Knowledge and Perceptions of Texas Community Pharmacists Regarding Electronic Nicotine Delivery Systems

Abstract Background: Electronic nicotine delivery systems (ENDS) have gained popularity in the United States among adults and adolescents for social use and as a smoking cessation tool. The increase of ENDS use leads to concerns about their impact on public health. In the United States, ENDS are readily available for purchase and pose risks. Community pharmacists can play a crucial role in educating adult and adolescent patients about ENDS. Objectives: This study aimed to understand Texas community pharmacists' perceptions of ENDS with three objectives: 1) to identify consensus on perceptions and comfort among community pharmacists in Texas and 2) assess basic knowledge of the ENDS use landscape in the United States. Methods: A cross-sectional survey targeting community pharmacists in Texas was conducted in 2019. Sixty-eight responses were collected, and 43 were included in the analysis. The survey covered pharmacist demographics and ENDS questions related to knowledge and perceptions or ENDS and a ranking question of tobacco cessation strategies. Results: Most respondents 40 or more years of practice. Respondents expressed low confidence in ENDS as an effective smoking cessation tool. Nicotine replacement therapy was considered the most effective method, while e-cigarettes were deemed the least effective. Knowledge about ENDS was limited, with significant gaps in understanding. Conclusion: Community pharmacists in Texas require additional education and knowledge enhancement regarding ENDS. This study highlights the urgent need for more comprehensive ENDS education in pharmacy curricula and continuing education to equip pharmacists with the knowledge to counsel patients on ENDS effectively.