"Electronic Cigarette/E-Cigs/E-Cigarettes" by Chris F is licensed under CC BY 2.0

2 Million Never-Smokers Now Use E-Cigarettes

MedicalResearch.com Interview with:
"Electronic Cigarette/E-Cigs/E-Cigarettes" by Chris F is licensed under CC BY 2.0Mohammadhassan (Hassan) Mirbolouk, MD
American Heart Association Tobacco Regulation Center (A-TRAC)
Johns Hopkins Hospital
Baltimore, MD 21224.

MedicalResearch.com: What is the background for this study?

Response: E-cigarettes were introduced first in US market as a less harmful method of nicotine delivery which potentially would help smokers to have a less harmful option.

However, overtime e-cigarette found its niche of consumers in the younger/tobacco naïve population. Our study is amongst the first studies that describes those who use e-cigarette without any history of combustible-cigarette smoking. 

MedicalResearch.com: What are the main findings? 

Response: We estimated that in 2016, 2 million US without history of combustible cigarettes smoking were e-cigarettes users. So among never combustible smokers, e-cigarette using population is sizeable. 

We showed that the prevalence of e-cigarette use among different states differed dramatically. For example in Michigan two out of 100 never smokers were e-cigarette user.

Sole e-cigarette users (e-cigarette users without history of combustible cigarette smoking) had a high prevalence of high risk health behaviors. 

MedicalResearch.com: What should readers take away from your report?

Response: While e-cigarettes were initially marketed as smoking cessation device, e-cigarettes now have users that never smoked cigarettes.

MedicalResearch.com: What recommendations do you have for future research as a result of this work?

Response: Future research must address why e-cigarettes appeal to tobacco naïve population and how public health authorities can plan to target away e-cigarettes from this population.


Mirbolouk M, Charkhchi P, Orimoloye OA, Uddin SI, Kianoush S, Jaber R, et al. E-Cigarette Use Without a History of Combustible Cigarette Smoking Among U.S. Adults: Behavioral Risk Factor Surveillance System, 2016. Ann Intern Med. [Epub ahead of print ] doi: 10.7326/M18-1826

[wysija_form id=”3″]


The information on MedicalResearch.com is provided for educational purposes only, and is in no way intended to diagnose, cure, or treat any medical or other condition. Always seek the advice of your physician or other qualified health and ask your doctor any questions you may have regarding a medical condition. In addition to all other limitations and disclaimers in this agreement, service provider and its third party providers disclaim any liability or loss in connection with the content provided on this website.


Last Updated on October 11, 2018 by Marie Benz MD FAAD