Harms of Electronic Cigarettes: What the Healthcare Provider Needs to Know

Farber, Harold J.; Gallego, M; Galiatsatos, Panagis; Folan, Patricia; Lamphere, Thomas R; Pakhalé, Smita

doi:10.1513/annalsats.202009-1113cme

Cited by 23 publications

(19 citation statements)

References 66 publications

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“…It is unclear if such screenings would be useful in younger patients, such as youth and adolescents, who may be using tobacco products such as electronic cigarettes. Further investigations of the clinical utility of mental health and social connection screenings are warranted for this younger population as the electronic cigarette youth usage epidemic continues to worsen [ 50 , 51 ]. However, we should emphasize the feasibility of implementing such screenings, which warrants a permanent place in the clinical realm.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Mental Health and Social Connection among Patients Seeking Tobacco Dependence Management: A Pilot Study

Galiatsatos

Oluyinka

Min

et al. 2022

IJERPH

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Introduction: with regards to tobacco dependence management, there are certain barriers to successful smoking cessation for patients, such as untreated anxiety and depression. Complicating the impact of mental health morbidities on tobacco dependence may be the significant portion of patients whose mental health issues and limited social connections are undiagnosed and unaddressed. We hypothesize that patients with no prior mental health diagnoses who are treated for tobacco dependence have high rates of undiagnosed mental health morbidities. Methods: patients were recruited from a tobacco treatment clinic in 2021. Every patient who came for an inaugural visit without a prior diagnosis of mental health disease was screened for depression, anxiety, social isolation and loneliness. Sociodemographic variables were collected. Results: over a 12-month period, 114 patients were seen at the tobacco treatment clinic. Of these 114 patients, 77 (67.5%) did not have a prior diagnosis of a mental health disease. The mean age was 54.3 ± 11.2 years, 52 (67.5%) were females, and 64 (83.1%) were Black/African American. The mean age of starting smoking was 19.3 ± 5.2 years, and 43 (55.8%) had never attempted to quit smoking in the past. With regards to mental health screening, 32 (41.6%) patients had a score of 9 or greater on the Patient Health Questionnaire (PHQ) 9, 59 (76.6%) had a score of 7 or greater on the Generalized Anxiety Disorder (GAD) 7, 67 (87.0%) were identified with social isolation and 70 (90.1%) for loneliness on screening. Conclusion: there was a high prevalence of undiagnosed mental health morbidities and social disconnection in patients who were actively smoking and were struggling to achieve smoking cessation. While a larger scale study is necessary to reaffirm these results, screening for mental health morbidities and social disconnection may be warranted in order to provide effective tobacco dependence management.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Mental Health and Social Connection among Patients Seeking Tobacco Dependence Management: A Pilot Study

Galiatsatos

Oluyinka

Min

et al. 2022

IJERPH

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“…Epidemiologische Studien, sowohl im Querschnitt als auch im Längsschnitt, zeigen einen signifikanten Zusammenhang zwischen der Verwendung von E-Zigaretten und Asthma und COPD, auch wenn das Zigarettenrauchen und andere Einflussgrößen kontrolliert werden [16]. Laborstudien zeigen durchweg eine Wirkung von E-Zigaretten auf biologische Prozesse im Zusammenhang mit Atemwegsschäden und Anfälligkeit für Lungenkrankheiten [17,18].…”

Section: Zeitpunkt Der Interventionunclassified

Elektronische Zigaretten – Schadensminimierung oder Schadensverlängerung?

Hanewinkel

2023

Pneumologie

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ZusammenfassungDer Beitrag befasst sich mit der Frage, ob Elektronische Zigaretten (E-Zigaretten) den erwiesenen Schaden des Rauchens von Tabakprodukten minimieren können oder zu einer Schadensverlängerung führen. Während das britische Royal College of Physicians Rauchern E-Zigaretten als Substitut für Tabakprodukte empfiehlt, rät die Deutsche Gesellschaft für Pneumologie und Beatmungsmedizin Rauchern von der Nutzung der E-Zigarette ab. Drei Hypothesen liegen der Schadensminimierungsstrategie zugrunde. Hypothese 1: Es wird davon ausgegangen, dass E-Zigaretten gesundheitlich weniger Schaden anrichten als Tabakzigaretten. Hypothese 2: Es wird postuliert, dass Raucher motiviert sind, von konventionellen Zigaretten auf E-Zigaretten umzusteigen. Hypothese 3: Es wird vermutet, dass E-Zigaretten ein nebenwirkungsarmes, effektives Mittel zum Rauchstopp sind. Obwohl die langfristigen gesundheitlichen Folgen des E-Zigarettenkonsums nach wie vor unbekannt sind, mehren sich die Befunde, dass E-Zigaretten toxisch wirken, schädlich für das Herz-Kreislauf-System, die Gesundheit der Atemwege und möglicherweise krebserregend sind. Bevölkerungsrepräsentative epidemiologische Erhebungen zeigen, dass drei Viertel aller aktuellen E-Zigarettennutzer in Deutschland gleichzeitig Tabak rauchen. E-Zigaretten haben in wenigen randomisierten klinischen Studien im Vergleich zu Nikotinersatzprodukten höhere Erfolgsraten. Als frei verkäufliche Konsumprodukte unter Realbedingungen findet sich in einer Vielzahl von Studien kein Vorteil für E-Zigaretten. Zudem verlängern E-Zigaretten im Vergleich zu Nikotinersatzprodukten die Nikotinabhängigkeit. Die Hypothesen der Schadensminimierungsstrategie mittels E-Zigaretten müssen nach derzeitigem Kenntnisstand als widerlegt angesehen werden. Daher erscheint es ethisch nicht unproblematisch, wenn Ärzte ihren Patienten E-Zigaretten als Substitut zum Rauchen empfehlen.

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“…The nurse creates the appropriate "therapeutic environment" in order to successfully respond to the physical and emotional needs of the patient [17]. The nursing process, as a scientific method of practicing nursing, creates an environment where nurses develops special skills of verbal and non-verbal communication [18]. Moreover, people with mental health often use tobacco as a way to deal with difficulties [19].…”

Section: The Role Of Health Professionals In Smokingmentioning

confidence: 99%

Citizens' Knowledge and Attitudes about Conventional and E-cigarettes: The Role of Health Care Professionals

Bakalis

Zisis

Tzenalis

et al. 2022

AJMAH

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Introduction: It is true that the comparison of conventional and electronic cigarettes is a topic that has been discussed a lot and concerns both citizens and health professionals worldwide. The rates of smokers in Greece are high in combination with the fact that smokers are more likely to get seriously ill from covid-19, it was the reason to investigate this topic. Aims: To investigate the citizens knowledge and attitude about the electronic and conventional cigarette. Study Design: It was a comparative descriptive research. Place and Duration of Study: The questionnaires were given to citizens who lived in the prefecture of Achaia (one of the largest prefectures in Greece). The present survey was conducted between March and May 2020. Methodology: A questionnaire was developed with 28 questions. The Chronbach alpha reliability was .75. The sample consisted of 681 citizens. The statistical analysis was performed with SPSS 25 program. Results: The majority of citizens had very good knowledge (57.6%) while 20.3% had good knowledge. Most citizens were non-smoker (64.3%), they did not use electronic cigarette (91%) but they did try in the past (52.3%). Regarding electronic cigarette, they believe that it was not replaced the conventional, was not helpful for quit smoking and it was harmful as much as the conventional one. Finally, the cheaper price of e-cigarette contributes to its choice. Age, permanent residence and educational level significantly correlated with knowledge score (p<0.05). Conclusion: The majority of citizens were non-smokers while the conventional cigarette is still the first preference of the citizens. Although citizens' knowledge of conventional cigarettes and e-cigarettes was very good, it is necessary for health professionals to enrich their knowledge and inform citizens efficiently about smoking.

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Harms of Electronic Cigarettes: What the Healthcare Provider Needs to Know

Cited by 23 publications

References 66 publications

Prevalence of Mental Health and Social Connection among Patients Seeking Tobacco Dependence Management: A Pilot Study

Prevalence of Mental Health and Social Connection among Patients Seeking Tobacco Dependence Management: A Pilot Study

Elektronische Zigaretten – Schadensminimierung oder Schadensverlängerung?

Citizens' Knowledge and Attitudes about Conventional and E-cigarettes: The Role of Health Care Professionals

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