scholarly journals Electronic cigarette: a possible substitute for cigarette dependence

2015 ◽  
Vol 79 (1) ◽  
Author(s):  
P. Caponnetto ◽  
C. Russo ◽  
C.M. Bruno ◽  
A. Alamo ◽  
M.D. Amaradio ◽  
...  
Keyword(s):  
Smoking Cessation ◽  
Cigarette Smoking ◽  
Electronic Cigarettes ◽  
Premature Mortality ◽  
Electronic Cigarette ◽  
Morbidity And Mortality ◽  
Coping Mechanism ◽  
Western Countries ◽  
Smoking Cues ◽  
Cigarette Dependence

Cigarette smoking is the leading cause of premature mortality in western countries and it is important for smokers to stop as early as possible. Electronic cigarettes are a popular phenomenon of global proportion. Recent uncontrolled studies, reported that a certain number of smokers have quit using electronic cigarettes. This could hint a role for electronic cigarettes to be used for smoking cessation, and therefore merits further evaluation for this purpose. Besides vaporising nicotine to be inhaled, electronic cigarettes may also provide a coping mechanism for conditioned smoking cues by replacing some of the rituals associated with smoking gestures, and for these reasons cigarette could become a tool – if studied more extensively – in the fight against tobacco-related morbidity and mortality.

Socioeconomic Disparities in Electronic Cigarette Use and Transitions from Smoking

2018 ◽  
Vol 21 (10) ◽  
pp. 1363-1370 ◽  
Author(s):  
Abigail S Friedman ◽  
Samantha J L Horn
Keyword(s):  
Household Income ◽  
Electronic Cigarettes ◽  
Electronic Cigarette ◽  
Socioeconomic Disparities ◽  
Morbidity And Mortality ◽  
Cigarette Use ◽  
Dual Use ◽  
Representative Data ◽  
Percentage Points ◽  
Nationally Representative

Abstract Introduction Socioeconomic disparities have been established for conventional cigarette use, but not for electronic cigarettes. This study estimates socioeconomic gradients in exclusive use of conventional cigarettes, electronic cigarettes, and dual use (ie, use of both products) among adults in the United States. Methods Analyses consider nationally representative data on 25- to 54-year-old respondents to the 2014–2016 National Health Interview Surveys (N = 50306). Demographically adjusted seemingly unrelated regression models estimate how two socioeconomic status measures—respondent education and household income—relate to current exclusive use of conventional cigarettes, electronic cigarettes, and dual use. Results Conventional cigarette use exhibits negative education and income gradients, consistent with existing research: −12.9 percentage points (confidence interval [CI]: −14.0, −11.8) if college educated, and −9.5 percentage points (CI: −10.9, −8.1) if household income exceeds 400% of the federal poverty level. These gradients are flatter for dual use (−1.4 [CI: −1.8, −0.9] and −1.9 [CI: −2.5, −1.2]), and statistically insignificant for electronic cigarette use (−0.03 [CI: −0.5, 0.4] and −0.3 [CI: −0.8, −0.2]). Limiting the sample to ever-smokers, higher education is associated with a 0.9 percentage point increase in likelihood of exclusive electronic cigarette use at interview (CI: 0.0, 1.9). Conclusions Education and income gradients in exclusive electronic cigarette use are small and statistically insignificant, contrasting with strong negative gradients in exclusive conventional cigarette use. Furthermore, more educated smokers are more likely to switch to exclusive e-cigarette use than less educated smokers. Such differential switching may exacerbate socioeconomic disparities in smoking-related morbidity and mortality, but lower the burden of tobacco-related disease. Implications Research has not yet established whether socioeconomic disparities in electronic cigarette (e-cigarette) use resemble those observed for conventional cigarettes. This article uses nationally representative data on US adults aged 25–54 to estimate income and education gradients in exclusive use of conventional cigarettes, e-cigarettes, and dual use. Both gradients are steep and negative for conventional cigarette use, but flat and statistically insignificant for e-cigarette use. Repeating the analysis among ever-smokers indicates that more educated smokers are more likely to transition toward exclusive e-cigarette use than less educated smokers. Such differential substitution may exacerbate disparities in smoking-related morbidity and mortality.

scholarly journals Effects of electronic cigarette on platelet and vascular function after one month of use

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
I Ikonomidis ◽  
K Katogiannis ◽  
G Kostelli ◽  
K Kourea ◽  
E Kyriakou ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Smoking Cessation ◽  
Arterial Stiffness ◽  
Cigarette Smoking ◽  
Platelet Function ◽  
Tobacco Smoking ◽  
Vascular Function ◽  
Augmentation Index ◽  
Electronic Cigarette ◽  
Nicotine Concentration

Abstract Background and aims Smoking is a major factor that contributes to the development of cardiovascular disease. Smoking cessation delays progress of coronary artery disease. Electronic cigarette is proposed as a bridge to smoking cessation. We examined its effects on platelet function after 1 month of use compared to tobacco smoking. Patients and methods 40 current smokers (mean age 48 years±5) without cardiovascular disease were randomized to smoke either a conventional cigarette (conv-cig) or an electronic cigarette (e-cig) (electronic cigarette fluid with nicotine concentration of 12 mg/dL) for one month. All subjects smoked an electronic cigarette with nicotine concentration 12 mg/dL for one month. Measurements were performed at baseline and after one month of smoking the conventional or electronic cigarette. We measured a) perfused boundary region (PBR) of the sublingual arterial micro vessels (range 5–25 micrometers), a marker inversely related with glycocalyx thickness, b) pulse wave velocity (PWV), central systolic blood pressure (cSBP) and augmentation index (AIx), c) platelet function by two different methods, namely the novel Platelet Function Analyzer PFA-100 and the traditional Light Transmission Aggregometry (LTA) d) the exhaled CO level (parts per million-ppm) as a smoking status marker; and e) the plasma malondialdehyde (MDA) levels, as an oxidative stress burden index. Results After 1 month of electronic smoking, we did not observe any significant change in platelet function and arterial stiffness (p>0.05 for all markers) with the exception of a reduction of MDA (1.22±0.1 vs 1.09±0.1 μmol/L, p=0.03) and exhaled CO; 14.9±0.7 vs 5.9±0.7 ppm, p<0.001. Conversely, after continuation of conventional cigarette smoking for a month, platelet function was further impaired as assessed by PFA [125,5±31,1 vs 152,35±51,4 U, p=0.047) and by LTA (epinephrine as stimulator) [59,8%±16,1 vs 35,6%±19.1, p<0.001] and markers of arterial stiffness were deteriorated, as assessed by PWV (9,5±2,8 vs 10,3±2,9, p=0,028) and by Aixc (8,36±35,9 vs 30,4±21,6, p=0,004). Conclusions Electronic Cigarette smoking has a neutral effect on platelet function and arterial stiffness markers compared to conventional tobacco smoking which further deteriorates platelet and vascular function during one moth of use. Funding Acknowledgement Type of funding source: None

scholarly journals Facial Trauma Caused by Electronic Cigarette Explosion

2017 ◽  
Vol 96 (3) ◽  
pp. 139-142 ◽  
Author(s):  
Brian Vaught ◽  
Joseph Spellman ◽  
Anil Shah ◽  
Alexander Stewart ◽  
David Mullin
Keyword(s):  
Smoking Cessation ◽  
Frontal Sinus ◽  
Electronic Cigarettes ◽  
Open Reduction Internal Fixation ◽  
Outflow Tract ◽  
Electronic Cigarette ◽  
Facial Trauma ◽  
Endoscopic Repair ◽  
Device Malfunction ◽  
Tract Involvement

Electronic cigarettes are increasingly popular as a supposed safer alternative to tobacco cigarettes or a smoking cessation tool. Research and debate have focused primarily on possible adverse effects caused by the inhaled aerosol produced by electronic cigarettes and on smoking cessation efficacy. Few reports in the medical literature describe injuries secondary to device malfunction. We present a case of electronic cigarette explosion, with a projectile fracturing the patient's right naso-orbital-ethmoid complex and anterior and posterior frontal sinus tables, with frontal sinus outflow tract involvement. The patient underwent combined open and endoscopic repair, including open reduction internal fixation, with reconstitution and preservation of the frontal sinus and frontal sinus outflow tract. Additionally, we review the available data on electronic cigarette malfunction-including fires, explosions, associated injuries, and possible reasons for device malfunction–and discuss new 2016 U.S. Food and Drug Administration regulations pertaining to electronic cigarettes.

scholarly journals Factors associated with electronic cigarettes use among adolescents in Jakarta, Indonesia

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ridhwan Fauzi ◽  
Chitlada Areesantichai
Keyword(s):  
Cigarette Smoking ◽  
Risk Perceptions ◽  
Electronic Cigarettes ◽  
Smoking Status ◽  
Control Policy ◽  
Electronic Cigarette ◽  
Cluster Sampling ◽  
Cigarette Use ◽  
Content Type ◽  
Factors Associated

PurposeThis study aimed to examine factors associated with electronic cigarette use among adolescents aged 15–19 in Jakarta, Indonesia.Design/methodology/approachThe study was a school-based survey involving 1,318 students from 14 high schools in Jakarta. A multistage cluster sampling methodology was used. The authors used the chi-square test and multiple logistic regression to examine the association between electronic cigarette use and sociodemographic, social influences, health risk perceptions, availability, affordability and conventional cigarette smoking status.FindingsOverall, 6.3% of females and 29% of males reported ever having used electronic cigarettes. Electronic cigarette use was independently associated with sex, school locations, conventional cigarette smoking status, peer use, availability and perceptions that electronic cigarettes aid conventional cigarette smoking cessation. Compared with non-smokers, lifetime (AOR: 8.740, 95% CI: 5.126–14.901) and current conventional cigarette smokers (AOR: 18.380, 95% CI: 10.577–31.938) were more likely to use electronic cigarettes.Social implicationsThe use of electronic cigarettes among adolescents was considerably high in this study. Therefore, the tobacco control policy should be extended to regulate the marketing and use of all types of tobacco products and not just conventional cigarettes.Originality/valueThe study explored beyond individual lifestyle factors that contributed to electronic cigarette use in Indonesia such as affordability, school locations and availability of electronic cigarettes. These issues have not been specifically discussed in previous studies.

scholarly journals Predicting Electronic Cigarette Use Among Adults in the Philippines

2021 ◽  
Vol 16 (3) ◽  
pp. 243-248
Author(s):  
Fahad Khamis Aljaberi ◽  
Johnny J Yao.jr.
Keyword(s):  
Cigarette Smoking ◽  
Behavioral Control ◽  
Electronic Cigarettes ◽  
The Philippines ◽  
Electronic Cigarette ◽  
Perceived Behavioral Control ◽  
Tobacco Prevention ◽  
Cigarette Use ◽  
Positive Attitudes ◽  
Intent To Use

Background: The Philippines has one of the highest cigarette smoking rates in Southeast Asia. Tobacco prevention and control efforts should not be a one-size-fits-all approach. One of the most recent and highly marketed way of cutting down smoking is the use of E-cigarettes. But its use may also have potential harmful effects which would be similar to cigarette smoking. Purpose: This study aimed to determine the factors predicting electronic cigarette use among adults in a large metropolitan area in the Philippines. Methods:The study used a descriptive-correlational multivariate research design. Adults who are at least 18 years of age, who are electronic cigarettes users, dual users (electronic cigarette and cigarette users), and non-smokers were chosen for this study. The researchers utilized a researcher- made questionnaire based on the Theory of Planned Behavior (TPB) in gathering the data. Results: Multiple regression analysis suggests that positive attitude and high perceived behavioral control significantly predict intent to use electronic cigarettes. Moreover, intent to use is a significant predictor of actual e-cigarette use.  Conclusion: People who have positive attitudes and high perceived behavioral control towards e-cigarette use are most likely to have higher intent to use e-cigarettes. Further, people who have high intent to use e-cigarettes will most likely use e-cigarettes. With reverence to the findings of this study, health managers and professionals should look into how e-cigarettes are being marketed to the public which may shape their attitude and behavior. Lastly, further studies should be conducted on other variables that may predict electronic cigarette use and measure health outcomes.

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