Physician Advice for e-Cigarette Use

J Am Board Fam Med. 2016 Nov 12;29(6):741-747. doi: 10.3122/jabfm.2016.06.160092.

Abstract

Purpose: To determine characteristics of smokers discussing e-cigarette use with their physician and receiving recommendations from their physician to use e-cigarettes for smoking cessation.

Methods: US adult smokers who had visited a physician in the previous 12 months (n = 2671) were surveyed. Logistic generalized estimating equation models were used to assess the characteristics of smokers who (1) talked to a physician about e-cigarettes, and (2) received physician advice to use e-cigarettes for smoking cessation.

Results: 15% (n = 406) of smokers who visited a physician talked with their physician about e-cigarettes. Among those asked whether their physician recommend e-cigarettes for smoking cessation (n = 257), 61% responded affirmatively. Current e-cigarette users were more likely to talk to their physicians about e-cigarettes (nondaily users vs never users: OR, 2.70; 95% CI, 1.79-4.05; daily users vs never users: OR, 4.29; 95% CI, 2.34-7.84) and have their physician recommend e-cigarettes for smoking cessation (daily users vs never users: OR, 9.40; 95% CI, 2.54-34.71).

Conclusions: The majority of smokers who talk to their physician about e-cigarettes report that they received advice to use e-cigarettes to quit smoking, despite limited evidence for their efficacy. More studies are needed to better understand e-cigarette recommendations in clinical settings.

Keywords: Electronic Cigarettes; Physicians; Smoking; Smoking Cessation; Surveys and Questionnaires; Tobacco Products; Tobacco Use Disorder.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Counseling / statistics & numerical data*
  • Electronic Nicotine Delivery Systems*
  • Female
  • Humans
  • Logistic Models
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Physician-Patient Relations*
  • Physicians / statistics & numerical data
  • Smoking / therapy*
  • Smoking Cessation / methods*
  • Surveys and Questionnaires
  • Treatment Outcome
  • United States
  • Young Adult