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E-Cigarette Screening in Primary Care.

Brandon T Sanford1, Alana M Rojewski2, Amanda M Palmer1

  • 1Department of Public Health Sciences, College of Medicine, Medical University of South Carolina, Charleston, South Carolina.

American Journal of Preventive Medicine
|March 6, 2023
PubMed
Summary
This summary is machine-generated.

Primary care clinics screen for E-cigarette use less often than for tobacco, alcohol, or illicit drugs. Patients using combustible tobacco or illicit substances were more likely to be screened for E-cigarette use.

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Area of Science:

  • Public Health
  • Primary Care Medicine
  • Behavioral Health

Background:

  • Primary care visits are key opportunities for patient health behavior assessment.
  • While smoking, alcohol, and illicit drug use are routinely documented, E-cigarette screening and prevalence in primary care are less understood.

Purpose of the Study:

  • To evaluate the screening rates for E-cigarette use in primary care settings.
  • To determine the prevalence of E-cigarette use among adult patients.
  • To identify factors associated with E-cigarette screening.

Main Methods:

  • Analysis of electronic health records for 134,931 adult patients across 41 primary care clinics from June 2021 to June 2022.
  • Extracted data on demographics, combustible tobacco, alcohol, illicit drug, and E-cigarette use.
  • Used logistic regression to identify variables associated with E-cigarette screening.

Main Results:

  • E-cigarette screening rates (34.8%) were significantly lower than for tobacco (99.5%), alcohol (96.2%), and illicit drugs (92.6%).
  • Among those screened, 3.6% reported current E-cigarette use.
  • Combustible tobacco or illicit substance use, and younger age, were associated with higher odds of being screened for E-cigarette use.

Conclusions:

  • E-cigarette screening is notably less frequent than for other substance use in primary care.
  • Factors like concurrent combustible tobacco or illicit substance use increase the likelihood of E-cigarette screening.
  • Lower screening rates may stem from the novelty of E-cigarettes, recent EHR integration, or training gaps.