Relationship between spending on electronic cigarettes, 30-day use, and disease symptoms among current adult cigarette smokers in the U.S.

Yao, Tingting; Max, Wendy; Sung, Hai‐Yen; Glantz, Stanton A.; Goldberg, Rachel L; Wang, Yingning; Lightwood, James; Cataldo, Janine

doi:10.1371/journal.pone.0187399

Cited by 31 publications

(33 citation statements)

References 26 publications

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“…The PHIM assumes that the RR of dual use of IQOS and cigarettes is the midpoint of the two RRs. However, there is some evidence that dual users of cigarettes and e-cigarettes have greater risks of negative health outcomes than sole cigarette users, 18 suggesting that there could be greater risks for dual users of IQOS and cigarettes and that the PHIM model may underestimate the number of deaths attributable to dual use.…”

Section: Discussionmentioning

confidence: 99%

Modelling the impact of a new tobacco product: review of Philip Morris International’s Population Health Impact Model as applied to the IQOS heated tobacco product

et al. 2018

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Objectives We review the Population Health Impact Model (PHIM) developed by Philip Morris International and used in its application to the US Food and Drug Administration (FDA) to market its heated tobacco product (HTP), IQOS, as a modified-risk tobacco product (MRTP). We assess the model against FDA guidelines for MRTP applications and consider more general criteria for evaluating reduced-risk tobacco products. Methods In assessing the PHIM against FDA guidelines, we consider two key components of the model: the assumptions implicit in the model (outcomes included, relative harm of the new product vs cigarettes, tobacco-related diseases considered, whether dual or polyuse of the new product is modelled, and what other tobacco products are included) and data used to estimate and validate model parameters (transition rates between non-smoking, cigarette-only smoking, dual use of cigarettes and MRTP, and MRTP-only use; and starting tobacco use prevalence). Results The PHIM is a dynamic state transition model which models the impact of cigarette and MRTP use on mortality from four tobacco-attributable diseases. The PHIM excludes morbidity, underestimates mortality, excludes tobacco products other than cigarettes, does not include FDA-recommended impacts on non-users and underestimates the impact on other population groups. Conclusion The PHIM underestimates the health impact of HTP products and cannot be used to justify an MRTP claim. An assessment of the impact of a potential MRTP on population health should include a comprehensive measure of health impacts, consideration of all groups impacted, and documented and justifiable assumptions regarding model parameters.

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Section: Discussionmentioning

confidence: 99%

Modelling the impact of a new tobacco product: review of Philip Morris International’s Population Health Impact Model as applied to the IQOS heated tobacco product

et al. 2018

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“…Thus, it is critical to consider whether there is a prolonged effects of past smoking that contributes to the harm of e-cigarettes for current vapers who already quit smoking. Meanwhile, a majority of e-cigarette users also use conventional cigarettes,12 but whether dual use of e-cigarettes and cigarettes is associated with added, maintained or reduced health risk remains unknown 13…”

Section: Introductionmentioning

confidence: 99%

“…Asthma and chronic obstructive pulmonary disease are the most common causes of recurrent wheezing 14. Several studies have focused on associations of e-cigarettes use with wheezing or whistling and reported mixed results 7–9 12 15–23. One study on 2086 Southern California Children’s Health Study adolescent participants found e-cigarettes use increased risks of chronic bronchitis symptoms in teens while no significant association of e-cigarettes use with wheeze were found in teens after adjusting for cigarettes use 21.…”

Section: Introductionmentioning

confidence: 99%

“…One study on 2086 Southern California Children’s Health Study adolescent participants found e-cigarettes use increased risks of chronic bronchitis symptoms in teens while no significant association of e-cigarettes use with wheeze were found in teens after adjusting for cigarettes use 21. Another study on 533 participants aged 24+ from the Tobacco and Attitudes Beliefs Survey found e-cigarettes expenditures or use was associated with greater odds of wheezing and shortness of breath after controlling for cigarettes smoked per day 12. Maternal e-cigarettes use is highly likely to increase the risk of childhood wheezing and subsequent asthma in offspring 16.…”

Section: Introductionmentioning

confidence: 99%

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Association of smoking and electronic cigarette use with wheezing and related respiratory symptoms in adults: cross-sectional results from the Population Assessment of Tobacco and Health (PATH) study, wave 2

et al. 2019

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BackgroundWheezing is a symptom of potential respiratory disease and known to be associated with smoking. Electronic cigarette use (‘vaping’) has increased exponentially in recent years. This study examined the cross-sectional association of vaping with wheezing and related respiratory symptoms and compare this association with smokers and dual users.MethodsThe Population Assessment of Tobacco and Health study wave 2 data collected from October 2014 to October 2015 with 28 171 adults were used. The cross-sectional association of vaping with self-reported wheezing and related respiratory symptoms relative to smokers and dual users of tobacco and electronic cigarettes were studied using multivariable logistic and cumulative logistic regression models with consideration of complex sampling design.ResultsAmong the 28 171 adult participants, 641 (1.2%) were current vapers who used e-cigarettes exclusively, 8525 (16.6%) were current exclusive smokers, 1106 (2.0%) were dual users and 17 899 (80.2%) were non-users. Compared with non-users, risks of wheezing and related respiratory symptoms were significantly increased in current vapers (adjusted OR (aOR)=1.67, 95% CI: 1.23 to 2.15). Current vapers had significantly lower risk in wheezing and related respiratory symptoms compared with current smokers (aOR=0.68, 95% CI: 0.53 to 0.87). No significant differences were found between dual users and current smokers in risk of wheezing and related respiratory symptoms (aOR=1.06, 95% CI: 0.91 to 1.24).ConclusionsVaping was associated with increased risk of wheezing and related respiratory symptoms. Current vapers had lower risk in wheezing and related respiratory symptoms than current smokers or dual users but higher than non-users. Both dual use and smoking significantly increased the risk of wheezing and related respiratory symptoms.

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“…Pengeluaran rokok elektrik menjadi pengukuran paling tepat untuk mengukur intensitas penggunaan rokok elektrik (Yao et al 2017). Bahkan Yao (2017) menemukan hubungan yang positif atarara pengeluaran rokok dengan gejala sesak napas pada 533 responden yang di teliti.…”

Section: Pendahuluanunclassified

Determinan Pengeluaran Rokok Elektrik di Kota Bandung

et al. 2020

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AbstrakPenelitian ini bertujuan untuk menganalisis faktor yang mempengaruhi pengeluaran rokok elektrik di Kota Bandung. Penelitian ini menggunakan Convenience Sampling dan formula Slovin, melakukan wawancara terhadap 200 pengguna rokok elektrik di Kota Bandung. Penelitian ini menggunakan metode Regresi Linear Berganda dengan STATA 12. Variabel yang digunakan adalah total pengeluaran rokok elektrik per bulan, harga alat mesin isap rokok elektrik, motivasi penggunaan rokok elektrik, jumlah rasa cairan rokok elektrik, pengetahuan mengenai resiko penggunaan rokok elektrik, dan status penggunaan ganda rokok konvensional dan rokok elektrik. Hasil regresi menunjukkan bahwa harga alat mesin isap rokok elektrik, motivasi penggunaan rokok elektrik, jumlah rasa cairan rokok elektrik berpengaruh positif dan signifikan pada peningkatan pengeluaran rokok elektrik di Kota Bandung. Sedangkan pengetahuan mengenai resiko penggunaan rokok elektrik tidak signifikan mengurangi tingkat pengeluaran rokok elektrik di kota Bandung. Penelitian ini juga menemukan bahwa status pengguna ganda rokok elektrik dan rokok konvensional berpengaruh negatif tetapi tidak signifikan pada pengeluaran rokok elektrik. Untuk mengurangi penggunaan rokok elektrik di Kota Bandung, pemerintah perlu meningkatkan kampanye kesehatan mengenai bahaya penggunaan rokok elektrik. Bahkan pemerintah seharusnya melarang penggunaan rokok elektrik karena pengaruh pengetahuan rokok elektrik yang tidak signifikan mengurangi konsumsi rokok elektrik.AbstractThis research aims to analyze the factors that affect expenditure decision on electronic cigarettes in Bandung. This research uses the Convenience Sampling and Slovin formula, interviews 200 users of e-cigarettes in Bandung. This paper uses Multiple Linear Regression (MLR) with STATA 12. Total expenditure per month in electronic cigarettes, the price of electronic cigarette suction machine tools, motivation in using electronic cigarettes, the amount of electronic cigarettes liquid taste, knowledge about the risk of using electronic cigarettes, and the status dual user of conventional cigarettes and electronic cigarettes are has been used as variables in this research. The regression result shows that the price of electronic cigarettes, motivation to use electronic cigarettes, the amount of electronic cigarettes liquid taste are positively and significantly correlated with the total expenditure per month for electronic cigarettes in Bandung. In the other hand, knowledge about the risk of using electronic cigarettes not significantly reduces electronic cigarette expenditure. This study also finds that the status of dual users of electronic cigarettes and conventional cigarettes has a negative but not significant effect on electronic cigarette expenditure. To reduce the use of electronic cigarettes, the government needs to increase health campaigns regarding the dangers of electronic cigarettes.Even the government must bans the use of electronic cigarettes because knowledge about electronic cigarettes risk has insignificant effect to reduce consumption of electronic cigarettes.

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Relationship between spending on electronic cigarettes, 30-day use, and disease symptoms among current adult cigarette smokers in the U.S.

Cited by 31 publications

References 26 publications

Modelling the impact of a new tobacco product: review of Philip Morris International’s Population Health Impact Model as applied to the IQOS heated tobacco product

Modelling the impact of a new tobacco product: review of Philip Morris International’s Population Health Impact Model as applied to the IQOS heated tobacco product

Association of smoking and electronic cigarette use with wheezing and related respiratory symptoms in adults: cross-sectional results from the Population Assessment of Tobacco and Health (PATH) study, wave 2

Determinan Pengeluaran Rokok Elektrik di Kota Bandung

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