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Perceptions, Characteristics, and Behaviors of Cigarette and Electronic Cigarette Use among Pregnant Smokers.
Womens Health Issues. 2020 May - Jun; 30(3):221-229.WH

Abstract

INTRODUCTION

Smoking during pregnancy is a primary risk factor for adverse perinatal outcomes. Although electronic cigarette (e-cigarette) use has increased, reasons for and behaviors of use are not fully understood. The purpose of this study, composed exclusively of pregnant current smokers, was to describe perceptions of health risks associated with e-cigarette use among pregnant women, describe the use patterns of pregnant dual users (defined as those who simultaneously use conventional/combustible cigarettes and e-cigarettes), and examine smoking-related behaviors between conventional-only (defined as those smoking combustible cigarettes but not e-cigarettes) and dual users.

METHODS

Cross-sectional data from a larger study of pregnant conventional-only and dual users were analyzed. A brief survey measured perceptions of prenatal e-cigarette use and smoking behaviors. Analysis included descriptive statistics, bivariate analysis, and logistic and linear regression analysis.

RESULTS

Among 176 pregnant smokers (38% dual users), more than one-half of participants believed e-cigarettes were harmful to women (56%) and posed harm to the fetus (53%). Among dual users, 41% used their e-cigarette daily, on average eight times per day. Eleven percent of dual users smoked a pack of cigarettes per day, compared with 5% of conventional-only smokers, and dual users scored significantly higher (p = .026) on the Penn State Cigarette Dependence Index. The most common e-cigarette liquid flavor was fruit (64%), and the most frequently reported e-cigarette nicotine concentration was 1-6 mg.

CONCLUSIONS

Characterizing perceptions and behaviors of e-cigarette use during pregnancy is foundational for future research to explore the association between product use and maternal and infant outcomes.

Authors+Show Affiliations

Perinatal Research and Wellness Center, University of Kentucky College of Nursing, Lexington, Kentucky. Electronic address: Akmccu0@uky.edu.Perinatal Research and Wellness Center, University of Kentucky College of Nursing, Lexington, Kentucky.Perinatal Research and Wellness Center, University of Kentucky College of Nursing, Lexington, Kentucky.Perinatal Research and Wellness Center, University of Kentucky College of Nursing, Lexington, Kentucky.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

32376187

Citation

McCubbin, Andrea, et al. "Perceptions, Characteristics, and Behaviors of Cigarette and Electronic Cigarette Use Among Pregnant Smokers." Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, vol. 30, no. 3, 2020, pp. 221-229.
McCubbin A, Wiggins A, Barnett J, et al. Perceptions, Characteristics, and Behaviors of Cigarette and Electronic Cigarette Use among Pregnant Smokers. Womens Health Issues. 2020;30(3):221-229.
McCubbin, A., Wiggins, A., Barnett, J., & Ashford, K. (2020). Perceptions, Characteristics, and Behaviors of Cigarette and Electronic Cigarette Use among Pregnant Smokers. Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, 30(3), 221-229. https://doi.org/10.1016/j.whi.2020.03.006
McCubbin A, et al. Perceptions, Characteristics, and Behaviors of Cigarette and Electronic Cigarette Use Among Pregnant Smokers. Womens Health Issues. 2020 May - Jun;30(3):221-229. PubMed PMID: 32376187.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perceptions, Characteristics, and Behaviors of Cigarette and Electronic Cigarette Use among Pregnant Smokers. AU - McCubbin,Andrea, AU - Wiggins,Amanda, AU - Barnett,Janine, AU - Ashford,Kristin, Y1 - 2020/05/04/ PY - 2019/08/23/received PY - 2020/02/27/revised PY - 2020/03/20/accepted PY - 2020/5/8/pubmed PY - 2020/8/25/medline PY - 2020/5/8/entrez SP - 221 EP - 229 JF - Women's health issues : official publication of the Jacobs Institute of Women's Health JO - Womens Health Issues VL - 30 IS - 3 N2 - INTRODUCTION: Smoking during pregnancy is a primary risk factor for adverse perinatal outcomes. Although electronic cigarette (e-cigarette) use has increased, reasons for and behaviors of use are not fully understood. The purpose of this study, composed exclusively of pregnant current smokers, was to describe perceptions of health risks associated with e-cigarette use among pregnant women, describe the use patterns of pregnant dual users (defined as those who simultaneously use conventional/combustible cigarettes and e-cigarettes), and examine smoking-related behaviors between conventional-only (defined as those smoking combustible cigarettes but not e-cigarettes) and dual users. METHODS: Cross-sectional data from a larger study of pregnant conventional-only and dual users were analyzed. A brief survey measured perceptions of prenatal e-cigarette use and smoking behaviors. Analysis included descriptive statistics, bivariate analysis, and logistic and linear regression analysis. RESULTS: Among 176 pregnant smokers (38% dual users), more than one-half of participants believed e-cigarettes were harmful to women (56%) and posed harm to the fetus (53%). Among dual users, 41% used their e-cigarette daily, on average eight times per day. Eleven percent of dual users smoked a pack of cigarettes per day, compared with 5% of conventional-only smokers, and dual users scored significantly higher (p = .026) on the Penn State Cigarette Dependence Index. The most common e-cigarette liquid flavor was fruit (64%), and the most frequently reported e-cigarette nicotine concentration was 1-6 mg. CONCLUSIONS: Characterizing perceptions and behaviors of e-cigarette use during pregnancy is foundational for future research to explore the association between product use and maternal and infant outcomes. SN - 1878-4321 UR - https://www.unboundmedicine.com/medline/citation/32376187/Perceptions_Characteristics_and_Behaviors_of_Cigarette_and_Electronic_Cigarette_Use_among_Pregnant_Smokers_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1049-3867(20)30024-4 DB - PRIME DP - Unbound Medicine ER -