Tobacco Cessation |

Cross Sectional Survey of Electronic Cigarettes Use Among Ambulatory COPD Patients FREE TO VIEW

Laith Ghazala, MD; Judith Gordon, PhD; Cristine Berry, MD; Christian Bime, MD; Lynn Gerald, PhD; Todd Golden; Kawanjit Sekhon, MD
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Department of Medicine, University of Arizona, Tucson, AZ

Chest. 2015;148(4_MeetingAbstracts):1076A. doi:10.1378/chest.2256166
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SESSION TITLE: Tobacco Cessation and Prevention Posters

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 28, 2015 at 01:30 PM - 02:30 PM

PURPOSE: Electronic cigarette (EC) use has grown increasingly popular in spite of substantial debate regarding their safety and efficacy with respect to increasing cessation of conventional cigarettes. In this study, we are assessing experience and beliefs about EC among adults with chronic obstructive pulmonary disease (COPD)

METHODS: We developed a 15-item written self-administered questionnaire (COPD-Electronic Nicotine Devices survey) to query COPD patients regarding their EC use, and beliefs about EC risks and benefits. We plan to administer this survey to 100 COPD patients attending ambulatory clinics at Banner University Medical Center in Tucson. Our cross-sectional study was approved by the local IRB and is ongoing

RESULTS: To date, 32 COPD patients have completed the survey, including 22 males and 10 females with mean age of 68 (SD 8.65) years. Among these participants, 11 individuals (34.3%) reported ever using EC. Among EC users, 8 (72.7%) reported using EC on a daily basis, the majority of whom “vaped” as an alternative to smoking conventional cigarettes (n=10, 91%). Nine EC users (81.8%) believed that EC use reduced the number of conventional cigarettes they smoked. The majority (n=8, 72.7%) believed EC are not bad for their health. Four participants (36.4%) reported using EC because they taste better than conventional cigarettes, and six (54.5%) individuals described using EC because they can “vape” in places where conventional cigarettes are prohibited. Fifteen participants (46.9%) indicated that they do not know the effects of EC on health, whereas 9 subjects (28.1%) believed EC are less harmful, and 6 subjects (18.8%) believed EC are equally harmful to conventional cigarettes and only 2 subjects (6.3%) believed EC are more harmful than conventional cigarettes

CONCLUSIONS: EC use is relatively common among ambulatory COPD patients, and some users report reduction in conventional cigarette consumption, however debate among COPD patients regarding the effects of EC on health is continuing

CLINICAL IMPLICATIONS: EC could be a useful tool for smoking cessation among COPD patients, but the long-term effect of EC needs to be studied and compared to other methods of smoking cessation

DISCLOSURE: The following authors have nothing to disclose: Laith Ghazala, Judith Gordon, Cristine Berry, Christian Bime, Lynn Gerald, Todd Golden, Kawanjit Sekhon

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