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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.
Tob Control. 2020 03; 29(2):140-147.TC

Abstract

BACKGROUND

Wheezing 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.

METHODS

The 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.

RESULTS

Among 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).

CONCLUSIONS

Vaping 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.

Links

PMC Free PDF

Authors+Show Affiliations

Li D
Department of Clinical & Translational Research, University of Rochester Medical Center, Rochester, New York, USA.
Sundar IK
Department of Environmental Medicine, University of Rochester Medical Center, Rochester, New York, USA.
McIntosh S
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York, USA.
Ossip DJ
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York, USA.
Goniewicz ML
Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
O'Connor RJ
Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Buffalo, New York, USA.
Rahman I
Department of Environmental Medicine, University of Rochester Medical Center, Rochester, New York, USA.

MeSH

AdolescentAdultAgedCohort StudiesCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedRespiratory SoundsSelf ReportSurveys and QuestionnairesTobacco SmokingVapingYoung Adult

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

30760629

Citation

Li, Dongmei, et al. "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." Tobacco Control, vol. 29, no. 2, 2020, pp. 140-147.
Li D, Sundar IK, McIntosh S, et al. 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. Tob Control. 2020;29(2):140-147.
Li, D., Sundar, I. K., McIntosh, S., Ossip, D. J., Goniewicz, M. L., O'Connor, R. J., & Rahman, I. (2020). 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. Tobacco Control, 29(2), 140-147. https://doi.org/10.1136/tobaccocontrol-2018-054694
Li D, et al. 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. Tob Control. 2020;29(2):140-147. PubMed PMID: 30760629.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 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. AU - Li,Dongmei, AU - Sundar,Isaac K, AU - McIntosh,Scott, AU - Ossip,Deborah J, AU - Goniewicz,Maciej Lukasz, AU - O'Connor,Richard J, AU - Rahman,Irfan, Y1 - 2019/02/13/ PY - 2018/08/21/received PY - 2018/12/13/revised PY - 2018/12/18/accepted PY - 2019/2/15/pubmed PY - 2021/6/2/medline PY - 2019/2/15/entrez KW - electronic nicotine delivery devices KW - prevention KW - public policy SP - 140 EP - 147 JF - Tobacco control JO - Tob Control VL - 29 IS - 2 N2 - BACKGROUND: Wheezing 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. METHODS: The 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. RESULTS: Among 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). CONCLUSIONS: Vaping 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. SN - 1468-3318 UR - https://www.unboundmedicine.com/medline/citation/30760629/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_ DB - PRIME DP - Unbound Medicine ER -