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Research ArticleOriginal Research

Patient Perspectives on Discussions of Electronic Cigarettes in Primary Care

Mark P. Doescher, Ming Wu, Elizabeth Rainwater, Ali S. Khan and Dorothy A. Rhoades
The Journal of the American Board of Family Medicine January 2018, 31 (1) 73-82; DOI: https://doi.org/10.3122/jabfm.2018.01.170206
Mark P. Doescher
From the Department of Family and Preventive Medicine, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK (MPD); Saint Anthony Shawnee Hospital, Shawnee, OK (MW); Variety Care, Oklahoma City (ER); University of Oklahoma, Norman, OK (ASK); University of Oklahoma Health Sciences Center, Oklahoma City, OK (DAR).
MD, MSPH
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Ming Wu
From the Department of Family and Preventive Medicine, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK (MPD); Saint Anthony Shawnee Hospital, Shawnee, OK (MW); Variety Care, Oklahoma City (ER); University of Oklahoma, Norman, OK (ASK); University of Oklahoma Health Sciences Center, Oklahoma City, OK (DAR).
MD, PhD
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Elizabeth Rainwater
From the Department of Family and Preventive Medicine, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK (MPD); Saint Anthony Shawnee Hospital, Shawnee, OK (MW); Variety Care, Oklahoma City (ER); University of Oklahoma, Norman, OK (ASK); University of Oklahoma Health Sciences Center, Oklahoma City, OK (DAR).
MD
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Ali S. Khan
From the Department of Family and Preventive Medicine, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK (MPD); Saint Anthony Shawnee Hospital, Shawnee, OK (MW); Variety Care, Oklahoma City (ER); University of Oklahoma, Norman, OK (ASK); University of Oklahoma Health Sciences Center, Oklahoma City, OK (DAR).
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Dorothy A. Rhoades
From the Department of Family and Preventive Medicine, Stephenson Cancer Center, University of Oklahoma Health Sciences Center, Oklahoma City, OK (MPD); Saint Anthony Shawnee Hospital, Shawnee, OK (MW); Variety Care, Oklahoma City (ER); University of Oklahoma, Norman, OK (ASK); University of Oklahoma Health Sciences Center, Oklahoma City, OK (DAR).
MD, MPH
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Article Figures & Data

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    Figure 1.

    Patients' reported sources of information about e-cigarettes in 2016 (N = 532).

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    Table 1.

    Selected Demographic Characteristics by e-Cigarette Use Status

    When Was the Last Time You Smoked an Electronic Cigarette/, Even One or Two Puffs?Total, N (%)P-Value
    Recent Users, N (%)Nonrecent Users, N (%)Never Users, N (%)
    Age, years (missing = 2)
        18 to 2917 (30.4)43 (26.1)59 (17.1)119 (21.0)<.001
        30 to 4414 (25.0)62 (37.6)90 (26.1)166 (29.3)
        45 to 6422 (39.3)48 (29.1)106 (30.7)176 (31.1)
        65+3 (5.4)12 (7.3)90 (26.1)105 (18.6)
    Sex (missing = 5)
        Male16 (28.6)49 (29.9)90 (26.2)155 (27.5).68
        Female40 (71.4)115 (70.1)253 (73.8)408 (72.5)
    Educational attainment (missing = 2)
        Grade 11 or Less9 (16.1)17 (10.2)44 (12.8)70 (12.4).008
        Grade 12 or GED23 (41.1)66 (39.8)91 (26.5)180 (31.8)
        Some college18 (32.1)53 (31.9)115 (33.4)186 (32.9)
        College grad +6 (10.7)30 (18.1)94 (27.3)130 (23.0)
    Self-reported general health (missing = 0)
        Excellent5 (8.8)15 (9.1)39 (11.3)59 (10.4).539
        Very good12 (21.1)27 (16.4)75 (21.7)114 (20.1)
        Good20 (35.1)64 (38.8)134 (38.7)218 (38.4)
        Fair14 (24.6)48 (29.1)82 (23.7)144 (25.4)
        Poor6 (10.5)11 (6.7)16 (4.6)33 (5.8)
    Cigarette smoking (missing = 4)
        Current35 (62.5)88 (53.7)38 (11.0)161 (28.4)<.001
        Former14 (25.0)32 (19.5)79 (22.8)125 (22.0)
        Never7 (12.5)44 (26.8)230 (66.3)281 (49.6)
    • View popup
    Table 2.

    Self-Rated Knowledge Regarding e-Cigarette Effects by Vaping Status

    When Was the Last Time You Smoked an Electronic Cigarette, Even One or Two Puffs?Total
    Recent Users, N (%)Nonrecent Users, N (%)Never Users, N (%)
    57 (10.0)165 (29.0)346 (60.9)568 (100)
    I am knowledgeable about the effect of electronic cigarettes on users' health (missing = 40)
        Strongly or somewhat agree15 (29.4)52 (32.1)77 (24.4)144 (27.3)
        Neither agree nor disagree14 (27.5)40 (24.7)75 (23.8.)129 (24.4)
        Somewhat or strongly disagree22 (43.1)70 (43.2)163 (51.7)255 (48.3)
    I am knowledgeable about secondhand smoke from electronic cigarettes (missing = 40)
        Strongly or somewhat agree18 (35.3)61 (37.4)83 (26.4)162 (30.7)
        Neither agree nor disagree14 (27.4)35 (21.5)70 (22.3)119 (22.5)
        Somewhat or strongly disagree19 (37.3)67 (41.1)161 (51.3)247 (46.8)
    I am knowledgeable about the effects of electronic cigarettes on quitting cigarettes (missing = 56)
        Strongly or somewhat agree16 (31.4)48 (30.2)74 (24.5)138 (27.0)
        Neither agree nor disagree8 (15.7)40 (25.2)82 (27.2)130 (25.3)
        Somewhat or strongly disagree27 (52.9)71 (44.6)146 (48.3)244 (47.7)
    • View popup
    Table 3.

    Perceived Role of Primary Care Provider in Discussing e-Cigarettes by Vaping Status

    When Was the Last Time you Smoked an e-Cigarette, Even One or Two Puffs?Total, N (%)P-Value
    Recent Users, N (%)Nonrecent Users, N (%)Never Users, N (%)
    My primary care provider knows a lot about electronic cigarettes (missing = 71)
        strongly or somewhat disagree8 (16.3)22 (14.3)38 (12.9)68 (13.7).905
        neither disagree nor agree27 (55.1)89 (57.8)163 (55.5)279 (56.1)
        somewhat or strongly agree14 (28.6)43 (27.9)93 (31.6)150 (30.2)
    I am comfortable discussing electronic cigs with my primary care provider (missing = 49)
        strongly or somewhat disagree4 (7.8)28 (17.5)49 (15.9)81 (15.6).161
        neither disagree nor agree8 (15.7)32 (20.0)76 (24.7)116 (22.4)
        somewhat or strongly agree39 (76.5)100 (62.5)183 (59.4)322 (62.0)
    Would you want your PCP to discuss cigarettes electronic with you during your clinic visits? (missing = 47)
        Yes31 (62.0)50 (30.9)53 (16.1)134 (24.7)<.001
        No19 (38.0)112 (69.1)276 (83.9)407 (75.3)
    • PCP, primary care provider.

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The Journal of the American Board of Family     Medicine: 31 (1)
The Journal of the American Board of Family Medicine
Vol. 31, Issue 1
January-February 2018
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Patient Perspectives on Discussions of Electronic Cigarettes in Primary Care
Mark P. Doescher, Ming Wu, Elizabeth Rainwater, Ali S. Khan, Dorothy A. Rhoades
The Journal of the American Board of Family Medicine Jan 2018, 31 (1) 73-82; DOI: 10.3122/jabfm.2018.01.170206

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Patient Perspectives on Discussions of Electronic Cigarettes in Primary Care
Mark P. Doescher, Ming Wu, Elizabeth Rainwater, Ali S. Khan, Dorothy A. Rhoades
The Journal of the American Board of Family Medicine Jan 2018, 31 (1) 73-82; DOI: 10.3122/jabfm.2018.01.170206
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Keywords

  • Cross-Sectional Studies
  • Electronic Cigarettes
  • Patient Preference
  • Primary Health Care
  • Secondhand Smoke
  • Self Report
  • Tobacco Products

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