Electronic cigarette use in youths: a position statement of the Forum of International Respiratory Societies

Ferkol, Thomas; Farber, Harold J.; Grutta, Stefania La; Leone, Frank T.; Marshall, Henry; Neptune, Enid; Pisinger, Charlotta; Vanker, Aneesa; Wisotzky, Myra; Zabert, Gustavo; Schraufnagel, Dean E.

doi:10.1183/13993003.00278-2018

Cited by 111 publications

(104 citation statements)

References 84 publications

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“…Compared to the research findings of other previous studies, we found that pregnant women exposed to FHS and SHS have a similar, and sometimes even much lower HRQoL than those suffered from physiological diseases, such as gestational diabetes mellitus and uterine fibroid. [29,50] Although electronic cigarettes has been considered as a safer way than smoking tobacco among people recent years, [51] recent studies have stated that e-cigarette products still can cause varying degree of lung damage and chronic respiratory symptoms and both DNA strand breaks and cell death; [52][53][54] Thus, the…”

Section: Discussionmentioning

confidence: 99%

Maternal Tobacco Exposure and Health-Related Quality of Life during Pregnancy: A National-based Study of 15682 Pregnant Women in China

Sun¹,

Huang²,

Wu³

et al. 2020

Preprint

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Background With the increase of the number of smokers, tobacco exposure among pregnant women is becoming more and more common. Though that pregnant women exposed to first-hand smoke and second-hand smoke are susceptible to physiological and psychological health issues has been proved in previous studies, there are no enough studies focus on the impact of third-hand smoke. This study aimed to assess and compare health-related quality of life for pregnant women with exposure to first-hand smoke, second-hand smoke, third-hand smoke and non-exposure to tobacco in mainland China. Methods National-based cross-sectional study is based on a questionnaire survey which collects information including demographics, smoking behaviors and self-evaluation. All questionnaires were delivered and collected from August to September 2019. EuroQol group’s visual analog scale and EuroQoL Five-dimension Questionnaire were used to collect data in mainland China. Results Totally, 15682 pregnant women were included in this study, among which non-exposure to smoke were 7564 (48.2%), exposed to first-hand smoke, second-hand smoke and third-hand smoke were 89 (0.6%), 2349 (15.0%), and 5680 (36.2%) respectively. Pregnant women without tobacco exposure had the highest EuroQol group’s visual analog scale score (mean value=85.4[SD=14.0]), while those with first-hand smoke had the lowest score (mean value=77.4[SD=22.2]). Among all five dimensions of EuroQoL Five-dimension Questionnaire, there were significant differences of EQ-index among groups with different tobacco exposure in usual activity and anxiety or depression dimensions (p<0.001). Conclusions Third-hand smoke exposure had close relationship with low health-related quality of life in pregnant women. Moreover, second-hand smoke exposure significantly led more problems on mental dimension of pregnant women.

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Section: Discussionmentioning

confidence: 99%

Maternal Tobacco Exposure and Health-Related Quality of Life during Pregnancy: A National-based Study of 15682 Pregnant Women in China

Sun¹,

Huang²,

Wu³

et al. 2020

Preprint

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“…A few of the younger children believed the fruits in flavourings made them healthier. Such findings are noteworthy given concerns about the attraction of flavoured e-cigarettes to young people and recent calls to prohibit them (18,26). Further research is needed to understand the potential appeal of flavoured e-cigarettes to youth and assess if further regulation is warranted.…”

Section: Acceptability Of Vaping and Smokingmentioning

confidence: 90%

“…In 2015/16 the Welsh government proposed to ban the use of e-cigarettes in enclosed public places in Wales; the proposal was rejected by the Welsh Assembly. In 2018 the Forum of International Respiratory Societies recommended a worldwide ban on the sale of e-cigarettes to young people, the prohibition of flavourings and use of e-cigarettes where children are present (18). Recently the U.S Food and Drug Administration (FDA) announced the implementation of new and aggressive measures including the re-examination of their compliance policy regarding flavoured e-cigarettes which could potentially see the removal of some or all flavoured products (26) .…”

Section: Introductionmentioning

confidence: 99%

“…Whilst not unexpected given the children's developmental ages, it does reflect a wider trend(52). The proportion of[11][12][13][14][15][16][17][18] year olds in Great Britain who believe e-cigarettes are equally as harmful as tobacco cigarettes has increased over the past 3 years from 11-23% (2). Some awareness of addiction was evident but this was largely related to tobacco smoking.…”

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confidence: 99%

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Welsh primary schoolchildren’s perceptions of e-cigarettes: a mixed method study

Porcellato¹,

Houle-Ross²,

Quigg³

et al. 2020

Preprint

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Background: There are concerns that the growing popularity of e-cigarettes promotes experimentation among children. Current research has focused almost exclusively on children over 11 years. Given the possible lifelong health harms caused by behaviours established in early childhood, understanding younger children’s perceptions is essential; to inform tobacco control policies, prevention strategies and the wider debate on further regulation of vaping. In one of the first global studies to provide insights into younger children’s perceptions of e-cigarettes, we explored Welsh primary schoolchildren’s (aged 7-11) awareness of e-cigarettes relative to tobacco smoking, their understanding of the risks and benefits associated with e-cigarettes and their intentions and beliefs about vaping. Methods: Data was collected using a mix of methods in June and July 2017 from 8 purposively selected primary schools across Wales. Four hundred and ninety-five children (52% female), aged 7 years (n=165), 9 years (n=185) and 11 years (n=145) completed a class-administered booklet encompassing a draw and write exercise and questionnaire. Ninety-six children participated in 24 peer cohort-based discussion groups comprised of 2 boys and 2 girls. Data from the three tools were analysed independently and findings triangulated. Questionnaire analyses used frequencies, descriptive statistics and chi-squared tests. Content analysis was undertaken on the draw and write data and peer discussion groups were analysed thematically. Results: Primary schoolchildren have general awareness of e-cigarettes but understanding of any health harms or the role of nicotine in e-cigarettes is poor or misperceived, particularly in the youngest children. Vaping was viewed as healthier than smoking by most and there was some recognition that e-cigarettes were used for smoking cessation. Few children intended to smoke (1.8%) or vape (3.9%) in the future but almost half thought it was okay for grownups. Children’s perceptions were influenced by exposure through family and friends. Conclusions: There is a need for e-cigarette education in primary schools. Health promotion efforts should reinforce the message that vaping is ‘less harmful’ rather than ‘healthier’ and highlight associated risks of e-cigarette experimentation including the potential for tobacco initiation. Further research is needed to explore whether children’s perceptions influence their future use of tobacco or e-cigarettes.

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“…As stated previously, observational data are subject to various biases and may establish an association but cannot prove a causal link. It may simply be that certain youth experiment with whatever is available; however, the evidence is sufficiently concerning that many authorities agree that ENDS advertising to youth should be banned, flavourings should be banned and ENDS use should be strictly controlled …”

Section: Ends May Lead To Smoking?mentioning

confidence: 99%

Electronic cigarettes in physician practice: a complex debate

Marshall

2019

Internal Medicine Journal

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E‐cigarettes, or electronic nicotine delivery systems (ENDS), have been suggested as a potential aid for smoking cessation, but many questions about their efficacy and safety remain unanswered. Until very recently, the evidence for ENDS in smoking cessation was largely based on observational studies or randomised controlled trials with methodological flaws and did not provide adequate evidence to support strongly ENDS for smoking cessation. Concerns about the uptake of ENDS by nonsmoking populations (such as adolescents) remain. More recent evidence may indicate the effect of ENDS in smoking cessation, but many questions remain unanswered. In this article, we address recent claims that failure to recommend ENDS for smoking cessation represents unethical practice. We strongly dispute this claim, analysing the many complex issues that clinicians working in smoking cessation should consider.

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Electronic cigarette use in youths: a position statement of the Forum of International Respiratory Societies

Cited by 111 publications

References 84 publications

Maternal Tobacco Exposure and Health-Related Quality of Life during Pregnancy: A National-based Study of 15682 Pregnant Women in China

Maternal Tobacco Exposure and Health-Related Quality of Life during Pregnancy: A National-based Study of 15682 Pregnant Women in China

Welsh primary schoolchildren’s perceptions of e-cigarettes: a mixed method study

Electronic cigarettes in physician practice: a complex debate

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