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Stevens ER, Xu S, Niaura R, Cleland CM, Sherman SE, Mai A, Karey E, Jiang N. Youth E-Cigarette Use and Functionally Important Respiratory Symptoms: The Population Assessment of Tobacco and Health (PATH) Study Waves 3 and 4. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15324. [PMID: 36430043 PMCID: PMC9690418 DOI: 10.3390/ijerph192215324] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 11/08/2022] [Accepted: 11/18/2022] [Indexed: 06/16/2023]
Abstract
Respiratory effects of e-cigarette use among youth are not fully understood. This study investigated the longitudinal association between e-cigarette use and a validated index of functionally important respiratory symptoms among US youth. Data from Waves 3-4 of the Population Assessment of Tobacco and Health Study were analyzed. The sample included youth (aged 12-17) without asthma at baseline (Wave 3), who completed a follow-up survey (Wave 4), and were not missing data for analytic variables (n = 3899). Exposure was e-cigarette use status (never, former, or current) at baseline. The outcome was a respiratory symptom index based on responses for seven wheezing items at Wave 4. An index of ≥2 was defined as having functionally important respiratory symptoms. Lagged logistic regression models examined the association between baseline e-cigarette use and functionally important respiratory symptoms at follow-up by combustible tobacco use status (never or ever), and controlling for baseline covariates. At baseline, 13.7% of participants reported former e-cigarette use, and 4.3% reported current use. Baseline e-cigarette use did not increase the odds of having functionally important respiratory symptoms at follow-up regardless of combustible tobacco use status. Future research on larger populations of e-cigarette users with longer follow-up periods will improve our understanding of the respiratory risks associated with e-cigarette use among youth.
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Affiliation(s)
- Elizabeth R. Stevens
- Department of Population Heath, Grossman School of Medicine, New York University, New York, NY 10016, USA
| | - Shu Xu
- School of Global Public Health, New York University, New York, NY 10012, USA
| | - Raymond Niaura
- School of Global Public Health, New York University, New York, NY 10012, USA
| | - Charles M. Cleland
- Department of Population Heath, Grossman School of Medicine, New York University, New York, NY 10016, USA
| | - Scott E. Sherman
- Department of Population Heath, Grossman School of Medicine, New York University, New York, NY 10016, USA
- Department of Medicine, VA New York Harbor Healthcare System, New York, NY 10010, USA
| | - Andi Mai
- Department of Population Heath, Grossman School of Medicine, New York University, New York, NY 10016, USA
| | - Emma Karey
- Department of Medicine, Grossman School of Medicine, New York University, New York, NY 10016, USA
| | - Nan Jiang
- Department of Population Heath, Grossman School of Medicine, New York University, New York, NY 10016, USA
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Ritchie AI, Baker JR, Parekh TM, Allinson JP, Bhatt SP, Donnelly LE, Donaldson GC. Update in Chronic Obstructive Pulmonary Disease 2020. Am J Respir Crit Care Med 2021; 204:14-22. [PMID: 33856972 DOI: 10.1164/rccm.202102-0253up] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Andy I Ritchie
- National Heart and Lung Institute, Imperial College London, London, United Kingdom
| | - Jonathon R Baker
- National Heart and Lung Institute, Imperial College London, London, United Kingdom
| | - Trisha M Parekh
- Division of Pulmonary, Allergy and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, Alabama; and
| | - James P Allinson
- National Heart and Lung Institute, Imperial College London, London, United Kingdom.,Royal Brompton Hospital, Royal Brompton and Harefield National Health Service Foundation Trust, London, United Kingdom
| | - Surya P Bhatt
- Division of Pulmonary, Allergy and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, Alabama; and
| | - Louise E Donnelly
- National Heart and Lung Institute, Imperial College London, London, United Kingdom
| | - Gavin C Donaldson
- National Heart and Lung Institute, Imperial College London, London, United Kingdom
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Affiliation(s)
- Kai Sen Tan
- Department of Otolaryngology and Infectious Diseases Translational Research Programme National University of Singapore Singapore, Singapore
| | - De Yun Wang
- Department of Otolaryngology and Infectious Diseases Translational Research Programme National University of Singapore Singapore, Singapore
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