Prevalence and distribution of e-cigarette use among U.S. adults: Behavioral risk factor surveillance system, 2016

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

Research output: Contribution to journalArticle

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 ecigarette 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 agestandardized 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.

Original languageEnglish (US)
Pages (from-to)429-438
Number of pages10
JournalAnnals of Internal Medicine
Volume169
Issue number7
DOIs
StatePublished - Oct 2 2018

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Behavioral Risk Factor Surveillance System
Tobacco Products
Transgender Persons
Tobacco Use

ASJC Scopus subject areas

  • Internal Medicine

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Prevalence and distribution of e-cigarette use among U.S. adults : Behavioral risk factor surveillance system, 2016. / 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.

In: Annals of Internal Medicine, Vol. 169, No. 7, 02.10.2018, p. 429-438.

Research output: Contribution to journalArticle

Mirbolouk, M, Charkhchi, P, Kianoush, S, Uddin, SMI, Orimoloye, OA, Jaber, R, Bhatnagar, A, Benjamin, EJ, Hall, ME, DeFilippis, AP, Maziak, W, Nasir, K & Blaha, M 2018, 'Prevalence and distribution of e-cigarette use among U.S. adults: Behavioral risk factor surveillance system, 2016', Annals of Internal Medicine, vol. 169, no. 7, pp. 429-438. https://doi.org/10.7326/M17-3440
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. / Prevalence and distribution of e-cigarette use among U.S. adults : Behavioral risk factor surveillance system, 2016. In: Annals of Internal Medicine. 2018 ; Vol. 169, No. 7. pp. 429-438.
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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 ecigarette 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 agestandardized 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.",
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AU - Kianoush, Sina

AU - Uddin, S. M.Iftekhar

AU - Orimoloye, Olusola A.

AU - Jaber, Rana

AU - Bhatnagar, Aruni

AU - Benjamin, Emelia J.

AU - Hall, Michael E.

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AU - Maziak, Wasim

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N2 - 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 ecigarette 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 agestandardized 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.

AB - 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 ecigarette 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 agestandardized 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.

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