Treatment of Tobacco Dependancecurrent State of the Artcurrent Opinion in Pulmonary Medicine 2018

Comparative Written report

. 2020 November 2;3(xi):e2020816.

doi: 10.1001/jamanetworkopen.2020.20816.

Association of Electronic Cigarette Use With Incident Respiratory Conditions Amid US Adults From 2013 to 2018

Affiliations

• PMID: 33180127
• PMCID: PMC7662143
• DOI: ten.1001/jamanetworkopen.2020.20816

Free PMC article

Comparative Study

Association of Electronic Cigarette Use With Incident Respiratory Conditions Amid Us Adults From 2013 to 2018

Wubin Xie  et al. JAMA Netw Open. 2020 .

Free PMC article

Abstract

Importance: Generating robust and timely evidence nigh the respiratory health risks of electronic cigarettes (e-cigarettes) is critical for informing state and federal regulatory standards for product rubber.

Objective: To examine the association of east-cigarette use with incident respiratory weather condition, including chronic obstructive pulmonary disease (COPD), emphysema, chronic bronchitis, and asthma.

Design, setting, and participants: This prospective cohort study used information from the nationally representative cohort of Us adults from the Population Assessment of Tobacco and Health (PATH) report, including wave one from 2013 to 2014, moving ridge 2 from 2014 to 2015, moving ridge three from 2015 to 2016, and wave four from 2016 to 2018. Individuals aged 18 years and older at baseline with no prevalent respiratory conditions were included in the analyses. Analyses were conducted from Feb to July 2020.

Exposures: e-Cigarette utilise was assessed by self-reported electric current use status (never, former, or electric current) at baseline.

Main outcomes and measures: Incident respiratory conditions, including COPD, emphysema, chronic bronchitis, and asthma, as well as a composite respiratory disease encompassing all iv conditions.

Results: Among 21 618 respondents included in the analyses, 11 017 (491%) were men and 12 969 (65.2%) were non-Hispanic White. A total of fourteen 213 respondents were never due east-cigarette users, 5076 respondents (11.half dozen%) were old e-cigarette users, and 2329 respondents (5.2%) were current e-cigarette users. Adapted for cigarette and other combustible tobacco production use, demographic characteristics, and chronic health conditions, there was an increased risk of respiratory affliction among former e-cigarette uses (incidence rate ratio [IRR], 1.28; 95% CI, 1.09-1.50) and current eastward-cigarette users (IRR, 1.31; 95% CI, 1.08-1.59). Among respondents with proficient self-rated wellness, the IRR for former e-cigarette users was ane.21 (95%CI, 1.00-1.46) and the IRR for current e-cigarette users was ane.43 (95% CI, one.fourteen-1.79). For specific respiratory diseases among current due east-cigarette users, the IRR was 1.33 (95% CI, 1.06-1.67) for chronic bronchitis, 1.69 (95% CI, one.15-2.49) for emphysema, 1.57 (95% CI, 1.15-2.xiii) for COPD, and 1.31 (95% CI, 1.01-1.71) for asthma.

Conclusions and relevance: This accomplice study found that e-cigarette use was associated with an increased chance of developing respiratory disease contained of cigarette smoking. These findings add important bear witness on the risk profile of novel tobacco products.

Conflict of interest argument

Conflict of Involvement Disclosures: Dr Kathuria reported serving as the section editor for the tobacco dependence treatment section in UpToDate. Dr Blaha reported receiving grants from the Nutrient and Drug Administration (FDA) during the behave of the study; personal fees from Regeneron, Novartis, Novo Nordisk, Bayer, Akcea, 89Bio, Zogenix, Tricida, Gilead, and Amgen outside the submitted work. Dr Robertson reported receiving grants from the FDA and National Institutes of Wellness (NIH) during the comport of the written report. Dr Benjamin reported receiving grants from the NIH and American Heart Association during the conduct of the report. Dr Stokes reported receiving grants from Ethicon, a subsidiary of Johnson and Johnson, outside the submitted work. No other disclosures were reported.

Figures

Figure.. Associations of e-Cigarette Utilise With the Risk of Respiratory Disease^a

Healthy respondents 1 indicates individuals who had no self-reported chronic conditions, including whatsoever general health (ie, hypertension, high cholesterol, heart assail, centre failure, stroke, and diabetes) or respiratory-specific atmospheric condition (ie, chronic obstructive pulmonary disease, emphysema, chronic bronchitis, and asthma); healthy respondents two, individuals whose cocky-rated overall physical wellness were skillful, peachy, or fantabulous; and IRR, incidence rate ratio. ^aIncludes chronic obstructive pulmonary disease, chronic bronchitis, emphysema, and asthma.

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