title: Parental Use of Electronic Cigarettes.
abstract: OBJECTIVE
  To describe parental use of electronic cigarettes (e-cigs) to better understand the safety risks posed to children.
  
  
  METHODS
  Between June 24 and November 6, 2014, parents completed a self-administered paper survey during an office visit to 15 pediatric practices in a Midwestern practice-based research network. Attitudes towards and use of e-cigs are reported for those aware of e-cigs before the survey.
  
  
  RESULTS
  Ninety-five percent (628 of 658) of respondents were aware of e-cigs. Of these, 21.0% (130 of 622) had tried e-cigs at least once, and 12.3% (77) reported e-cig use by ≥1 person in their household (4.0% exclusive e-cig use, 8.3% dual use with regular cigarettes). An additional 17.3% (109) reported regular cigarette use. Most respondents from e-cig-using homes did not think e-cigs were addictive (36.9% minimally or not addictive, 25.0% did not know). While 73.7% believed that e-liquid was very dangerous for children if they ingested it, only 31.2% believed skin contact to be very dangerous. In 36.1% of e-cig-using homes, neither childproof caps nor locks were used to prevent children's access to e-liquid. Only 15.3% reported their child's pediatrician was aware of e-cig use in the home.
  
  
  CONCLUSIONS
  E-cig use occurred in 1 in 8 homes, often concurrently with regular cigarettes. Many parents who used e-cigs were unaware of the potential health and safety hazards, including nicotine poisoning for children, and many did not store e-liquid safely. Pediatricians could provide education about e-cig associated safety hazards but are unaware of e-cig use in their patients' homes.
authors: Department of Pediatrics, Washington University, St Louis, Mo; Department of Medicine, Washington University, St Louis, Mo. Electronic address: jgarbutt@dom.wustl.edu.
authors: Jane M
authors: JM
authors: Garbutt
authors: Department of Pediatrics, Washington University, St Louis, Mo.
authors: Whitney
authors: W
authors: Miller
authors: Department of Pediatrics, Washington University, St Louis, Mo.
authors: Sherry
authors: S
authors: Dodd
authors: Department of Pediatrics, Washington University, St Louis, Mo.
authors: Neil
authors: N
authors: Bobenhouse
authors: Department of Pediatrics, Washington University, St Louis, Mo; St Louis Children's Hospital, St Louis, Mo.
authors: Randall
authors: R
authors: Sterkel
authors: Department of Pediatrics, Washington University, St Louis, Mo.
authors: Robert C
authors: RC
authors: Strunk
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D066300:Electronic Nicotine Delivery Systems / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010290:Parents; D012907:Smoking / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology
keywords: electronic cigarettes; patient safety; practice-based research network