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Prevalence and Distribution of E-Cigarette Use Among U.S. Adults: Behavioral Risk Factor Surveillance System, 2016

Open access
Mirbolouk, Mohammadhassan, Charkhchi, Paniz, Kianoush, Sina, Uddin, S.M. Iftekhar, Orimoloye, Olusola A., Jaber, Rana, Bhatnagar, Aruni, Benjamin, Emelia J., Hall, Michael E., DeFilippis, Andrew P., Maziak, Wasim, Nasir, Khurram, Blaha, Michael J.·2018·Annals of Internal Medicine

Abstract

Background: Contemporary data on the prevalence of e-cigarette use in the United States are limited. Objective: To report the prevalence and distribution of current e-cigarette use among U.S. adults in 2016. Design: Cross-sectional. Setting: Behavioral Risk Factor Surveillance System, 2016. Participants: Adults aged 18 years and older. Measurements: Prevalence of current e-cigarette use by sociodemographic groups, comorbid medical conditions, and states of residence. Results: Of participants with information on e-cigarette use (n = 466 842), 15 240 were current e-cigarette users, representing a prevalence of 4.5%, which corresponds to 10.8 million adult e-cigarette users in the United States. Of the e-cigarette users, 15% were never-cigarette smokers. The prevalence of current e-cigarette use was highest among persons aged 18 to 24 years (9.2% [95% CI, 8.6% to 9.8%]), translating to approximately 2.8 million users in this age range. More than half the current e-cigarette users (51.2%) were younger than 35 years. In addition, the age-standardized prevalence of e-cigarette use was high among men; lesbian, gay, bisexual, and transgender (LGBT) persons; current combustible cigarette smokers; and those with chronic health conditions. The prevalence of e-cigarette use varied widely among states, with estimates ranging from 3.1% (CI, 2.3% to 4.1%) in South Dakota to 7.0% (CI, 6.0% to 8.2%) in Oklahoma. Limitation: Data were self-reported, and no biochemical confirmation of tobacco use was available. Conclusion: E-cigarette use is common, especially in younger adults, LGBT persons, current cigarette smokers, and persons with comorbid conditions. The prevalence of use differs across states. These contemporary estimates may inform researchers, health care policymakers, and tobacco regulators about demographic and geographic distributions of e-cigarette use. Primary Funding Source: American Heart Association Tobacco Regulation and Addiction Center, which is funded by the U.S. Food and Drug Administration and National Heart, Lung, and Blood Institute.

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Metadata

Authors
Mirbolouk, M., Charkhchi, P., Kianoush, S., Uddin, S. M. I., Orimoloye, O. A., Jaber, R., Bhatnagar, A., Benjamin, E. J., Hall, M. E., DeFilippis, A. P., Maziak, W., Nasir, K., & Blaha, M. J.
Venue
Annals of Internal Medicine
Published
2018-10-02
Volume
169
Issue
7
Pages
429-438
ISSN
  • 0003-4819 (ISSN-L)
  • 1539-3704
OpenAlex
W2889528655
Cited by
331
References
19
FWCI
31.92
Type
journal article
Language
en
Open access
green

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Mirbolouk, M., Charkhchi, P., Kianoush, S., Uddin, S. M. I., Orimoloye, O. A., Jaber, R., Bhatnagar, A., Benjamin, E. J., Hall, M. E., DeFilippis, A. P., Maziak, W., Nasir, K., & Blaha, M. J. (2018). Prevalence and Distribution of E-Cigarette Use Among U.S. Adults: Behavioral Risk Factor Surveillance System, 2016. Annals of Internal Medicine. https://doi.org/10.7326/m17-3440

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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