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Nicotine Tob Res. 2015 Oct;17(10):1195-202. doi: 10.1093/ntr/ntu213. Epub 2014 Nov 6.

Trends in Electronic Cigarette Use Among U.S. Adults: Use is Increasing in Both Smokers and Nonsmokers.

Author information

1
Department of Psychology, Mississippi State University and American Academy of Pediatrics Julius B. Richmond Center of Excellence, Starkville, MS; rcm19@msstate.edu.
2
Public Health Advocacy Institute at Northeastern University School of Law and American Academy of Pediatrics Julius B. Richmond Center of Excellence, Boston, MA;
3
American Academy of Pediatrics Julius B. Richmond Center of Excellence, Elk Grove Village, IL;
4
Department of General Pediatrics, MGH Center for Child and Adolescent Health Policy and American Academy of Pediatrics Julius B. Richmond Center of Excellence, Boston, MA.

Abstract

OBJECTIVES:

We assessed trends in use of electronic cigarettes among U.S. adults, demographic predictors of use, and smoking status of current electronic cigarette users.

METHODS:

Mixed-mode surveys were used to obtain representative, cross-sectional samples of U.S. adults in each of 4 years.

RESULTS:

Sample sizes for 2010, 2011, 2012, and 2013 were 3,240, 3,097, 3,101, and 3,245, respectively. Ever use of electronic cigarettes increased from 1.8% (2010) to 13.0% (2013), while current use increased from 0.3% to 6.8%, p < .001. Prevalence of use increased significantly across all demographic groups. In 2013, current use among young adults 18-24 (14.2%) was higher than adults 25-44 (8.6%), 45-64 (5.5%), and 65+ (1.2%). Daily smokers (30.3%) and nondaily smokers (34.1%) were the most likely to currently use e-cigarettes, compared to former smokers (5.4%) and never-smokers (1.4%), p < .001. However, 32.5% of current electronic cigarette users are never- or former smokers.

CONCLUSIONS:

There has been rapid growth in ever and current electronic cigarette use over the past 4 years. Use is highest among young adults and current cigarette smokers. Although smokers are most likely to use these products, almost a third of current users are nonsmokers, suggesting that e-cigarettes contribute to primary nicotine addiction and to renormalization of tobacco use. Regulatory action is needed at the federal, state, and local levels to ensure that these products do not contribute to preventable chronic disease.

Comment in

PMID:
25381306
DOI:
10.1093/ntr/ntu213
[Indexed for MEDLINE]

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