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PLoS One. 2014 Jul 29;9(7):e103462. doi: 10.1371/journal.pone.0103462. eCollection 2014.

Physicians' attitudes and use of e-cigarettes as cessation devices, North Carolina, 2013.

Author information

1
Psychology Department, Benedictine University, Lisle, Illinois, United States of America.
2
Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina, United States of America.
3
Departments of Family Medicine and Health Behavior, University of North Carolina, Chapel Hill, North Carolina, United States of America.

Abstract

INTRODUCTION:

Electronic cigarettes (e-cigarettes) are not currently approved or recommended by the Food and Drug Administration (FDA) or various medical organizations; yet, they appear to play a substantial role in tobacco users' cessation attempts. This study reports on a physician survey that measured beliefs, attitudes, and behavior related to e-cigarettes and smoking cessation. To our knowledge this is the first study to measure attitudes toward e-cigarettes among physicians treating adult smokers.

METHODS:

Using a direct marketing company, a random sample of 787 North Carolina physicians were contacted in 2013 through email, with 413 opening the email and 128 responding (response rate = 31%). Physicians' attitudes towards e-cigarettes were measured through a series of close-ended questions. Recommending e-cigarettes to patients served as the outcome variable for a logistic regression analysis.

RESULTS:

Two thirds (67%) of the surveyed physicians indicated e-cigarettes are a helpful aid for smoking cessation, and 35% recommended them to their patients. Physicians were more likely to recommend e-cigarettes when their patients asked about them or when the physician believed e-cigarettes were safer than smoking standard cigarettes.

CONCLUSIONS:

Many North Carolina physicians are having conversations about e-cigarettes with their patients, and some are recommending them. Future FDA regulation of e-cigarettes may help provide evidence-based guidance to physicians about e-cigarettes and will help ensure that patients receive evidence-based recommendations about the safety and efficacy of e-cigarettes in tobacco cessation.

PMID:
25072466
PMCID:
PMC4114778
DOI:
10.1371/journal.pone.0103462
[Indexed for MEDLINE]
Free PMC Article
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