E-Cigarettes—a review of the evidence—harm versus harm reduction

Feeney, Susan; Rossetti, Victoria; Terrien, Jill

doi:10.1177/1179173x221087524

Cited by 43 publications

(26 citation statements)

References 40 publications

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“…Similar to a recent study conducted amongst 792 university students in northern Thailand [ 10 ], 143 (18.1%) respondents were current e-cigarettes users; the two most stated reasons for using e-cigarettes included: (1) being less harmful compared with conventional cigarettes and (2) being used to quit conventional cigarettes. The recently established evidence about the potential harm of e-cigarettes was nicotine dependence, toxicants and carcinogens from vapour, burn, and lung injuries [ 24 ]. There had been incidents of e-cigarettes related injuries such as an e-cigarettes or vaping use-associated lung injury (EVALI) in which e-cigarettes users experienced symptoms such as coughing, chest pain, breathing difficulty, stomach ache, nausea, vomiting, and in the worst cases, death.…”

Section: Discussionmentioning

confidence: 99%

Electronic Cigarettes in Thailand: Behaviour, Rationale, Satisfaction, and Sex Differences

Chankaew

Baiya

Chinwong

et al. 2022

IJERPH

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Electronic cigarettes (e-cigarettes) use is trending in Thailand. Electronic cigarettes are banned and illegally imported. This study aimed to investigate the behaviour, rationale, and satisfaction of e-cigarettes users and compared them between males and females. A cross-sectional study was conducted involving 1050 participants using e-cigarettes from December 2019 to February 2020. The participants were recruited by an online questionnaire posted on social media. The participants were current e-cigarettes users aged 18 years and older. Of 1050 participants, 936 were male (89.1%). The average age was 31.2 ± 8.4 years. The participants were from all regions of the country, but most (64.5%) were from central Thailand. Most e-cigarettes users comprised private employees (43.2%). The main source of e-cigarettes in Thailand is online sources such as social media. Tank-style e-cigarettes were popular among users. Amongst e-cigarettes users, the top three rationales for using e-cigarettes were fewer harmful effects from e-cigarettes than conventional cigarettes (81.0%), smoking cessation aids (80.6%), and their lack of attaching cigarette odour (58.2%). The top three reasons for satisfaction were using e-cigarettes as a conventional cigarette cessation aid (5.1 ± 1.3), lessening cravings for conventional cigarettes (5.1 ± 1.3), and reducing conventional cigarettes withdrawal symptoms (5.0 ± 1.3). Online purchase was the main source of e-cigarettes in Thailand. The general rationale for using electronic cigarettes was that they are less harmful and to quit conventional cigarettes. Thai users were satisfied to use e-cigarettes as a conventional cigarette cessation aid. Males and females differed in behaviour, rationale, and satisfaction of e-cigarettes. Public health organisations should provide accurate information about the harm of electronic cigarettes and their efficacy for tobacco cessation.

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Section: Discussionmentioning

confidence: 99%

Electronic Cigarettes in Thailand: Behaviour, Rationale, Satisfaction, and Sex Differences

Chankaew

Baiya

Chinwong

et al. 2022

IJERPH

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“…David O. Warner serve as a "gateway" facilitating a transition to smoking conventional cigarettes, 54 a pattern noted in recent observational studies. [55][56][57] Evidence suggests that despite protestations to the contrary, companies producing electronic cigarettes actively promote youth use through strategies such as flavors and the renormalization of nicotine use (i.e., vaping as glamorous) to generate lifelong users of their products.…”

Section: Review Article Electronic Cigarettes: a New Pandemic Vehiclementioning

confidence: 94%

“…82,83 There are no data in patients save two case reports of problems with flaps in vapers that do not provide a convincing link. 84–86 Thus, even if vapor may prove “safer” than cigarette smoke in some respects, it is not “safe.” 54…”

Section: Electronic Cigarettes: a New Pandemic Vehiclementioning

confidence: 99%

“…19 Alarmingly, in 2021, 11% of high school students and 3% of middle school students used electronic cigarettes. 25 This relatively high utilization has raised considerable concerns that these devices not only expose the developing brain to the deleterious effect of nicotine and promote addiction but also serve as a “gateway” facilitating a transition to smoking conventional cigarettes, 54 a pattern noted in recent observational studies. 55–57 Evidence suggests that despite protestations to the contrary, companies producing electronic cigarettes actively promote youth use through strategies such as flavors and the renormalization of nicotine use ( i.e.…”

Section: Electronic Cigarettes: a New Pandemic Vehiclementioning

confidence: 99%

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Anesthesiologists and the Other Pandemic: Tobacco Use

Warner

2022

Anesthesiology

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Tobacco use will kill a projected 1 billion people in the 21st century in one of the deadliest pandemics in history. Tobacco use disorder is a disease with a natural history, pathophysiology, and effective treatment options. Anesthesiologists can play a unique role in fighting this pandemic, providing both immediate (reduction in perioperative risk) and long-term (reduction in tobacco-related diseases) benefits to their patients who are its victims. Receiving surgery is one of the most powerful stimuli to quit tobacco. Tobacco treatments that combine counseling and pharmacotherapy (e.g., nicotine replacement therapy) can further increase quit rates and reduce risk of morbidity such as pulmonary and wound-related complications. The perioperative setting provides a great opportunity to implement multimodal perianesthesia tobacco treatment, which combines multiple evidence-based tactics to implement the four core components of consistent ascertainment and documentation of tobacco use, advice to quit, access to pharmacotherapy, and referral to counseling resources.

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“…ENDS are often promoted as a healthier alternative to traditional tobacco products due to using water vapor created by heating ‘e-liquids’ instead of combusting tobacco leaves; thus, ENDS users theoretically avoid inhaling thousands of chemicals known to be present in smoked tobacco [ 4 – 6 ]. People who are concerned about tobacco associated health conditions may turn to using ENDS, instead of smoking cigarettes.…”

Section: Introductionmentioning

confidence: 99%

Electronic Nicotine Delivery Systems (ENDS) use Among Members of a Community Engagement Program

et al. 2022

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Electronic nicotine delivery systems (ENDS) are relatively new and ENDS use data from community engagement programs may help us understand usage patterns and facilitate targeted longitudinal studies. Community members in Florida, USA, were asked about ENDS use, tobacco use, and health history/concerns by Community Health Workers. Among 7253 members recruited during 2014 to 2021 into our HealthStreet program, 1177 had ever used ENDS; the proportion increased from 12 to 27% from 2014 to 2021 (adjusted odds ratio (aOR) 2.5; 95% CI 1.7–3.5; Ever versus never used ENDS). Ever tobacco use was strongly associated with ENDS use; 69% of ever users were current tobacco users. Demographic determinants (sex, age, race) and food insecurity were strongest predictors of ENDS use. Most who had ever used ENDS were aged 18–25 (aOR 5.9; 95% CI 4.6–7.6; vs. aged 60 + years), White (aOR 3.7; 95% CI 3.2–4.3; vs. Black/African American), male (aOR 1.5; 95% CI 1.3–1.7; vs. female), and recently food insecure (aOR 1.8; 95% CI 1.5–2.0; vs. not recently food insecure). Those with respiratory issues were more likely to have used ENDS compared to those without (aOR 2.0; 95% CI 1.6–2.6; aOR 1.3; 95% CI 1.1–1.5). Members concerned about hypertension were less likely to have used ENDS (aOR 0.7; 95% CI 0.5–0.9). In this relatively rural, micropolitan sample, tobacco use, socio-economic determinants, and certain health history/concerns were strongly associated with ENDS use. Community outreach approaches are needed to further understand these factors and implement interventions. Supplementary Information The online version contains supplementary material available at 10.1007/s10900-022-01169-2.

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E-Cigarettes—a review of the evidence—harm versus harm reduction

Cited by 43 publications

References 40 publications

Electronic Cigarettes in Thailand: Behaviour, Rationale, Satisfaction, and Sex Differences

Electronic Cigarettes in Thailand: Behaviour, Rationale, Satisfaction, and Sex Differences

Anesthesiologists and the Other Pandemic: Tobacco Use

Electronic Nicotine Delivery Systems (ENDS) use Among Members of a Community Engagement Program

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