Comparing vape use and perceptions among pharmacy and non-pharmacy students from two universities in the US and UK
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Keywords

Vape
e-cigarettes
electronic nicotine delivery system
University students
Pharmacy
Nicotine

Abstract

Introduction: Little research exists regarding pharmacy student vaping habits or differences among students from different countries.

Methods: A novel 19-item questionnaire was distributed in November 2023 to students at The University of Bath (United Kingdom) and The University of Texas at Austin (United States) to compare vape use and perceptions among pharmacy and non-pharmacy students from the two universities. All pharmacy students at both institutions were invited to complete the survey. A non-pharmacy student control group was identified through snowball sampling (i.e., the survey was distributed to a convenience sample of non-pharmacy students at each school, asking them to complete and distribute to peers). To incentivize participation, one respondent received a $100 reward. Data was analyzed using descriptive statistics. Chi-square and Wilcoxon Rank Sum tests were used to compare answers between pharmacy and non-pharmacy and UK and US participants. A p-value <0.05 was deemed significant.

Results: Overall, 372 students completed the survey (25% pharmacy student response rate). Vape use significantly differed between pharmacy and non-pharmacy students (p=0.03). Among 212 pharmacy students, 49% reported vape ever-use versus 59% of the 158 non-pharmacy students. Significant differences were found in harm perceptions; more pharmacy students believed vapes are cancer-causing, affect the health of others nearby, should be banned in public, and are ineffective for quitting cigarettes. Few differences were observed between UK and US students.

Conclusion: Pharmacy students were less likely to vape and exhibited heightened awareness of associated risks than non-pharmacy students. Few differences were observed between UK and US students surveyed.

https://doi.org/10.15167/2421-4248/jpmh2025.66.2.3605
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References

Britton J, Bogdanovica I. Public Health England. Electronic Cigarettes. Available at: https://assets.publishing.service.gov.uk/media/5a7df89c40f0b62302688532/Ecigarettes_report.pdf. Accessed 3/3/2025.

Centers for Disease Control and Prevention. Burden of Cigarette Use in the U.S. Available from: https://www.cdc.gov/tobacco/campaign/tips/resources/data/cigarette-smoking-in-united-states.html. Accessed: 3/3/2025

Action on Smoking and Health (ASH). Smoking Statistics. November 2024. Available at: https://ash.org.uk/uploads/Smoking-Statistics-Fact-Sheet.pdf?v=1697728811. Accessed: 3/3/2025

About Electronic Cigarettes (E-Cigarettes): Centers for Disease Control and Prevention (CDC); May, 2023 Available at: https://www.cdc.gov/tobacco/basic_information/e-cigarettes/about-e-cigarettes.html.

Action on Smoking and Health (ASH). Use of e-cigarettes (vapes) among adults in Great Britain. August, 2023. Available from: https://ash.org.uk/uploads/Use-of-e-cigarettes-among-adults-in-Great-Britain-2023.pdf?v=1691058248. Accessed 3/3/2025.

Hill JE, Rao MB, Guan T. Vaping: The Key to Quitting Cigarettes or a Gateway to Addiction? Medicina 2024;60:1541. doi: 10.3390/medicina60091541.

Glantz SA, Nguyen N, Oliveira da Silva A. Population-Based Disease Odds for E-Cigarettes and Dual Use versus Cigarettes. NEJM Evid 2024;3(3):1-18. doi: 10.1056/EVIDoa2300229

Centers for Disease Control and Prevention. E-Cigarette Use Among Youth. October 2024. Available at: https://www.cdc.gov/tobacco/e-cigarettes/youth.html. Accessed: 3/3/2025.

Kelsh S, Ottney A, Young M, Kelly M, Larson R, Sohn M. Young Adults’ Electronic Cigarette Use and Perceptions of Risk. Tob Use Insights. 2023;16:1179173X231161313. doi: 10.1177/1179173X231161313

Centers for Disease Control and Prevention. Current Electronic Cigarette Use Among Adults Aged 18 and Over: United States 2021. July 2023. Available at: https://www.cdc.gov/nchs/products/databriefs/db475.htm#section_1. Accessed: 3/3/2025.

Franks AM, Hawes WA, McCain KR, Payakachat N. Electronic cigarette use, knowledge, and perceptions among health professional students. Curr Pharm Teach Learn. 2017;9(6):1003-1009. doi: 10.1016/j.cptl.2017.07.023.

Sahr M, Kelsh S, Ottney A, Young M, Larson R, Sohn M. Pharmacy Students' Perceptions of Electronic Nicotine Delivery Systems as Compared to Those of Other Health Care Students. Am J Pharm Educ. 2020;84(7):ajpe7690. doi: 10.5688/ajpe7690

Hilts KE, Corelli RL, Vernon VP, Hudmon KS. Update and recommendations: Pharmacists' prescriptive authority for tobacco cessation medications in the United States. J Am Pharm Assoc 2022;62(5):1531-1537. doi: 10.1016/j.japh.2022.06.005.

Mitchell TB, Shah S, Zink L. The need for Nationwide Electronic Cigarette Smoking Cessation Curricula Across the Healthcare Spectrum. Am J Pharm Educ 2021;85(10):8212. doi: 10.5688/ajpe8212.

Alfayoumi I, Aqel O, Axon DR. An Assessment of Student Pharmacists' Knowledge of Electronic Cigarettes or Vapes-A Cross Sectional Study at One College of Pharmacy. Pharmacy 2022;10(5):131. doi: 10.3390/pharmacy10050131.

Marti KM, Marti KE, Salvo MC. A call for student pharmacist education on vaping and vaping device use. Curr Pharm Teach Learn 2021;13(3):203-205. doi: 10.1016/j.cptl.2020.10.014.

Nduaguba SO, Ford KH, Bamgbade BA, Ubanyionwu O. Comparison of pharmacy students’ self-efficacy to address cessation counseling needs for traditional and electronic cigarette use. Curr Pharm Teach Learn 2018;10(7):955-963. doi: 10.1016/j.cptl.2018.04.016.

Barrett R, Aldamkhi H. An Evaluation of the Knowledge and Perceptions of Pharmacy Staff and Pre-Registration Students of E-Cigarettes Use: A Systematic Review. Tob Use Insights 2021;14:1179173X211016867. doi: 10.1177/1179173X211016867.

Alsanea S, Alrabiah Z, Samreen S, Syed W, Bin Khunayn RM, Al-Arifi NM, Alenazi M, Alghadeer S, Alhossan A, Alwhaibi A, Al-Arifi MN. Prevalence, knowledge and attitude toward electronic cigarette use among male health colleges students in Saudi Arabia-A cross-sectional study. Front Public Health 2022;10:827089. doi: 10.3389/fpubh.2022.827089.

Ilic I, Grujicic Sipetic S, Radovanovic D, Ilic M. Cigarette Smoking and E-Cigarette Use by Pharmacy Students in Serbia. Behav Med. 2020;46(1):43-51. doi: 10.1080/08964289.2018.1541863.

Central Intelligence Agency. The World Fact Book. Available at: https://www.cia.gov/the-world-factbook/field/tobacco-use/country-comparison/. Accessed: 3/3/2025.

United Kingdom Department of Health and Social Care. Smokers urged to swap cigarettes for vapes in world first scheme. Available at: https://www.gov.uk/government/news/smokers-urged-to-swap-cigarettes-for-vapes-in-world-first-scheme. Accessed 3/2/2025.

Pacheco Gallego MC, Farber HJ. The Evidence of Electronic Cigarettes for Harm Reduction Is Not There. Am J Respir Crit Care Med 2024;209(6):758–759. doi: 10.1164/rccm.202310-1804LE.

Lang AE, Kathuria H, Braillon A, Ewart G, Dagli E, Stepp EL, Galiatsatos P, Deepak J, Jordt SE, Hayes Jr, D. England Is Handing out E-Cigarettes: Is the “Swap to Stop” Tobacco Control Scheme Harm Reduction or Harm Production? Am J Respir Crit Care Med 2023;208(10):1024–1025. doi: 10.1164/rccm.202308-1354VP

Farber HJ, Rabade Castedo C, Jimenez-Ruiz CA, Conrado Pacheco M. The Fallacy of Electronic Cigarettes for Tobacco Dependence. Ann Am Thorac Soc. 2024;21(10):1372–1374. doi: 10.1513/AnnalsATS.202405-465VP

Lindson N, Butler AR, McRobbie H, Bullen C, Hajek P, Begh R, Theodoulou A, Notley C, Rigotti NA, Turner T, Livingstone-Banks J, Morris T, Hartmann-Boyce J.. Cochrane Database of Systematic Reviews 2024, Issue 1. Art. No.: CD010216. doi: 10.1002/14651858.CD010216.pub8.

Hajek P, Phillips-Waller A, Przulj D, Pesola F, Myers Smith K, Bisal N, Li J, Parrott S, Sasieni P, Dawkins L, Ross L, Goniewicz M, Wu Q, McRobbie HJ. A Randomized Trial of E-Cigarettes versus Nicotine-Replacement Therapy. N Engl J Med. 2019;380(7):629-637. doi: 10.1056/NEJMoa1808779.