Chest Health-care Provider Perceptions of Electronic Cigarettes

Chest Health-care Provider Perceptions of Electronic Cigarettes

Tobacco Cessation and Prevention SESSION TITLE: Tobacco Cessation and Prevention Slide SESSION TYPE: Original Investigation Slide PRESENTED ON: Sunday...

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Tobacco Cessation and Prevention SESSION TITLE: Tobacco Cessation and Prevention Slide SESSION TYPE: Original Investigation Slide PRESENTED ON: Sunday, October 23, 2016 at 07:30 AM - 08:30 AM

Chest Health-care Provider Perceptions of Electronic Cigarettes Stephen Baldassarri* Geoffrey Chupp Frank Leone Graham Warren; and Benjamin Toll Yale School of Medicine, New Haven, CT PURPOSE: Evaluation of CHEST member perceptions of electronic cigarettes (ECs)

TOBACCO CESSATION AND PREVENTION

METHODS: A brief online questionnaire was e-mailed to CHEST members to assess practice patterns and perceptions regarding electronic cigarette use and tobacco smoking among their patients. Survey participants were entered into a lottery to win $500. Interim results in 773 respondents are reported. RESULTS: Of 773 respondents who completed the survey to date, less than half (47%) reported asking patients about EC use either most of the time or always. 84% reported that patients had asked their opinion of ECs, and 48% reported EC use among at least 10% of their patients. Most reported believing that ECs are harmful (68%) and that daily EC use is not safe (72%). Respondents were split on whether ECs promote tobacco cessation (32% agree/strongly agree and 32% disagree/strongly disagree); few believed ECs were at least as effective as FDA-approved treatments to promote smoking cessation (13% agree vs. 52% disagree), and 11% reported that ECs should be used in an initial quit attempt. 6% thought ECs are more harmful than smoking, 21% thought switching from daily tobacco smoking to EC use would improve a patient’s health, and 55% reported feeling comfortable discussing health effects of ECs with patients. This survey is ongoing, and all analyses will be updated at the time of the conference. CONCLUSIONS: Respondent perceptions of electronic cigarette (EC) harms and benefits varied substantially. Over two-thirds of respondents perceive ECs are harmful, and the perceived efficacy of ECs in promoting cessation of tobacco smoking was evenly split. Most respondents reported that their patients requested a professional opinion regarding ECs, but many providers reported that they do not yet feel comfortable discussing health effects of these products. CLINICAL IMPLICATIONS: Chest physicians are likely to encounter electronic cigarette users in clinical practice. More research and education for healthcare providers regarding e-cigarettes is warranted. DISCLOSURE: The following authors have nothing to disclose: Stephen Baldassarri, Geoffrey Chupp, Frank Leone, Graham Warren, Benjamin Toll No Product/Research Disclosure Information DOI:

http://dx.doi.org/10.1016/j.chest.2016.08.1417

Copyright ª 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

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150#4S CHEST OCTOBER 2016

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