E-cigarette sharing behavior among college students: An exploratory study

Seitz, Christopher M.; Staley, Megan E; Kearley, Justin P.; Wright, Lauren; Bowman, Rachel; Phillips, Celeste R.; Orsini, Muhsin Michael

doi:10.1080/07448481.2020.1800710

Cited by 8 publications

(5 citation statements)

References 13 publications

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“…[23][24][25][26] One potential explanation of the association between exclusive e-cigarette use and acute respiratory infections such as bronchitis and pneumonia is that adolescents frequently share e-cigarette devices with friends and other persons. 27 Sharing e-cigarette devices potentially could lead to an increase in respiratory infections through the exchange of saliva. Future national surveys on tobacco use should incorporate questions of sharing behaviors of e-cigarettes and other tobacco products.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal associations between exclusive, dual and polytobacco use and respiratory illness among youth

Zavala-Arciniega,

Cook,

Hirschtick

et al. 2024

Preprint

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Background The health consequences of polytobacco use are still well not understand. We evaluated prospective associations between exclusive, dual, and polytobacco use and diagnosed bronchitis, pneumonia, or chronic cough among US youth. Methods Data came from Waves 1–5 of the Population Assessment of Tobacco and Health Study. We categorized time-varying past 30-day tobacco use into seven categories: (1) non-current use; exclusive use of 2) cigarettes, 3) electronic nicotine delivery systems (ENDS), or 4) other combustible products (OC; pipes, hookah, and cigars); dual use of 5) ENDS + cigarettes or ENDS + OC 6) cigarettes + OC; or 7) polyuse of all three products. The outcome was incident diagnosis of bronchitis, pneumonia, or chronic cough. We conducted weighted multilevel Poisson models (person n = 17,517, 43,290 observations) to examine the longitudinal exposure-outcome relationship, adjusting for covariates: sex, age, race and ethnicity, parental education, body mass index, secondhand smoke exposure, and household use of combustible products Results Compared to nonuse, exclusive cigarette use (Incidence Rate Ratio (IRR) = 1.83, 95% CI 1.25–2.68), exclusive ENDS use (IRR = 1.53, 95% CI 1.08–2.15), combustible product + ENDS dual use (IRR = 1.90, 95% CI 1.18–3.04), cigarettes + OC dual use (IRR = 1.96, 95% CI 1.11–3.48), and polytobacco use (IRR = 3.06 95% CI 1.67–5.63) were associated with a higher incidence of bronchitis, pneumonia, or chronic cough. Conclusion We found that exclusive, dual, and poly tobacco use was associated with higher incidence of bronchitis, pneumonia, or chronic cough; Moreover, the incidence rate ratio for polytobacco use was higher than the incidence rate ratio for exclusive use compared to non-current use.

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Section: Discussionmentioning

confidence: 99%

Longitudinal associations between exclusive, dual and polytobacco use and respiratory illness among youth

Zavala-Arciniega,

Cook,

Hirschtick

et al. 2024

Preprint

View full text Add to dashboard Cite

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“…In one sample of U.S. college students, 24% reported sharing ENDS daily, whereas 76% reported sharing ENDS on some days. 61 Therefore, sharing behavior of ENDS may also contribute to the increased COVID infection rates. Alternatively, this may be an artifact of a small sample of individuals using ENDS or reporting dual use that also reported COVID infection (n = 44).…”

Section: Discussionmentioning

confidence: 99%

Associations of Combustible Cigarette, Electronic Cigarette, and Dual Use With COVID Infection and Severity in the U.S.: A Cross-sectional Analysis of the 2021 National Health Information Survey

et al. 2023

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Given the potential respiratory health risks, the association of COVID infection and the use of combustible cigarettes, electronic nicotine delivery systems (ENDS), and concurrent dual use is a priority for public health. Many published reports have not accounted for known covarying factors. This study sought to calculate adjusted odds ratios for self-reported COVID infection and disease severity as a function of smoking and ENDS use, while accounting for factors known to influence COVID infection and disease severity (i.e., age, sex, race and ethnicity, socioeconomic status and educational attainment, rural or urban environment, self-reported diabetes, COPD, coronary heart disease, and obesity status). Data from the 2021 U.S. National Health Interview Survey, a cross-sectional questionnaire design, were used to calculate both unadjusted and adjusted odds ratios for self-reported COVID infection and severity of symptoms. Results indicate that combustible cigarette use is associated with a lower likelihood of self-reported COVID infection relative to non-use of tobacco products (AOR = .64; 95% CI [.55, .74]), whereas ENDS use is associated with a higher likelihood of self-reported COVID infection (AOR = 1.30; 95% CI [1.04, 1.63]). There was no significant difference in COVID infection among dual users (ENDS and combustible use) when compared with non-users. Adjusting for covarying factors did not substantially change the results. There were no significant differences in COVID disease severity between those of varying smoking status. Future research should examine the relationship between smoking status and COVID infection and disease severity utilizing longitudinal study designs and non-self-report measures of smoking status (e.g., the biomarker cotinine), COVID infection (e.g., positive tests), and disease severity (e.g., hospitalizations, ventilator assistance, mortality, and ongoing symptoms of long COVID).

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Section: Discussionmentioning

confidence: 99%

“…This association may be reflective of the social aspect of tobacco product use. Smoking behaviors are strongly related to social circumstances such as peer smoking, cigarette and device sharing [24,25], which is deemed as a means of social networking and maintaining relationships for smokers [26]. However, such behaviors not only pose risks in maintaining social distancing, the hand-to-mouth movements of smoking/vaping, and device sharing could potentially increase exposure to the COVID-19 [13].•Lower adherence to social distancing observed among smokers may also be explained by smokers having greater inclination for engaging in other health risk behaviors [27] and exhibiting impulsivityrelated traits, such as a lack of premeditation, lack of perseverance, sensation seeking, as well as both negative and positive urgency [28].…”

Section: Discussionmentioning

confidence: 99%

Cigarette and E-Cigarettes Dual Users, Exclusive Users and COVID-19: Findings from Four UK Birth Cohort Studies

Chen

Kyriakos

2021

IJERPH

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Introduction: The relationship between current cigarette and electronic cigarette (e-cigarette) dual use, exclusive use and COVID-19-related measures are still unclear. This study aims to assess the association between different tobacco use patterns and coronavirus disease 2019 (COVID-19) symptoms, testing, self-reported infection and social distancing behaviors in the United Kingdom (UK). Methods:Data come from the first wave of the Centre for Longitudinal Studies (CLS) COVID-19 survey, comprising four birth cohorts (N = 13,077, aged 20–63 years) surveyed between 2 to 31 May 2020, during the COVID-19 pandemic. Sociodemographic characteristics and COVID-19-related outcomes (symptoms, testing, diagnosis and social distancing behaviors) were compared across different product user groups (non-users, exclusive cigarette users, exclusive e-cigarettes users and dual use) using Cochran–Mantel–Haenszel χ2 test. Multivariable logistic regression models were used to explore associations between COVID-19-related outcomes and different smoking patterns. Results:Across all four cohorts, 12.6% and 4.9% of the respondents were current exclusive cigarette and e-cigarette users, respectively, with approximately 3% of the respondents being dual users. Significant differences in prevalence were observed between different tobacco use patterns and COVID-19 symptoms (p = 0.02), self-reported infection (p = 0.04) and social distancing behaviors (p < 0.001). Current cigarette and e-cigarette dual use was associated with 2.15-fold higher odds for reporting COVID-19 infection (aOR = 2.15; CI [1.15–4.05]). Compliance of social distancing behaviors were the lowest for current dual users (aOR = 0.58; CI [0.41–0.83]) and exclusive cigarette users (aOR = 0.72; CI [0.63–0.92]). Conclusions: The findings highlight dual users’ higher prevalence of having COVID-19 symptoms, infection and incompliance of social distancing behaviors. Self-reported infection was associated with dual product use; dual users and exclusive cigarette users were linked to poor adherence to social distancing behaviors. Smoking cessation support and further monitoring on multiple tobacco use among these populations should be reinforced as preventive measures to tackle the pandemic.

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E-cigarette sharing behavior among college students: An exploratory study

Cited by 8 publications

References 13 publications

Longitudinal associations between exclusive, dual and polytobacco use and respiratory illness among youth

Longitudinal associations between exclusive, dual and polytobacco use and respiratory illness among youth

Associations of Combustible Cigarette, Electronic Cigarette, and Dual Use With COVID Infection and Severity in the U.S.: A Cross-sectional Analysis of the 2021 National Health Information Survey

Cigarette and E-Cigarettes Dual Users, Exclusive Users and COVID-19: Findings from Four UK Birth Cohort Studies

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