E-Cigarette Use Patterns and High-Risk Behaviors in Pregnancy: Behavioral Risk Factor Surveillance System, 2016–2018

Olufunmilayo H. Obisesan, Albert D. Osei, S. M.Iftekhar Uddin, Omar Dzaye, Miguel Cainzos-Achirica, Mohammadhassan Mirbolouk, Olusola A. Orimoloye, Garima Sharma, Mahmoud Al Rifai, Andrew Stokes, Aruni Bhatnagar, Omar El Shahawy, Emelia J. Benjamin, Andrew P. DeFilippis, Michael J. Blaha

Research output: Contribution to journalArticlepeer-review

33 Scopus citations


Introduction: The prevalence of e-cigarette use has increased dramatically in the last decade in the U.S. Understanding the prevalence, patterns of use, and risk factor associations of e-cigarette use in pregnant women is particularly important, as this could have potential health implications for the mother and the developing child. Methods: Using Behavioral Risk Factor Surveillance System Survey data from 2016 to 2018, adult women of reproductive age (18–49 years) who reported being pregnant (n=7,434) were studied. Self-reported current e-cigarette use was the main exposure. Other measures included combustible cigarette smoking status and high-risk behaviors (including other tobacco, marijuana, or heavy alcohol use; binge drinking; and others). All analyses were done in 2019. Results: Approximately 2.2% of pregnant women reported current e-cigarette use, of whom 0.6% reported daily use. The highest prevalence of e-cigarette use was observed in the youngest age group of pregnant women (3.2%), with 41.7% of all pregnant current e-cigarette users being aged 18–24 years. There was a marked increase in the prevalence of current use of e-cigarettes among pregnant women from 1.9% in 2016 to 3.8% in 2018. Approximately 46% of pregnant current e-cigarette users reported concomitant cigarette smoking. Compared with pregnant never e-cigarette users, pregnant current e-cigarette users had a higher prevalence of other tobacco product use, marijuana use, heavy alcohol intake, binge drinking, and other high-risk behaviors. Conclusions: These findings underscore the need to strengthen prevention and policy efforts, specifically in the vulnerable subgroup of pregnant women.

Original languageEnglish (US)
Pages (from-to)187-195
Number of pages9
JournalAmerican Journal of Preventive Medicine
Issue number2
StatePublished - Aug 2020

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health


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