1. E-cigarette Use Among Young Adult Patients: The Opportunity to Intervene on Risky Lifestyle Behaviors to Reduce Cancer Risk
- Author
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Karen M. Schmitt, Grace Clarke Hillyer, Gary K. Schwartz, Meaghan Nazareth, Elaine Fleck, Mary Beth Terry, Andria Reyes, and Sarah M. Lima
- Subjects
Health (social science) ,business.industry ,Vaping ,Smoking ,Public Health, Environmental and Occupational Health ,Binge drinking ,Cancer ,Cigarette use ,Electronic Nicotine Delivery Systems ,medicine.disease ,Article ,Confidence interval ,Young Adult ,Neoplasms ,Relative risk ,Humans ,Medicine ,Smoking Cessation ,Smoking status ,Young adult ,Cancer risk ,business ,Life Style ,Demography - Abstract
Use of e-cigarettes and other electronic nicotine delivery systems (ENDS) is on the rise. We administered a health needs survey via email to 804 adult primary care and oncology patients at a large urban academic medical center in 2019. We examined differences in e-cigarette use by smoking status, personal history of cancer, alcohol use, and second-hand tobacco smoke exposure. Of the 804 participants, 90 (11.2%) reported ever using e-cigarettes. E-cigarette use was more prevalent in young adults (risk ratio [RR] for 18-24 years: 4.58, 95% confidence interval [95% CI] 2.05, 10.26), current smoking (RR 4.64, 95% CI 1.94, 11.07), very often/often binge drinking (RR 3.04, 96% CI 1.38, 6.73), and ≥ 1 smokers in the home (RR 3.90, 95% CI 2.10, 7.23). Binge alcohol consumption and tobacco smoking are associated with increased risk cancer. Inquiries about e-cigarette use among adults 25-40 years present providers the opportunity to also counsel young adult about reducing cancer risk.
- Published
- 2021
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