Electronic cigarette use among patients with cancer: Reasons for use, beliefs, and patient‐provider communication

Objective Smoking tobacco cigarettes after a cancer diagnosis increases risk for several serious adverse outcomes. Thus, patients can significantly benefit from quitting smoking. Electronic cigarettes are an increasingly popular cessation method. Providers routinely ask about combustible cigarette u...

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Veröffentlicht in:Psycho-oncology (Chichester, England) England), 2018-07, Vol.27 (7), p.1757-1764
Hauptverfasser: Correa, John B., Brandon, Karen O., Meltzer, Lauren R., Hoehn, Hannah J., Piñeiro, Bárbara, Brandon, Thomas H., Simmons, Vani N.
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container_end_page 1764
container_issue 7
container_start_page 1757
container_title Psycho-oncology (Chichester, England)
container_volume 27
creator Correa, John B.
Brandon, Karen O.
Meltzer, Lauren R.
Hoehn, Hannah J.
Piñeiro, Bárbara
Brandon, Thomas H.
Simmons, Vani N.
description Objective Smoking tobacco cigarettes after a cancer diagnosis increases risk for several serious adverse outcomes. Thus, patients can significantly benefit from quitting smoking. Electronic cigarettes are an increasingly popular cessation method. Providers routinely ask about combustible cigarette use, yet little is known about use and communication surrounding e‐cigarettes among patients with cancer. This study aims to describe patterns, beliefs, and communication with oncology providers about e‐cigarette use of patients with cancer. Methods Patients with cancer (N = 121) who currently used e‐cigarettes were surveyed in a cross‐sectional study about their patterns and reasons for use, beliefs, and perceptions of risk for e‐cigarettes, combustible cigarettes, and nicotine replacement therapies. Patient perspectives on provider communication regarding e‐cigarettes were also assessed. Results Most participants identified smoking cessation as the reason for initiating (81%) and continuing (60%) e‐cigarette use. However, 51% of patients reported current dual use of combustible cigarettes and e‐cigarettes, and most patients reported never having discussed their use of e‐cigarettes with their oncology provider (72%). Patients characterized e‐cigarettes as less addictive, less expensive, less stigmatizing, and less likely to impact cancer treatment than combustible cigarettes (Ps 
doi_str_mv 10.1002/pon.4721
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Thus, patients can significantly benefit from quitting smoking. Electronic cigarettes are an increasingly popular cessation method. Providers routinely ask about combustible cigarette use, yet little is known about use and communication surrounding e‐cigarettes among patients with cancer. This study aims to describe patterns, beliefs, and communication with oncology providers about e‐cigarette use of patients with cancer. Methods Patients with cancer (N = 121) who currently used e‐cigarettes were surveyed in a cross‐sectional study about their patterns and reasons for use, beliefs, and perceptions of risk for e‐cigarettes, combustible cigarettes, and nicotine replacement therapies. Patient perspectives on provider communication regarding e‐cigarettes were also assessed. Results Most participants identified smoking cessation as the reason for initiating (81%) and continuing (60%) e‐cigarette use. However, 51% of patients reported current dual use of combustible cigarettes and e‐cigarettes, and most patients reported never having discussed their use of e‐cigarettes with their oncology provider (72%). Patients characterized e‐cigarettes as less addictive, less expensive, less stigmatizing, and less likely to impact cancer treatment than combustible cigarettes (Ps &lt; .05), and more satisfying, more useful for quitting smoking, and more effective at reducing cancer‐related stress than nicotine replacement therapies (Ps &lt; .05). Conclusions Patients with cancer who use e‐cigarettes have positive attitudes toward these devices and use them to aid in smoking cessation. This study also highlights the need for improved patient‐provider communication on the safety and efficacy of e‐cigarettes for smoking cessation.</description><identifier>ISSN: 1057-9249</identifier><identifier>EISSN: 1099-1611</identifier><identifier>DOI: 10.1002/pon.4721</identifier><identifier>PMID: 29671928</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Aged ; Cancer ; Cigarettes ; Communication ; Cross-Sectional Studies ; dual use ; Efficacy ; Electronic cigarettes ; Electronic Nicotine Delivery Systems - statistics &amp; numerical data ; e‐cigarettes ; Female ; Florida - epidemiology ; Health Communication ; Humans ; Male ; Medical diagnosis ; Middle Aged ; Neoplasms - epidemiology ; Nicotine ; Oncology ; Patients ; patient‐provider communication ; Professional-Patient Relations ; Risk perception ; Smoking - epidemiology ; Smoking cessation ; Smoking Cessation - statistics &amp; numerical data ; Stigma ; Tobacco ; Vaping</subject><ispartof>Psycho-oncology (Chichester, England), 2018-07, Vol.27 (7), p.1757-1764</ispartof><rights>Copyright © 2018 John Wiley &amp; Sons, Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4381-81c751f4d6801a93d3908b3683eeca98ae810666093eb9b78406450f9f9f21ec3</citedby><cites>FETCH-LOGICAL-c4381-81c751f4d6801a93d3908b3683eeca98ae810666093eb9b78406450f9f9f21ec3</cites><orcidid>0000-0001-7600-6829</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpon.4721$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpon.4721$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,778,782,883,1414,27907,27908,30982,45557,45558</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29671928$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Correa, John B.</creatorcontrib><creatorcontrib>Brandon, Karen O.</creatorcontrib><creatorcontrib>Meltzer, Lauren R.</creatorcontrib><creatorcontrib>Hoehn, Hannah J.</creatorcontrib><creatorcontrib>Piñeiro, Bárbara</creatorcontrib><creatorcontrib>Brandon, Thomas H.</creatorcontrib><creatorcontrib>Simmons, Vani N.</creatorcontrib><title>Electronic cigarette use among patients with cancer: Reasons for use, beliefs, and patient‐provider communication</title><title>Psycho-oncology (Chichester, England)</title><addtitle>Psychooncology</addtitle><description>Objective Smoking tobacco cigarettes after a cancer diagnosis increases risk for several serious adverse outcomes. Thus, patients can significantly benefit from quitting smoking. Electronic cigarettes are an increasingly popular cessation method. Providers routinely ask about combustible cigarette use, yet little is known about use and communication surrounding e‐cigarettes among patients with cancer. This study aims to describe patterns, beliefs, and communication with oncology providers about e‐cigarette use of patients with cancer. Methods Patients with cancer (N = 121) who currently used e‐cigarettes were surveyed in a cross‐sectional study about their patterns and reasons for use, beliefs, and perceptions of risk for e‐cigarettes, combustible cigarettes, and nicotine replacement therapies. Patient perspectives on provider communication regarding e‐cigarettes were also assessed. Results Most participants identified smoking cessation as the reason for initiating (81%) and continuing (60%) e‐cigarette use. However, 51% of patients reported current dual use of combustible cigarettes and e‐cigarettes, and most patients reported never having discussed their use of e‐cigarettes with their oncology provider (72%). Patients characterized e‐cigarettes as less addictive, less expensive, less stigmatizing, and less likely to impact cancer treatment than combustible cigarettes (Ps &lt; .05), and more satisfying, more useful for quitting smoking, and more effective at reducing cancer‐related stress than nicotine replacement therapies (Ps &lt; .05). Conclusions Patients with cancer who use e‐cigarettes have positive attitudes toward these devices and use them to aid in smoking cessation. This study also highlights the need for improved patient‐provider communication on the safety and efficacy of e‐cigarettes for smoking cessation.</description><subject>Adult</subject><subject>Aged</subject><subject>Cancer</subject><subject>Cigarettes</subject><subject>Communication</subject><subject>Cross-Sectional Studies</subject><subject>dual use</subject><subject>Efficacy</subject><subject>Electronic cigarettes</subject><subject>Electronic Nicotine Delivery Systems - statistics &amp; numerical data</subject><subject>e‐cigarettes</subject><subject>Female</subject><subject>Florida - epidemiology</subject><subject>Health Communication</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Middle Aged</subject><subject>Neoplasms - epidemiology</subject><subject>Nicotine</subject><subject>Oncology</subject><subject>Patients</subject><subject>patient‐provider communication</subject><subject>Professional-Patient Relations</subject><subject>Risk perception</subject><subject>Smoking - epidemiology</subject><subject>Smoking cessation</subject><subject>Smoking Cessation - statistics &amp; 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Brandon, Karen O. ; Meltzer, Lauren R. ; Hoehn, Hannah J. ; Piñeiro, Bárbara ; Brandon, Thomas H. ; Simmons, Vani N.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4381-81c751f4d6801a93d3908b3683eeca98ae810666093eb9b78406450f9f9f21ec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Cancer</topic><topic>Cigarettes</topic><topic>Communication</topic><topic>Cross-Sectional Studies</topic><topic>dual use</topic><topic>Efficacy</topic><topic>Electronic cigarettes</topic><topic>Electronic Nicotine Delivery Systems - statistics &amp; numerical data</topic><topic>e‐cigarettes</topic><topic>Female</topic><topic>Florida - epidemiology</topic><topic>Health Communication</topic><topic>Humans</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Middle Aged</topic><topic>Neoplasms - epidemiology</topic><topic>Nicotine</topic><topic>Oncology</topic><topic>Patients</topic><topic>patient‐provider communication</topic><topic>Professional-Patient Relations</topic><topic>Risk perception</topic><topic>Smoking - epidemiology</topic><topic>Smoking cessation</topic><topic>Smoking Cessation - statistics &amp; numerical data</topic><topic>Stigma</topic><topic>Tobacco</topic><topic>Vaping</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Correa, John B.</creatorcontrib><creatorcontrib>Brandon, Karen O.</creatorcontrib><creatorcontrib>Meltzer, Lauren R.</creatorcontrib><creatorcontrib>Hoehn, Hannah J.</creatorcontrib><creatorcontrib>Piñeiro, Bárbara</creatorcontrib><creatorcontrib>Brandon, Thomas H.</creatorcontrib><creatorcontrib>Simmons, Vani N.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Psycho-oncology (Chichester, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Correa, John B.</au><au>Brandon, Karen O.</au><au>Meltzer, Lauren R.</au><au>Hoehn, Hannah J.</au><au>Piñeiro, Bárbara</au><au>Brandon, Thomas H.</au><au>Simmons, Vani N.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Electronic cigarette use among patients with cancer: Reasons for use, beliefs, and patient‐provider communication</atitle><jtitle>Psycho-oncology (Chichester, England)</jtitle><addtitle>Psychooncology</addtitle><date>2018-07</date><risdate>2018</risdate><volume>27</volume><issue>7</issue><spage>1757</spage><epage>1764</epage><pages>1757-1764</pages><issn>1057-9249</issn><eissn>1099-1611</eissn><abstract>Objective Smoking tobacco cigarettes after a cancer diagnosis increases risk for several serious adverse outcomes. Thus, patients can significantly benefit from quitting smoking. Electronic cigarettes are an increasingly popular cessation method. Providers routinely ask about combustible cigarette use, yet little is known about use and communication surrounding e‐cigarettes among patients with cancer. This study aims to describe patterns, beliefs, and communication with oncology providers about e‐cigarette use of patients with cancer. Methods Patients with cancer (N = 121) who currently used e‐cigarettes were surveyed in a cross‐sectional study about their patterns and reasons for use, beliefs, and perceptions of risk for e‐cigarettes, combustible cigarettes, and nicotine replacement therapies. Patient perspectives on provider communication regarding e‐cigarettes were also assessed. Results Most participants identified smoking cessation as the reason for initiating (81%) and continuing (60%) e‐cigarette use. However, 51% of patients reported current dual use of combustible cigarettes and e‐cigarettes, and most patients reported never having discussed their use of e‐cigarettes with their oncology provider (72%). Patients characterized e‐cigarettes as less addictive, less expensive, less stigmatizing, and less likely to impact cancer treatment than combustible cigarettes (Ps &lt; .05), and more satisfying, more useful for quitting smoking, and more effective at reducing cancer‐related stress than nicotine replacement therapies (Ps &lt; .05). Conclusions Patients with cancer who use e‐cigarettes have positive attitudes toward these devices and use them to aid in smoking cessation. This study also highlights the need for improved patient‐provider communication on the safety and efficacy of e‐cigarettes for smoking cessation.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29671928</pmid><doi>10.1002/pon.4721</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-7600-6829</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Adult
Aged
Cancer
Cigarettes
Communication
Cross-Sectional Studies
dual use
Efficacy
Electronic cigarettes
Electronic Nicotine Delivery Systems - statistics & numerical data
e‐cigarettes
Female
Florida - epidemiology
Health Communication
Humans
Male
Medical diagnosis
Middle Aged
Neoplasms - epidemiology
Nicotine
Oncology
Patients
patient‐provider communication
Professional-Patient Relations
Risk perception
Smoking - epidemiology
Smoking cessation
Smoking Cessation - statistics & numerical data
Stigma
Tobacco
Vaping
title Electronic cigarette use among patients with cancer: Reasons for use, beliefs, and patient‐provider communication
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