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Cited by 169Smoking Behavior and CessationPrenatal Substance Exposure EffectsPregnancy and Medication Impact

Prevalence and Perceptions of Electronic Cigarette Use during Pregnancy

Open access
Wagner, Nicholas J., Camerota, Marie, Propper, Cathi·2017·Maternal and Child Health Journal
DOI 10.1007/s10995-016-2257-9PMC PMC5509528
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Abstract

Objectives The current study is the first to assess pregnant women's perceptions of e-cigarettes and the prevalence of e-cigarette use during pregnancy, using a national sample of pregnant women (N = 445) recruited online. Methods An online survey was used to assess the prevalence and perceptions of e-cigarette use among pregnant women, including perceptions of e-cigarette safety. Results In our sample, 5.62% (n = 25) of women solely used tobacco cigarettes, 6.52% (n = 29) solely used e-cigarettes, 8.54% (n = 38) used both tobacco cigarettes and e-cigarettes, and 79.33% (n = 353) used neither tobacco cigarettes nor e-cigarettes during their current pregnancy. Overall, 64.27% (n = 286) of participants viewed e-cigarettes as being safer than tobacco cigarettes. Having seen advertisements for e-cigarettes increased likelihood of viewing them as safer than tobacco cigarettes (OR [Odds Ratio] = 2.5, p < .01). Conclusions for Practice Taken together, findings from this study suggest that at least as many women use e-cigarettes during pregnancy as tobacco cigarettes, that pregnant women view e-cigarettes as being safer than tobacco cigarettes, and that these views may be influenced by exposure to e-cigarette advertisements.

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  • Where the risk of exclusive-vaping was reported, it is possible that this heightened risk is largely due to high levels of smoking at times beyond the assessment period or concurrent unreported smoking.

    “Thus, where the risk of exclusive-vaping was reported, as nearly all pregnant women who vape are likely to be current or former smokers [14, 60–62] it is possible that this heightened risk is largely due to high levels of smoking at times beyond the assessment period or concurrent unreported smoking.”

    From Vaping during pregnancy: a systematic review of health outcomes. (2024) · cites this paper as [61]

    The Results section (page unavailable) reports that 38 of 67 pregnant e-cigarette users also used tobacco cigarettes and that 50 reported switching to e-cigarettes when they learned they were pregnant. This supports substantial overlap with smoking, but not the claim that nearly all were current or former smokers: the Discussion (page unavailable) says past cigarette use was not measured. The proposed explanation for heightened risk is the citing authors’ inference, not a finding attributed to this source. (LLM, conf=0.83)

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  • Nearly all pregnant women who vape are likely to be current or former smokers.

    “as nearly all pregnant women who vape are likely to be current or former smokers [14, 60–62]”

    From Vaping during pregnancy: a systematic review of health outcomes. (2024) · cites this paper as [61]

    The Results (Prevalence of Electronic Cigarette Use among Pregnant Women; page unavailable) report that 38 of 67 pregnant e-cigarette users also used tobacco cigarettes. The Results on perceptions report that some began using e-cigarettes to quit tobacco. But the paper does not establish that nearly all pregnant women who vape are current or former smokers; it does not give the smoking histories of all e-cigarette-only users. (LLM, conf=0.85)

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Cited by

Sorted by citations

Authors
Wagner, N. J., Camerota, M., & Propper, C.
Affiliations
  • University of Maryland, College Park (US)
  • University of North Carolina at Chapel Hill (US)
Corresponding author
Wagner, Nicholas J.
ORCID
Venue
Maternal and Child Health Journal
Publisher
Springer Science and Business Media LLC
Published
2017-01-13
Volume
21
Issue
8
Pages
1655-1661
ISSN
  • 1092-7875 (ISSN-L)
  • 1573-6628
DOI
10.1007/s10995-016-2257-9
PMC
PMC5509528
OpenAlex
W2577358506
Cited by
169
References
5
Citations by year
2026: 7 · 2025: 10 · 2024: 12 · 2023: 14 · 2022: 17 · 2021: 31 · 2020: 30 · 2019: 27 · 2018: 15 · 2017: 5 · 2016: 1
FWCI
15.59
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (unspecified)
Locations
  • Maternal and Child Health Journal (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
Division of Cancer Prevention, National Cancer Institute (5P50CA180907)
Topics
  • Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Substance Exposure Effects
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy and Medication Impact
Keywords
electronic cigarettes, pregnant women, dual use of tobacco and e-cigarettes, e-cigarette advertising
MeSH terms
Maternal Health, Adolescent, Adult, Advertising, Ethnicity, Female, Humans, Health Knowledge, Attitudes, Practice, Middle Aged, Perception, Pregnancy, Surveys and Questionnaires, Safety, Smoking, Prevalence, Pregnant People, Pregnant Women, Young Adult, Social Media, Electronic Nicotine Delivery Systems

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