Healthcare providers' beliefs and attitudes about electronic cigarettes and preventive counseling for adolescent patients

Jessica K. Pepper; Annie Laurie McRee; Melissa B. Gilkey

doi:10.1016/j.jadohealth.2013.10.001

Healthcare providers' beliefs and attitudes about electronic cigarettes and preventive counseling for adolescent patients

Jessica K. Pepper, Annie Laurie McRee, Melissa B. Gilkey

Research output: Contribution to journal › Article › peer-review

95 Scopus citations

Abstract

Purpose Electronic cigarettes (e-cigarettes) are battery-powered nicotine delivery systems that may serve as a "gateway" to tobacco use by adolescents. Use of e-cigarettes by U.S adolescents rose from 3% in 2011 to 7% in 2012. We sought to describe healthcare providers' awareness of e-cigarettes and to assess their comfort with and attitudes toward discussing e-cigarettes with adolescent patients and their parents. Methods A statewide sample (n = 561) of Minnesota healthcare providers (46% family medicine physicians, 20% pediatricians, and 34% nurse practitioners) who treat adolescents completed an online survey in April 2013. Results Nearly all providers (92%) were aware of e-cigarettes, and 11% reported having treated an adolescent patient who had used them. The most frequently cited sources of information about e-cigarettes were patients, news stories, and advertisements, rather than professional sources. Providers expressed considerable concern that e-cigarettes could be a gateway to tobacco use but had moderately low levels of knowledge about and comfort discussing e-cigarettes with adolescent patients and their parents. Compared with pediatricians and nurse practitioners, family medicine physicians reported knowing more about e-cigarettes and being more comfortable discussing them with patients (both p

Original language	English (US)
Pages (from-to)	678-683
Number of pages	6
Journal	Journal of Adolescent Health
Volume	54
Issue number	6
DOIs	https://doi.org/10.1016/j.jadohealth.2013.10.001
State	Published - 2014

Bibliographical note

Funding Information:
This study was funded through a 2012 Young Investigator Award from the Academic Pediatric Association , supported by the Maternal and Child Health Bureau and the American Academy of Pediatrics (Federal Grant U04MC07853-03 ). The study was further supported by a NRSA in Primary Medical Care from HRSA ( T32HP22239 , PI: Borowsky); UNC Lineberger Cancer Control Education Program ( R25 CA57726 ); and Clinical and Translational Science Institute grant support ( UL1RR033183 ) to the University of Minnesota from the National Center for Research Resources. The authors thank Rachel Eggert for her assistance with planning and conducting the survey.

Keywords

Adolescent health
Electronic cigarette
Electronic nicotine delivery system
Medical education
Nicotine
Smoking

PubMed: MeSH publication types

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

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10.1016/j.jadohealth.2013.10.001

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title = "Healthcare providers' beliefs and attitudes about electronic cigarettes and preventive counseling for adolescent patients",

abstract = "Purpose Electronic cigarettes (e-cigarettes) are battery-powered nicotine delivery systems that may serve as a {"}gateway{"} to tobacco use by adolescents. Use of e-cigarettes by U.S adolescents rose from 3% in 2011 to 7% in 2012. We sought to describe healthcare providers' awareness of e-cigarettes and to assess their comfort with and attitudes toward discussing e-cigarettes with adolescent patients and their parents. Methods A statewide sample (n = 561) of Minnesota healthcare providers (46% family medicine physicians, 20% pediatricians, and 34% nurse practitioners) who treat adolescents completed an online survey in April 2013. Results Nearly all providers (92%) were aware of e-cigarettes, and 11% reported having treated an adolescent patient who had used them. The most frequently cited sources of information about e-cigarettes were patients, news stories, and advertisements, rather than professional sources. Providers expressed considerable concern that e-cigarettes could be a gateway to tobacco use but had moderately low levels of knowledge about and comfort discussing e-cigarettes with adolescent patients and their parents. Compared with pediatricians and nurse practitioners, family medicine physicians reported knowing more about e-cigarettes and being more comfortable discussing them with patients (both p ",

keywords = "Adolescent health, Electronic cigarette, Electronic nicotine delivery system, Medical education, Nicotine, Smoking",

author = "Pepper, {Jessica K.} and McRee, {Annie Laurie} and Gilkey, {Melissa B.}",

note = "Funding Information: This study was funded through a 2012 Young Investigator Award from the Academic Pediatric Association , supported by the Maternal and Child Health Bureau and the American Academy of Pediatrics (Federal Grant U04MC07853-03 ). The study was further supported by a NRSA in Primary Medical Care from HRSA ( T32HP22239 , PI: Borowsky); UNC Lineberger Cancer Control Education Program ( R25 CA57726 ); and Clinical and Translational Science Institute grant support ( UL1RR033183 ) to the University of Minnesota from the National Center for Research Resources. The authors thank Rachel Eggert for her assistance with planning and conducting the survey.",

year = "2014",

doi = "10.1016/j.jadohealth.2013.10.001",

language = "English (US)",

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pages = "678--683",

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T1 - Healthcare providers' beliefs and attitudes about electronic cigarettes and preventive counseling for adolescent patients

AU - Pepper, Jessica K.

AU - McRee, Annie Laurie

AU - Gilkey, Melissa B.

N1 - Funding Information: This study was funded through a 2012 Young Investigator Award from the Academic Pediatric Association , supported by the Maternal and Child Health Bureau and the American Academy of Pediatrics (Federal Grant U04MC07853-03 ). The study was further supported by a NRSA in Primary Medical Care from HRSA ( T32HP22239 , PI: Borowsky); UNC Lineberger Cancer Control Education Program ( R25 CA57726 ); and Clinical and Translational Science Institute grant support ( UL1RR033183 ) to the University of Minnesota from the National Center for Research Resources. The authors thank Rachel Eggert for her assistance with planning and conducting the survey.

PY - 2014

Y1 - 2014

N2 - Purpose Electronic cigarettes (e-cigarettes) are battery-powered nicotine delivery systems that may serve as a "gateway" to tobacco use by adolescents. Use of e-cigarettes by U.S adolescents rose from 3% in 2011 to 7% in 2012. We sought to describe healthcare providers' awareness of e-cigarettes and to assess their comfort with and attitudes toward discussing e-cigarettes with adolescent patients and their parents. Methods A statewide sample (n = 561) of Minnesota healthcare providers (46% family medicine physicians, 20% pediatricians, and 34% nurse practitioners) who treat adolescents completed an online survey in April 2013. Results Nearly all providers (92%) were aware of e-cigarettes, and 11% reported having treated an adolescent patient who had used them. The most frequently cited sources of information about e-cigarettes were patients, news stories, and advertisements, rather than professional sources. Providers expressed considerable concern that e-cigarettes could be a gateway to tobacco use but had moderately low levels of knowledge about and comfort discussing e-cigarettes with adolescent patients and their parents. Compared with pediatricians and nurse practitioners, family medicine physicians reported knowing more about e-cigarettes and being more comfortable discussing them with patients (both p

AB - Purpose Electronic cigarettes (e-cigarettes) are battery-powered nicotine delivery systems that may serve as a "gateway" to tobacco use by adolescents. Use of e-cigarettes by U.S adolescents rose from 3% in 2011 to 7% in 2012. We sought to describe healthcare providers' awareness of e-cigarettes and to assess their comfort with and attitudes toward discussing e-cigarettes with adolescent patients and their parents. Methods A statewide sample (n = 561) of Minnesota healthcare providers (46% family medicine physicians, 20% pediatricians, and 34% nurse practitioners) who treat adolescents completed an online survey in April 2013. Results Nearly all providers (92%) were aware of e-cigarettes, and 11% reported having treated an adolescent patient who had used them. The most frequently cited sources of information about e-cigarettes were patients, news stories, and advertisements, rather than professional sources. Providers expressed considerable concern that e-cigarettes could be a gateway to tobacco use but had moderately low levels of knowledge about and comfort discussing e-cigarettes with adolescent patients and their parents. Compared with pediatricians and nurse practitioners, family medicine physicians reported knowing more about e-cigarettes and being more comfortable discussing them with patients (both p

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KW - Electronic cigarette

KW - Electronic nicotine delivery system

KW - Medical education

KW - Nicotine

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Healthcare providers' beliefs and attitudes about electronic cigarettes and preventive counseling for adolescent patients

Abstract

Bibliographical note

Keywords

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