Tobacco Cessation and Prevention: Tobacco Cessation and Prevention Slide |

Chest Health-care Provider Perceptions of Electronic Cigarettes FREE TO VIEW

Stephen Baldassarri; Geoffrey Chupp; Frank Leone; Graham Warren; Benjamin Toll
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Yale School of Medicine, New Haven, CT

Copyright 2016, American College of Chest Physicians. All Rights Reserved.

Chest. 2016;150(4_S):1302A. doi:10.1016/j.chest.2016.08.1417
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SESSION TITLE: Tobacco Cessation and Prevention Slide

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Sunday, October 23, 2016 at 07:30 AM - 08:30 AM

PURPOSE: Evaluation of CHEST member perceptions of electronic cigarettes (ECs)

METHODS: A brief online questionnaire was e-mailed to CHEST members to assess practice patterns and perceptions regarding electronic cigarette use and tobacco smoking among their patients. Survey participants were entered into a lottery to win $500. Interim results in 773 respondents are reported.

RESULTS: Of 773 respondents who completed the survey to date, less than half (47%) reported asking patients about EC use either most of the time or always. 84% reported that patients had asked their opinion of ECs, and 48% reported EC use among at least 10% of their patients. Most reported believing that ECs are harmful (68%) and that daily EC use is not safe (72%). Respondents were split on whether ECs promote tobacco cessation (32% agree/strongly agree and 32% disagree/strongly disagree); few believed ECs were at least as effective as FDA-approved treatments to promote smoking cessation (13% agree vs. 52% disagree), and 11% reported that ECs should be used in an initial quit attempt. 6% thought ECs are more harmful than smoking, 21% thought switching from daily tobacco smoking to EC use would improve a patient’s health, and 55% reported feeling comfortable discussing health effects of ECs with patients. This survey is ongoing, and all analyses will be updated at the time of the conference.

CONCLUSIONS: Respondent perceptions of electronic cigarette (EC) harms and benefits varied substantially. Over two-thirds of respondents perceive ECs are harmful, and the perceived efficacy of ECs in promoting cessation of tobacco smoking was evenly split. Most respondents reported that their patients requested a professional opinion regarding ECs, but many providers reported that they do not yet feel comfortable discussing health effects of these products.

CLINICAL IMPLICATIONS: Chest physicians are likely to encounter electronic cigarette users in clinical practice. More research and education for healthcare providers regarding e-cigarettes is warranted.

DISCLOSURE: The following authors have nothing to disclose: Stephen Baldassarri, Geoffrey Chupp, Frank Leone, Graham Warren, Benjamin Toll

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