Updated 2017 Practice Bulletin! April 21, 2017

Our 2017 Practice Bulletin is available to view online! This resource has up-to-date information on e-cigarettes and billing, and also covers emerging topics like trauma informed care and tobacco use. Check it out here: yq2q_Practice bulletin_2017

Trends in tobacco and alcohol use in pregnant teens and adults April 10, 2017

Prevalence and correlates of alcohol and tobacco use among pregnant women in the United States: Evidence from the NSDOH 2005-2014

Sehun Oh, Jennifer Reingle Gonzalez, Christopher Salas-Wright, Michael Vaughn, Diana M. DiNitto, 2017

Using the National Survey of Drug Use and Health to ascertain population-level trends, researchers compared alcohol use, tobacco use, and co-use in pregnant and non-pregnant populations of adolescents and adults. They also explored socio-behavioral correlates to substance use—namely incarceration and experiencing a major depressive episode. Their findings highlight the complex needs of adult and teen women, particularly those who use substances, have mental health concerns, and are involved in the criminal justice system.

Some of the most salient findings include that pregnant teens smoke at higher rates than their non-pregnant peers and at a higher rate than pregnant adults—23% of pregnant teens reported tobacco use, as compared to 7.5% of non-pregnant teens and around 15% of pregnant adults. However, the authors do note that prevalence of smoking decreases markedly between the first and third trimesters. The authors also observed high levels of co-use of alcohol and tobacco by both teens and adults. Pregnant teens and adults who report current alcohol use (11.5% and 8.7%, respectively) were significantly more likely to use tobacco within the past month. Experiencing a major depressive episode was another strong correlate of tobacco use (adjusted odds ratio for teens: 2.39 [95% CI: 3.32-7.39), as was being arrested or incarcerated in the past year (adjusted odds ratio for teens: 2.80 [95% CI: 1.26-6.23] and adjusted odds ratio for adults: 4.95 [95% CI: 3.32-7.39] for adults).

The high rates of tobacco use and co-use with alcohol among pregnant teens demonstrates a critical need for supportive care. Most importantly, this study demonstrates that substance use during pregnancy often occurs within a complex web of behavioral and social risk factors. Tobacco treatment for these populations is best when its holistic, patient centered, and trauma informed.

Read the full article here: Oh, Reingle Gonzalez, et al., 2017

Cigarettes, vape pens, and the urge to smoke April 3, 2017

Second generation Electronic Nicotine Delivery System vape pen exposure generalizes as a smoking cue

Andrea King, Lia Smith, Patrick McNamara, Dingcai Cao, 2017

Do e-cigarettes produce the same sort of smoking cue that combustible cigarettes do? Researchers sought to answer this question, particularly as ENDS devices look increasingly different from the first generation “cigalikes,” e-cigarettes designed to look much like cigarettes. The authors set up a study room as a site for social interaction. Participants identified as current smokers were invited to engage in light conversation—such as movies and television, pets, vacations—while someone either drank bottled water (the nonsmoking control cue), smoked a combustible cigarette, or smoked an ENDS vape pen. Afterwards, the participant was tested to see how long they were able to resist smoking a regular cigarette. The most salient result was that both vape pens and regular cigarettes increased smoking urges in participants—with increased urges for both cigarettes and e-cigarettes reported. The vape pen also increased cigarette desire across the board, regardless of past ENDS use. Though visually different from cigarettes, vape pens may have enough resemblance in “design and function to render them generalizable as a smoking cue.” Simply passive exposure to a vape pen can provide the stimulus to smoke or vape—a concern for current and past users.

 

Read the full article here: King, Smith et al., 2017