• Natacha M De Genna, Thomas Ylioja, Anna E Schulze, Christine Manta, Antoine B Douaihy, and Esa M Davis.
• Departments of Psychiatry and Epidemiology, University of Pittsburgh School of Medicine and Graduate School of Public Health (NMDG); University of Pittsburgh School of Social Work (TY); University of Pittsburgh Medical Center (AES, CM); Departments of Psychiatry and Medicine, University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center (ABD); Department of Medicine, University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Pittsburgh, PA (EMD).
• J Addict Med. 2017 Nov 1; 11 (6): 449-453.

ObjectivesFew studies have examined the prevalence of electronic cigarette use among the inpatient population regardless of the patients' cessation goals. The objectives of this study were to examine the prevalence of electronic cigarette use among counseled tobacco users admitted to 2 academic hospitals.MethodsCross-sectional data of hospitalized adult tobacco users who were admitted between January 1, 2015 and December 31, 2015 and who received bedside tobacco cessation counseling from a tobacco treatment service counselor were examined. Demographic and smoking history items were compared as a function of electronic cigarette use using chi-square and independent t tests. Logistic regression was used to test independent associations with electronic cigarette use.ResultsOf 2194 hospitalized tobacco users counseled, 22% had used an electronic cigarette. Most of these patients used electronic cigarettes to quit or reduce use of combustible cigarettes. Adjusted odds of electronic cigarette use were higher for females (adjusted odds ratio [AOR] 0.60 for male patients, 95% confidence interval [CI] 0.47-0.76), younger patients (AOR 0.98 for older patients, 95% CI 0.97-0.99), and individuals who initiated tobacco use earlier in life (AOR 0.97 for later smoking initiation, 95% CI 0.95-0.99).ConclusionsScreening hospitalized cigarette smokers for electronic cigarette use offers an opportunity to counsel all patients on evidence-based quit aids. Young, female patients are most likely to use electronic cigarettes and may benefit most from directed discussions about electronic cigarette use and Federal Drug Administration-approved cessation methods during smoking cessation counseling.

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