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 journalArticlepeer-review

64 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 languageEnglish (US)
Pages (from-to)678-683
Number of pages6
JournalJournal of Adolescent Health
Volume54
Issue number6
DOIs
StatePublished - 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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