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. 2022 Feb;47(1):94-100.
doi: 10.1007/s10900-021-01027-7. Epub 2021 Aug 27.

E-cigarette Use Among Young Adult Patients: The Opportunity to Intervene on Risky Lifestyle Behaviors to Reduce Cancer Risk

Grace C Hillyer  1   2 , Meaghan Nazareth  3 , Sarah Lima  4 , Karen M Schmitt  3   5 , Andria Reyes  3 , Elaine Fleck  5 , Gary K Schwartz  3   6 , Mary Beth Terry  4   3
Affiliations

E-cigarette Use Among Young Adult Patients: The Opportunity to Intervene on Risky Lifestyle Behaviors to Reduce Cancer Risk

Grace C Hillyer et al. J Community Health. 2022 Feb.

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.

Keywords: Binge alcohol consumption; E-cigarettes; Electronic nicotine delivery systems; Tobacco smoking; Young adults.

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Conflict of interest statement

Declarations

Conflict of interest The authors have no relevant financial or non-financial interests to disclose.

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