More than one-fourth of smokers attempting to quit used e-cigarettes during 3 months after hospital discharge, mostly to aid cessation, but few used them regularly, a recent study found. This pattern of use was associated with less tobacco abstinence at 6 months than among smokers who did not use e-cigarettes. The secondary data analysis included 1,357 hospitalized adult cigarette smokers from 3 hospitals who planned to stop smoking, received tobacco cessation counseling in the hospital, and were randomly assigned at discharge to a tobacco treatment recommendation (control) or free tobacco treatment (intervention). Self-reported e-cigarette use (exposure) was assessed 1 and 3 months after discharge; biochemically validated tobacco abstinence (outcome) was assessed 6 months after discharge. Researchers found:
- 28% of participants used an e-cigarette within 3 months after discharge.
- E-cigarette users were less likely than nonusers to abstain from tobacco use at 6 months.
- The association between e-cigarette use and quitting varied between intervention patients and control patients.
Rigotti NA, Chang Y, Tindle HA, et al. Association of e-cigarette use with smoking cessation among smokers who plan to quit after a hospitalization: A prospective study. [Published online ahead of print March 27, 2018]. Ann Intern Med. doi:10.7326/M17-2048.
This Week's Must Reads
Elevated BP in Young Adults & Subsequent CVD Risk, JAMA; 2018 Nov 6; Yano, Reis, et al
Health Literacy and 1-Year Mortality in CVD, Mayo Clin Proc; ePub 2018 Nov 7; Mayberry, et al
Paternal Age and Perinatal Outcomes in the US, BMJ; ePub 2018 Oct 31; Khandwala, et al
Healthcare-Associated Infections in US Hospitals, N Engl J Med; 2018 Nov 1; Magill, O’Leary, et al
Early Antibiotic Use & Weight Outcomes in Children, Pediatrics; ePub 2018 Oct 31; Block, Bailey, et al
Must Reads in Addiction Medicine
Prevalence of E-Cigarette Use Among US Adults, Ann Intern Med; 2018 Oct 2; Mirbolouk, et al
Impact of Opioid Controlled Substance Agreements, Mayo Clin Proc; ePub 2018 Sep 20; Philpot, et al
Nicotine Replacement Therapy in Smokers with CHD, J Am Heart Assoc; ePub 2018 Sep 7; Pack, et al
Immediate vs Gradual Nicotine Reduction in Cigarettes, JAMA; ePub 2018 Sep 4; Hatsukami, et al
Alcohol Use and Global Disease Burden, Lancet; ePub 2018 Aug 23; GBD 2016 Alcohol Collaborators