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
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