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    Parental electronic cigarette (e-cigarette) use is driven by smoking cessation goals and addiction, with many parents unaware of secondhand vaping risks to children. Targeted health education is crucial for addressing these misconceptions.

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    Area of Science:

    • Public Health
    • Behavioral Science
    • Environmental Health

    Background:

    • Electronic cigarette (e-cigarette) use is increasing globally, especially among young adults and parents.
    • Concerns exist about secondhand exposure to e-cigarette aerosol, particularly for children.
    • Misconceptions about vaping safety may influence parental behavior around children.

    Purpose of the Study:

    • To investigate parental motivations for e-cigarette use.
    • To examine parents' perceptions of risks associated with vaping around children.
    • To utilize a mixed-methods approach combining quantitative and qualitative data.

    Main Methods:

    • An explanatory sequential mixed-methods observational study was conducted.
    • Quantitative data were collected via surveys on demographics, motivations, and perceived harms.
    • Qualitative data were gathered through virtual focus groups with parents of children aged 4-12.

    Main Results:

    • Participants were primarily Black, single, low-income mothers with moderate to high nicotine dependence.
    • Most initiated e-cigarette use for smoking cessation, believing vaping posed minimal health risks.
    • Key themes included vaping for smoking cessation, perceived lower harm than smoking, and addiction, with limited understanding of secondhand risks.

    Conclusions:

    • Parental e-cigarette use is linked to harm reduction beliefs, cessation aims, and nicotine dependence.
    • Misconceptions regarding secondhand aerosol risks highlight the need for targeted health education.
    • Interventions should address psychological dependence and socioeconomic factors influencing parental vaping.