Knowledge, attitudes, and practice of electronic cigarette use among pregnant women

Katrina S. Mark, Brooke Farquhar, Margaret S. Chisolm, Victoria H. Coleman-Cowger, Mishka Terplan

Research output: Contribution to journalArticlepeer-review


Objective: Electronic cigarettes (e-cigarettes) are a relatively recent phenomenon, serving dual roles as an alternative vehicle for nicotine delivery and a smoking-cessation tool. The purpose of this study was to determine pregnant women's knowledge, attitudes, and practice regarding electronic cigarettes. Study Design: A voluntary, anonymous survey was distributed to a convenience sample of pregnant women presenting to a universitybased outpatient clinic. After survey completion, participants received information about smoking cessation and e-cigarettes. Data were examined using χ2 and Fisher exact tests and analysis of variance. Stata was used for the analysis. Results: Of the 326 surveys distributed, 316 were completed (97%). Of the 316 participants, 42 (13%) reported having ever used e-cigarettes. Only 2 (0.6%) reported current daily use. Ever users were slightly older (27.3 years vs 25.4 years; P = 0.007) and more likely to be current smokers (43% vs. 14%; P < 0.001) compared with women who had never used electronic cigarettes. Knowledge of the harms of smoking was similar between the 2 groups. Overall, 57% of all respondents believed that e-cigarettes contain nicotine, 61% that e-cigarettes can be addictive, and 43% that e-cigarettes are less harmful to a fetus than traditional cigarettes. Among ever users, the most common reasons given for the use of e-cigarettes were the perception of less harm than traditional cigarettes (74%) and help with smoking cessation (72%). Conclusions: Misconceptions about e-cigarettes are common among pregnant women, potentially motivating use that may pose risks to both maternal and child health. Screening and education regarding e-cigarettes should be included in prenatal care. Future research in this area is necessary, including research examining pregnancy outcomes among women who use e-cigarettes.

Original languageEnglish (US)
Pages (from-to)266-272
Number of pages7
JournalJournal of addiction medicine
Issue number4
StatePublished - May 1 2015


  • E-cigarettes
  • Electronic cigarettes
  • Pregnancy

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Pharmacology (medical)


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