Prevalence of Vaping and Behavioral Associations of Vaping Among a Community of College Students in the United States

Omoike, Ogbebor Enaholo; Johnson, Kristen

doi:10.1007/s10900-020-00868-y

Cited by 16 publications

(8 citation statements)

References 18 publications

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“…A limitation of the study design was that the groups were not matched for age; although it is difficult as e-cigarette users are much younger than the cigarette smokers but this should be a considered in all future e-cigarette clinical research. E-cigarette users were much younger than the cigarette smokers, and that cofounded some of our findings [22,[38][39][40][41][42][43]. Age was also considered a confounder of the relationship between cigarette smoking status and the rate of severe periodontitis.…”

Section: Discussionsupporting

confidence: 75%

Comparative Effects of E-Cigarette Aerosol on Periodontium of Periodontitis Patients

Aboseria

Pushalkar

et al. 2021

Front. Oral. Health

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Introduction: Tobacco use is one of the main causes of periodontitis. E-cigarette are gaining in popularity, and studies are needed to better understand the impact of e-cigarettes on oral health.Objective: To perform a longitudinal study to evaluate the adverse effects of e-cigarettes on periodontal health.Methods: Naïve E-cigarette users, cigarette smokers, and non-smokers were recruited using newspaper and social media. Age, gender, and ethnicity, were recorded. Participants were scheduled for two visits 6 months apart. At each visit, we collected data on the frequency and magnitude of e-cigarette and cigarette use, and alcohol consumption. Carbon monoxide (CO) levels, cotinine levels, salivary flow rate, periodontal probing depth (PD), bleeding on probing (BoP), and clinical attachment loss (CAL) were also determined at both baseline and follow-up visits and compared between groups with two-way repeated measures ANOVA. Periodontal diagnosis and other categorical variables were compared between groups with the chi-square statistic and logistic regression.Results: We screened 159 subjects and recruited 119 subjects. One-hundred-one subjects (31 cigarette smokers, 32 e-cigarette smokers, and 38 non-smokers) completed every assessment in both visits. The retention and compliance rate of subjects was 84.9%. The use of social media and craigslist was significant in recruiting e-cigarette subjects. Ethnicity and race differed between groups, as did average age in the male subjects. Carbon monoxide and salivary cotinine levels were highest among cigarette smokers. Bleeding on probing and average PDs similarly increased over time in all three groups, but CAL uniquely increased in e-cigarette smokers. Rates of severe periodontal disease were higher in cigarette smokers and e-cigarette users than non-smokers, but interpretation is confounded by the older age of the cigarette smokers.Conclusion: Among the recruited participants, CAL after 6 months was significantly worse only in the e-cigarette smokers. This study design and protocol will assist in future larger studies on e-cigarette and oral health.

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Section: Discussionsupporting

confidence: 75%

Comparative Effects of E-Cigarette Aerosol on Periodontium of Periodontitis Patients

Aboseria

Pushalkar

et al. 2021

Front. Oral. Health

View full text Add to dashboard Cite

show abstract

“…A limitation of the study design was that the groups were not matched for age; although it is difficult as e-cigarette users are much younger than the cigarette smokers but this should be a considered in all future e-cigarette clinical research. E-cigarette users were much younger than the cigarette smokers, and that cofounded some of our findings (Garnett et al 2020; Jeong et al 2020; Omoike and Johnson 2020; Subica et al 2020; Vallone et al 2020; Walker et al 2020; Wamamili et al 2020). Age was also considered a confounder of the relationship between cigarette smoking status and the rate of severe periodontitis.…”

Section: Discussionsupporting

confidence: 86%

Comparative Effects of E-cigarette Aerosol on Periodontium

Fang

Aboseria

et al. 2021

Preprint

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IntroductionTobacco use is one of the main causes of periodontitis. E-cigarettes are gaining in popularity, and studies are needed to better understand the impact of e-cigarettes on oral health. Objective: To perform a longitudinal study to evaluate the adverse effects of e-cigarettes on periodontal health.MethodsNaïve e-cigarette users, cigarette smokers, and non-smokers were recruited using newspaper and social media. Demographics, age, gender, and ethnicity, were recorded. Participants were scheduled for two visits 6 months apart. At each visit, we collected data on the daily frequency puffs of an e-cigarette, the number of cigarettes smokes, and other parameters, such as alcohol consumption. Carbon monoxide levels, cotinine levels, salivary flow rate, probing depth, and bleeding on probing were determined at both baseline and follow-up visits. P-values less than 0.05 were considered statistically significant.ResultsWe screened 159 subjects and recruited 140 subjects. One-hundred-one subjects (31 cigarette smokers, 32 e-cigarette smokers, and 38 non-smokers) completed every assessment in both visits. The retention and compliance rate of subjects was 84.1%. The use of social media and craigslist was significant in recruiting e-cigarette subjects. Ethnicity and race differed between cohorts, as did average age in the male subjects. Carbon monoxide and salivary cotinine levels were highest among cigarette smokers. Bleeding on probing and average probing depths similarly increased over time in all three cohorts. Increase in the rates of severe periodontal disease were significantly higher in cigarette smokers and e-cigarette users than non-smokers. Confounding factors were subjects’ age as most of the e-cigarette group were much younger than cigarette smokers.ConclusionAmong the recruited participants, periodontal severity status after 6 month was significantly worse in cigarette smokers and e-cigarette smokers than non-smokers. This study design and protocol will assist in future larger studies on e-cigarette and oral health.

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“…E-cigarette use is associated with other risky health behaviors (e.g., binge drinking and use of other substances) and negative health outcomes (1,2,7,(9)(10)(11)(12)(13)(14)(15)(16)(17). Symptoms of mental health problems are also common among young people who use ecigarettes.…”

Section: Introductionmentioning

confidence: 99%

E-cigarettes and non-suicidal self-injury: Prevalence of risk behavior and variation by substance inhaled

2022

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BackgroundNicotine and cannabis inhalation through vaping or electronic delivery systems has surged among young adults in the United States, particularly during the coronavirus disease pandemic. Tobacco and marijuana use are associated with select adverse mental health outcomes, including symptoms of major depressive disorder and suicidal behaviors. Given the need for addiction specialists to treat problematic substance use with an integrated approach, the association between non-suicidal self-injury (NSSI) and use of e-cigarettes, tobacco, marijuana, and alcohol was examined among a diverse sample of college students.MethodsHealthy Minds Study data from 47,016 weighted observations, collected from college students in the 2018–2019 academic year, was used to explore associations between NSSI-related behaviors and past 30-day use of a vaping product (nicotine or marijuana). These relationships were assessed among those using vaping products only, and then among individuals using vaping products and alcohol, conventional cigarettes, and/or marijuana. Hierarchical logistic regression models estimating the relationship between vaping and NSSI were computed to adjust for the effects of demographic factors, symptomatology of psychiatric disorders, and concurrent use of other substances.ResultsA fifth (22.9%) of respondents disclosed past 12-month NSSI; they were significantly more likely to screen positive for depression or anxiety compared to young adults without NSSI. Rates of using vaping products, conventional cigarettes, marijuana, or other substances were higher among students with NSSI even after controlling for potential cofounders. Additionally, students who used a THC-based liquid in their e-cigarettes were more likely to endorse NSSI in comparison to those who used “just flavoring.” However, young adults who vaped were less likely to disclose frequent NSSI-related behaviors than their peers who did not vape.ConclusionsThese findings revealed an association between past 12-month NSSI and past 30-day vaping in a sample of young adults. Further surveillance among college populations and examination of potential sociodemographic confounders is necessary to confirm these findings and advance the substance use and addiction field.

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Prevalence of Vaping and Behavioral Associations of Vaping Among a Community of College Students in the United States

Cited by 16 publications

References 18 publications

Comparative Effects of E-Cigarette Aerosol on Periodontium of Periodontitis Patients

Comparative Effects of E-Cigarette Aerosol on Periodontium of Periodontitis Patients

Comparative Effects of E-cigarette Aerosol on Periodontium

E-cigarettes and non-suicidal self-injury: Prevalence of risk behavior and variation by substance inhaled

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