National Estimates of e-Cigarette Use Among Pregnant and Nonpregnant Women of Reproductive Age in the United States, 2014-2017

Published on Jun 1, 2019in JAMA Pediatrics13.946
· DOI :10.1001/JAMAPEDIATRICS.2019.0658
Buyun Liu18
Estimated H-index: 18
(UI: University of Iowa),
Guifeng Xu16
Estimated H-index: 16
(UI: University of Iowa)
+ 4 AuthorsWei Bao67
Estimated H-index: 67
(UI: University of Iowa)
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Abstract
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Millions of Americans use e-cigarettes. Despite their popularity, little is known about their health effects. Some suggest that e-cigarettes likely confer lower risk compared to combustible tobacco cigarettes, because they do not expose users to toxicants produced through combustion. Proponents of e-cigarette use also tout the potential benefits of e-cigarettes as devices that could help combustible tobacco cigarette smokers to quit and thereby reduce tobacco-related health risks. Others are con...
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#2Gerard Li (UTS: University of Technology, Sydney)H-Index: 7
Last. Catherine A. Gorrie (UTS: University of Technology, Sydney)H-Index: 15
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Electronic cigarette (e-cigarette) use is on the rise worldwide and is particularly attractive to young people and as a smoking substitute by pregnant woman. There is a perception in pregnant women and women of child-bearing age that the use of e-cigarettes (vaping) is safer than smoking tobacco cigarettes during pregnancy. However, there is little evidence to support this perception. Here, we examined the offspring from mouse dams that had been exposed during and after pregnancy to ambient air ...
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#1Wei Bao (UI: University of Iowa)H-Index: 67
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E-cigarette usage is increasing, especially among the young, with both the general population and physicians perceiving them as a safe alternative to tobacco smoking. Worryingly, e-cigarettes are c...
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#1Nicholas J. Wagner (UMD: University of Maryland, College Park)H-Index: 16
#2Marie Camerota (UNC: University of North Carolina at Chapel Hill)H-Index: 9
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Objectives The current study is the first to assess pregnant women’s perceptions of e-cigarettes and the prevalence of e-cigarette use during pregnancy, using a national sample of pregnant women (N = 445) recruited online. Methods An online survey was used to assess the prevalence and perceptions of e-cigarette use among pregnant women, including perceptions of e-cigarette safety. Results In our sample, 5.62% (n = 25) of women solely used tobacco cigarettes, 6.52% (n = 29) solely used e-cigarett...
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#1David F. Williamson (CDC: Centers for Disease Control and Prevention)H-Index: 93
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The 1990 health objectives for the nation state that pregnant women should be only half as likely to smoke as nonpregnant women. To assess progress toward meeting this objective, we used cross-sectional data from the 26 states in the Behavioral Risk Factor Surveillance System in 1985 and 1986. We compared the prevalence of self-reported smoking among pregnant (N = 836) and non-pregnant (N = 18 025) women aged 18 to 45 years. Overall, pregnant women were 70% as likely to be current smokers as non...
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OBJECTIVES The purpose of this study was to examine differences between perceived harm of cigarette and electronic cigarette (e-cigarette) use while pregnant and differences between healthcare providers' communication about these products during pregnancy. METHODS A convenience sample of gestational women (n = 218; ages 18-45) living in the US completed an online survey between May and December 2017. Participants reported perceived likelihood of adverse health outcomes (e.g., low birth weight, s...
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Abstract null null Introduction null There is limited information about longitudinal patterns of vaping during pregnancy and the postpartum. We describe the prevalence, frequency, and reasons for vaping throughout pregnancy and postpartum. We also describe temporal patterns in pregnant women’s vaping. null null null Methods null A longitudinal cohort study across England and Scotland, with questionnaires in early pregnancy (8–24 weeks gestation), late pregnancy (34–38 weeks) and 3 months postpar...
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This review examines Electronic Nicotine Delivery Systems (ENDS) use behavior during pregnancy, including the prevalence of and transitions in use during pregnancy. Twenty-two papers addressed the prevalence of and/or transitions in ENDS use during pregnancy. Findings show a complex landscape of ENDS use. A minority (0.4–7.0%) of pregnant persons use ENDS; most commonly this occurs in the form of dual use (ENDS and combustible cigarettes (CC); 75%). Many pregnant persons report using ENDS becaus...
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#1Annette K. Regan (CDC: Centers for Disease Control and Prevention)H-Index: 19
#2Jennifer M. BombardH-Index: 16
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OBJECTIVE To evaluate the risk of adverse birth outcomes among adults who use electronic cigarettes (e-cigarettes) before and during pregnancy. METHODS Data from the 2016-2018 PRAMS (Pregnancy Risk Assessment Monitoring System) were used to assess the association between e-cigarette use during the 3 months before and last 3 months of pregnancy among 79,176 individuals with a recent live birth and the following birth outcomes: preterm birth, small for gestational age, and low birth weight (LBW). ...
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INTRODUCTION Passage of cannabis laws may impact cannabis use and the use of other substances. The suggested association is of particular concern in pregnant women where exposure to substances can cause harm to both the pregnant woman and fetus. The present study contributes to the minimal literature on factors associated with cannabis use during the preconception, prenatal, and postpartum periods including state legalization status, concurrent use of tobacco and e-cigarettes and adequacy of pre...
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#1Charles Opondo (University of Oxford)H-Index: 12
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OBJECTIVES Exposure to tobacco products during pregnancy presents a potential harm to both mother and baby. This study sought to estimate the prevalence of vaping during pregnancy and to explore the factors and outcomes associated with vaping in pregnancy. SETTING England. PARTICIPANTS Women who gave birth between 15th and 28th October 2017. METHODS A cross-sectional population-based postal survey of maternal and infant health, the National Maternity Survey (NMS) 2018. The prevalence of vaping a...
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#1Summer Sherburne Hawkins (BC: Boston College)H-Index: 21
#2Blair J. Wylie (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 22
Last. Michele R. Hacker (BIDMC: Beth Israel Deaconess Medical Center)H-Index: 32
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OBJECTIVES Nicotine crosses the placenta and is a known teratogen. The use of electronic nicotine delivery systems (ENDS) has increased among pregnant women in the US, but there is limited knowledge about their effects on birth outcomes. We examined the associations between ENDS and cigarette use during pregnancy with birth outcomes. METHODS We conducted a cross-sectional analysis of 57,046 respondents from 32 US states in the 2016-2017 Pregnancy Risk Assessment Monitoring System. Respondents se...
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#1Kristin Ashford (UK: University of Kentucky)H-Index: 9
#2Andrea McCubbin (UK: University of Kentucky)H-Index: 5
Last. Alison Breland (VCU: Virginia Commonwealth University)H-Index: 17
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Introduction In the US, approximately 8% of pregnant women smoke, and 5-11.9% currently use ENDS products. The health effects of ENDS use are debated; however, most contain nicotine which is known to cause adverse perinatal outcomes. Studies have shown adult ENDS users significantly alter use behaviors over time (switch to conventional cigarettes-only or dual use) thus complicating efforts to examine health effects of ENDS use. The purpose of this study was to describe switching behaviors and as...
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#1Katharine Bowker (University of Nottingham)H-Index: 11
#2Sarah Lewis (University of Nottingham)H-Index: 3
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OBJECTIVE To estimate prevalence of vaping in pregnancy. Compare characteristics and attitudes between exclusive smokers and vapers, and between exclusive vapers and dual users (smoke and vape). DESIGN Cross-sectional survey. SETTING Hospitals across England and Scotland. POPULATION Pregnant women attending antenatal clinics in 2017. METHODS Women at 8-24 weeks' gestation completed screening questions about their smoking and vaping. Current or recent ex-smokers and/or vapers completed a full det...
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