.)The American Heart Association Tobacco Regulation and Addiction Center, Dallas, Texas, and Boston University School of Medicine, Boston University School of Public Health, Boston, Massachusetts (E.J.B.)The American Heart Association Tobacco Regulation and Addiction Center, Dallas, Texas, and University of Mississippi Medical Center, Jackson, Mississippi (M.E.H.)The American Heart Association Tobacco Regulation and Addiction Center, Dallas, Texas, and University of Louisville, Louisville, Kentucky (A.P.D.)Robert Stempel College of Public Health, Florida International University, Miami, Florida, and Syrian Center for Tobacco Studies, Aleppo, Syria (W.M.)Ciccarone Center for the Prevention of Heart Disease, Johns Hopkins University, Baltimore, Maryland, Yale University School of Medicine, New Haven, Connecticut, Population Health & Health Systems Research, Center for Outcomes Research and Evaluation (CORE), Yale University School of Medicine, New Haven, Connecticut; and Robert Stempel College of Public Health, Florida International University, Miami, Florida (K.N.)Acknowledgment: This study was funded by the American Heart Association Tobacco Regulatory Center (1P50HL120163), which had no role in study design, conduct, data collection, trial management, data analysis, manuscript preparation, or the decision to submit the manuscript for publication.Reproducible Research Statement:Study protocol: Available from Dr. Mirbolouk (e-mail, hassan.[email protected]edu). Statistical code: Not available. Data set: Available at www.cdc.gov/brfss/annual_data/2016/files/LLCP2016XPT.zip.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-1826. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoE-Cigarette Use by Young Adult Nonsmokers: Next-Generation Nicotine Dependence? Anne N. Thorndike Metrics Cited byToxicology of flavoring- and cannabis-containing e-liquids used in electronic delivery systemsE-Cigarette Use in Young Adult Never Cigarette Smokers with Disabilities: Results from the Behavioral Risk Factor Surveillance System SurveyHeart Disease and Stroke Statistics—2021 UpdateHow widespread is electronic cigarette use in outdoor settings? 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Thorndike, MD, MPHEver Use of E-Cigarettes Among Adults in the United States: A Cross-Sectional Study of Sociodemographic Factors 1 January 2019Volume 170, Issue 1Page: 76-79KeywordsBehaviorData managementDisclosureForecastingHealth surveysLongitudinal studiesMedical risk factorsNicotinePerceptionSmoking cessation ePublished: 9 October 2018 Issue Published: 1 January 2019 Copyright & PermissionsCopyright © 2018 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...