Tobacco and nicotine delivery product use in a U.S. national sample of women of reproductive age

Alexa A. Lopez, Ryan Redner, Allison N. Kurti, Diana R. Keith, Andrea C. Villanti, Cassandra A. Stanton, Diann E. Gaalema, Janice Y. Bunn, Nathan J. Doogan, Antonio Cepeda-Benito, Megan E. Roberts, Stephen T. Higgins

Research output: Contribution to journalArticlepeer-review


This study examined prevalence and correlates of using cigarettes, e-cigarettes, and other tobacco/nicotine delivery products in a U.S. national sample of women of reproductive age. Weighted data were obtained from women aged 15–44 years who were not currently pregnant in the first wave of the Population Assessment of Health and Tobacco (PATH, 2013–2014) study (N = 12,848). 20.1% of women were current cigarette smokers, 5.9% current e-cigarette users, 4.9% current cigar smokers, and 6.5% current hookah users. Prevalence of current use of other tobacco products was <1.0%. Current cigarette smoking was the strongest correlate of current e-cigarette use (OR = 65.7, 95% CI = 44.8–96.5), cigar smoking (OR = 19.2, 95% CI = 14.1–26.1), and hookah use (OR = 6.6, 95% CI = 5.1–8.5). Among former cigarette smokers, 3.8%, 6.9%, and 3.2% were also currently using e-cigarettes, hookah, and cigars, respectively. Use of other tobacco and nicotine delivery products was low among those who never smoked tobacco cigarettes: 2.5% used hookah and <1.0% used other products. Cigarette smoking prevalence remains relatively high among women of reproductive age and strongly correlated with use of other tobacco products. Monitoring tobacco and nicotine use in this population is important due to the additional risk of adverse health impacts should they become pregnant. Clinicians working with cigarette smokers should assess for use of other tobacco products. Among women of reproductive age, use of emerging tobacco and nicotine products appears to be largely, although not exclusively, restricted to current cigarette smokers.

Original languageEnglish (US)
Pages (from-to)61-68
Number of pages8
JournalPreventive Medicine
StatePublished - Dec 2018
Externally publishedYes


  • Cigarette smoking
  • Cigars
  • E-cigarettes
  • Hookah
  • Nationally representative sample
  • Nicotine
  • Population Assessment of Health and Tobacco
  • Reproductive age
  • Tobacco
  • Women

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health


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