E-Cigarette Survey among Student Pharmacists Reveals Troubling Results
- 1 Duquesne University School of Pharmacy, Pittsburgh, PA, USA
- 2 Lachman Consultants, Westbury, NY, USA
- 3 Kitzen Pharmaceutical Consulting, Collegeville, PA, USA
- 4 NEMA Research, Naples, FL, USA
- 5 NEMA Research, Naples, FL, USA
- 6 University of Arizona College of Pharmacy, Tucson, AZ, USA
- 7 Neumentum, Inc., Palo Alto, CA, USA
- 8 Temple University School of Pharmacy, Philadelphia, PA, USA
Abstract
The rise in “vaping”-associated deaths in the United States raises serious concerns. A justification for some level of risk is that e-cigarettes might pro vide a “ reverse-gateway” from smoking traditional cigarettes to a less-harmful alternative. But are users actually smokers? We developed an electronic on-line survey to gather data regarding e-cigarette usage in a target study population of pharmacy students. The survey was created using Google Forms to collect the responses anonymously. We surveyed medical-savvy healthcare students about their e-cigarette use, and whether or not their healthcare providers were aware of their e-cigarette use. Although nearly one-fourth of a convenience sampling of 134 pharmacy-student respondents (23.9%) reported using e-cigarettes, only 2.0% reported prior regular cigarette use, 28% used cartridges containing nicotine and only 11.2% had tried and wanted to quit. The majority (64.1%) reported that their healthcare providers did not ask about such use, and respondents did not volunteer this information. The results of this pilot survey reveal a significant e-cigarette use among health-aware pharmacy students, and they do not support the notion that the respondents do so to quit smoking. The observation that most of the students’ healthcare providers did not inquire about their e-cigarette use, coupled with the finding that users did not volunteer their vaping behavior , suggests that the information should be included when getting a medical history. Further research is needed to determine what behavioral factors may play a role in this type of decision-making among student healthcare professionals.
- Surgeon General (2010) How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General. U.S. Department of Health and Human Services, Atlanta, GA. https://www.ncbi.nlm.nih.gov/books/NBK53017/
- Centers for Disease Control and Prevention (2019) Burden of Tobacco Use in the U.S.: Current Cigarette Smoking among U.S. Adults Aged 18 Years and Older. CDC. https://www.cdc.gov/tobacco/campaign/tips/resources/data/cigarette-smoking-in-united-states.html#three
- Jamal, A.P.E., Gentzke, A.S., Homa, D.M., Babb, S.D., King, B.A. and Nef, L.J. (2019) Current Cigarette Smoking among Adults: United States, 2016. MMWR Morb Mortal Wkly Report. https://doi.org/10.15585/mmwr.mm6702a1
- McMillen, R.C., Gottlieb, M.A., Shaefer, R.M., Winickoff, J.P. and Klein, J.D. (2015) Trends in Electronic Cigarette Use among U.S. Adults: Use Is Increasing in Both Smokers and Nonsmokers. Nicotine & Tobacco Research, 17, 1195-1202. https://doi.org/10.1093/ntr/ntu213
- Delnevo, C.D., Steinberg, M.B., Villanti, A.C., Pearson, J.L., Niaura, R.S. and Abrams, D.B. (2016) Patterns of Electronic Cigarette Use among Adults in the United States. Nicotine & Tobacco Research, 18, 715-719. https://doi.org/10.1093/ntr/ntv237
- Mirbolouk, M., Charkhchi, P., Kianoush, S., Uddin, S.M.I., Orimolove, O.A., Jaber, R., Bhatnagar, A., Benjamin, E.J., Hall, M.E., DeFilippis, A.P., Maziak, W., Nasir, K. and 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, 169, 429-438. https://doi.org/10.7326/M17-3440
- Anonymous (2018) FDA Moves forward with E-Cigarette Curbs to Reduce Teen Vaping. https://fortune.com/2018/11/15/fda-e-cigarette-measures-underage-vaping/
- U.S. Department of Health and Human Services (2016) E-Cigarette Use among Youth and Young Adults. A Report of the Surgeon General. National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Atlanta, GA. https://e-cigarettes.surgeongeneral.gov/documents/2016_sgr_full_report_non-508.pdf
- Fraga, J. (2019) The Dangers of Juuling. http://www.center4research.org/the-dangers-of-juuling/
- Raven, K. (2018) Your Teen Is Underestimating the Health Risks of Vaping. Yale School of Medicine, Yale Tobacco Center of Regulatory Science. https://medicine.yale.edu/psychiatry/tobacco/news-article/18263/