Cigarettes Users

MassGeneral Hospital for Children (MGHfC) researchers conducted a study which suggested; that parents who use both traditional cigarettes and e-cigarettes may be more receptive to smoking cessation interventions; than parents who only smoke traditional cigarettes.
The researchers factors associated with dual use of e-cigarettes and cigarettes vs. cigarette-only smokers; assessed by self-report. The study also found that parents using both cigarettes and e-cigarettes were as likely as cigarette-only smokers to allow smoking; but in their homes but were much more likely to allow smoking; in their cars and vaping in both homes and car; suggesting they may believe that e-cigarette aerosols contain few health hazards; a belief not supported by the most recent evidence.
“Our findings suggest that smoking parents who start using e-cigarettes; but may have done so out of a desire to quit smoking”; says Emara Nabi-Burza, MS, of the MGHfC Division of General Academic Pediatrics and the Massachusetts General Hospital (MGH); Tobacco Research and Treatment Center (TRTC), lead author of the report published online in Academic Pediatrics. “However, many of them end up becoming dual users of cigarettes and e-cigarettes, maintaining their addiction to nicotine and also exposing their children to e-cigarette aerosols, which contain hazardous substances.”

The CEASE study

The current study is an outgrowth of the CEASE (Clinical Effort Against Secondhand Smoke Exposure) program, which trains pediatric office staff members to ask the parents of patients whether anyone uses tobacco products in their homes or cars and to provide assistance to help those who smoke to quit. The CEASE study was conducted at 10 pediatric practices—two each in the states of Ohio, Virginia, Tennessee, North Carolina and Indiana—and the current study was conducted at the five control practices where the CEASE training had not been initiated.

Among a group of more than 700 parents who reported currently using cigarettes, 11% reported also using e-cigarettes, making them dual users of both products. Of 115 parents who reported using e-cigarettes, 70% were still smoking traditional cigarettes. Compared with parents who reported smoking traditional cigarettes only, dual users were more likely:

  1. To have a child less than 1 year old at home.
  2. Planning to quit smoking in the next 6 months.
  3. Having attempted to quit smoking in the past 3 months.
  4. Using nicotine replacement or called a smoking quit-line in the past two years.

Parental tobacco use

While around 18% of cigarette-only users and 26% of dual users reported having been asking about their smoking status at the current office visit, discussions about FDA-approved medications to help them quit were reported by only 2% of the cigarette-only users and none of the dual users. The authors note that this result implies that, although some pediatric offices not in the CEASE program have systems prompting clinicians to screen for parental tobacco use, few routinely deliver the evidence-based tobacco control treatments that can help parents quit.