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Perceived health effects of vaping among Hungarian adult e-cigarette-only and dual users: a cross-sectional internet survey.
BMC Public Health. 2019 Mar 13; 19(1):302.BP

Abstract

BACKGROUND

Knowledge about the health effects of e-cigarette use (or vaping) among past and current combustible cigarette users is limited. Several studies have assessed vaping-related adverse events (AEs) and beneficial health effects, however, most studies focused on AEs in general and examined only a few physiological changes that vapers experience. This study aims to explore self-reported AEs and perceived health changes due to e-cigarette use among Hungarian adult e-cigarette-only users (former smokers who switched completely to e-cigarette use) and dual users (smokers who use e-cigarettes and combustible tobacco cigarettes concomitantly).

METHODS

A cross-sectional, web-based survey of 1042 adult Hungarian e-cigarette users was conducted in 2015. Participants reported AEs and changes in physiological functions since they switched from smoking to e-cigarette use or while dually using e-cigarettes and combustible cigarettes. Confirmatory factor analysis with covariates was applied to explain perceived health changes due to e-cigarette-only use and dual use.

RESULTS

Dual users (17.6%) were significantly more likely to report AEs of vaping than e-cigarette-only users (26.2% vs. 11.8%, p < 0.001). Experiencing health improvements were significantly more likely among e-cigarette-only users than for dual users for all surveyed physiological functions. E-cigarette-only users reported larger effects of vaping on sensory, physical functioning, and mental health factors compared to dual users. Self-reported changes in sensory and physical functioning were significantly higher among individuals using e-cigarettes more than a year and people who were past heavy smokers (smoked ≥20 cigarettes per day). Gender was related to sensory improvement only; males reported greater improvement than females.

CONCLUSIONS

The majority of e-cigarette-only users reported more perceived beneficial changes in physiological functions and fewer AEs than dual users. Perceived short-term benefits of e-cigarette use may reinforce users despite the uncertainty of long-term health consequences. Health professionals should provide balanced information regarding the possible short- and long-term positive and negative health effects of e-cigarette use during consultations with patients.

Authors+Show Affiliations

Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Üllői út 26, Budapest, H-1085, Hungary.Institute of Public Health, Faculty of Medicine, Semmelweis University, Üllői út 26, Budapest, H-1085, Hungary. melindapenzes@gmail.com.Institute of Psychology, Eötvös Loránd University, Izabella utca 46, Budapest, H-1064, Hungary.Department of Implementation Science, Wake Forest University School of Medicine, Medical Center Boulevard, Winston Salem, NC, 27157, USA.Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Üllői út 26, Budapest, H-1085, Hungary.Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Üllői út 26, Budapest, H-1085, Hungary.Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Üllői út 26, Budapest, H-1085, Hungary.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30866897

Citation

Abafalvi, Lilla, et al. "Perceived Health Effects of Vaping Among Hungarian Adult E-cigarette-only and Dual Users: a Cross-sectional Internet Survey." BMC Public Health, vol. 19, no. 1, 2019, p. 302.
Abafalvi L, Pénzes M, Urbán R, et al. Perceived health effects of vaping among Hungarian adult e-cigarette-only and dual users: a cross-sectional internet survey. BMC Public Health. 2019;19(1):302.
Abafalvi, L., Pénzes, M., Urbán, R., Foley, K. L., Kaán, R., Kispélyi, B., & Hermann, P. (2019). Perceived health effects of vaping among Hungarian adult e-cigarette-only and dual users: a cross-sectional internet survey. BMC Public Health, 19(1), 302. https://doi.org/10.1186/s12889-019-6629-0
Abafalvi L, et al. Perceived Health Effects of Vaping Among Hungarian Adult E-cigarette-only and Dual Users: a Cross-sectional Internet Survey. BMC Public Health. 2019 Mar 13;19(1):302. PubMed PMID: 30866897.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Perceived health effects of vaping among Hungarian adult e-cigarette-only and dual users: a cross-sectional internet survey. AU - Abafalvi,Lilla, AU - Pénzes,Melinda, AU - Urbán,Róbert, AU - Foley,Kristie L, AU - Kaán,Réka, AU - Kispélyi,Barbara, AU - Hermann,Péter, Y1 - 2019/03/13/ PY - 2018/08/30/received PY - 2019/03/06/accepted PY - 2019/3/15/entrez PY - 2019/3/15/pubmed PY - 2019/5/11/medline KW - Adverse event KW - E-cigarette KW - Health KW - Health consequence KW - Smoking KW - Vaping SP - 302 EP - 302 JF - BMC public health JO - BMC Public Health VL - 19 IS - 1 N2 - BACKGROUND: Knowledge about the health effects of e-cigarette use (or vaping) among past and current combustible cigarette users is limited. Several studies have assessed vaping-related adverse events (AEs) and beneficial health effects, however, most studies focused on AEs in general and examined only a few physiological changes that vapers experience. This study aims to explore self-reported AEs and perceived health changes due to e-cigarette use among Hungarian adult e-cigarette-only users (former smokers who switched completely to e-cigarette use) and dual users (smokers who use e-cigarettes and combustible tobacco cigarettes concomitantly). METHODS: A cross-sectional, web-based survey of 1042 adult Hungarian e-cigarette users was conducted in 2015. Participants reported AEs and changes in physiological functions since they switched from smoking to e-cigarette use or while dually using e-cigarettes and combustible cigarettes. Confirmatory factor analysis with covariates was applied to explain perceived health changes due to e-cigarette-only use and dual use. RESULTS: Dual users (17.6%) were significantly more likely to report AEs of vaping than e-cigarette-only users (26.2% vs. 11.8%, p < 0.001). Experiencing health improvements were significantly more likely among e-cigarette-only users than for dual users for all surveyed physiological functions. E-cigarette-only users reported larger effects of vaping on sensory, physical functioning, and mental health factors compared to dual users. Self-reported changes in sensory and physical functioning were significantly higher among individuals using e-cigarettes more than a year and people who were past heavy smokers (smoked ≥20 cigarettes per day). Gender was related to sensory improvement only; males reported greater improvement than females. CONCLUSIONS: The majority of e-cigarette-only users reported more perceived beneficial changes in physiological functions and fewer AEs than dual users. Perceived short-term benefits of e-cigarette use may reinforce users despite the uncertainty of long-term health consequences. Health professionals should provide balanced information regarding the possible short- and long-term positive and negative health effects of e-cigarette use during consultations with patients. SN - 1471-2458 UR - https://www.unboundmedicine.com/medline/citation/30866897/Perceived_health_effects_of_vaping_among_Hungarian_adult_e_cigarette_only_and_dual_users:_a_cross_sectional_internet_survey_ L2 - https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-6629-0 DB - PRIME DP - Unbound Medicine ER -