ENDS, Cigarettes, and Respiratory Illness: Longitudinal Associations Among U.S. Youth

Mukerjee, Richa; Hirschtick, Jana L.; Arciniega, Luis Zavala; Xie, Yanmei; Barnes, Geoffrey D.; Arenberg, Douglas A.; Levy, David T.; Meza, Rafael; Fleischer, Nancy L.; Cook, Steven F.

doi:10.1016/j.amepre.2023.12.005

Cited by 4 publications

(1 citation statement)

References 38 publications

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“…One recent study of our team found that the exclusive cigarette, exclusive e-cigarette use and dual use of cigarettes and e-cigarettes was associated with bronchitis, pneumonia and chronic cough. 19 However, no studies have evaluated the link between polytobacco use the risk of bronchitis, pneumonia. We aim to ll this gap by studying this association using data from six waves of the PATH survey, a longitudinal nationally representative study, providing additional insights about the short-term health consequences of polyuse of tobacco products among youth.…”

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confidence: 99%

Longitudinal associations between exclusive, dual and polytobacco use and respiratory illness among youth

Zavala-Arciniega,

Cook,

Hirschtick

et al. 2024

Preprint

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Background The health consequences of polytobacco use are still well not understand. We evaluated prospective associations between exclusive, dual, and polytobacco use and diagnosed bronchitis, pneumonia, or chronic cough among US youth. Methods Data came from Waves 1–5 of the Population Assessment of Tobacco and Health Study. We categorized time-varying past 30-day tobacco use into seven categories: (1) non-current use; exclusive use of 2) cigarettes, 3) electronic nicotine delivery systems (ENDS), or 4) other combustible products (OC; pipes, hookah, and cigars); dual use of 5) ENDS + cigarettes or ENDS + OC 6) cigarettes + OC; or 7) polyuse of all three products. The outcome was incident diagnosis of bronchitis, pneumonia, or chronic cough. We conducted weighted multilevel Poisson models (person n = 17,517, 43,290 observations) to examine the longitudinal exposure-outcome relationship, adjusting for covariates: sex, age, race and ethnicity, parental education, body mass index, secondhand smoke exposure, and household use of combustible products Results Compared to nonuse, exclusive cigarette use (Incidence Rate Ratio (IRR) = 1.83, 95% CI 1.25–2.68), exclusive ENDS use (IRR = 1.53, 95% CI 1.08–2.15), combustible product + ENDS dual use (IRR = 1.90, 95% CI 1.18–3.04), cigarettes + OC dual use (IRR = 1.96, 95% CI 1.11–3.48), and polytobacco use (IRR = 3.06 95% CI 1.67–5.63) were associated with a higher incidence of bronchitis, pneumonia, or chronic cough. Conclusion We found that exclusive, dual, and poly tobacco use was associated with higher incidence of bronchitis, pneumonia, or chronic cough; Moreover, the incidence rate ratio for polytobacco use was higher than the incidence rate ratio for exclusive use compared to non-current use.

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Section: Introductionmentioning

confidence: 99%

Longitudinal associations between exclusive, dual and polytobacco use and respiratory illness among youth

Zavala-Arciniega,

Cook,

Hirschtick

et al. 2024

Preprint

Self Cite

View full text Add to dashboard Cite

show abstract

Association between tobacco product use and respiratory health and asthma-related interference with activities among U.S. Adolescents

Yao,

Lea Watkins,

Sung

et al. 2024

Preventive Medicine Reports

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Longitudinal associations between exclusive, dual and polytobacco use and respiratory illness among youth

Zavala-Arciniega,

Cook,

Hirschtick

et al. 2024

BMC Public Health

View full text Add to dashboard Cite

Background The health consequences of polytobacco use are not well understood. We evaluated prospective associations between exclusive, dual, and polytobacco use and diagnosed bronchitis, pneumonia, or chronic cough among US youth. Methods Data came from Waves 1–5 of the Population Assessment of Tobacco and Health Study. We categorized time-varying past 30-day tobacco use into seven categories: (1) non-current use; exclusive use of 2) cigarettes, 3) e-cigarettes, and 4) other combustible products (OC; pipes, hookah, and cigars); dual use of 5) e-cigarettes + cigarettes or e-cigarettes + OC, and 6) cigarettes + OC; and 7) polyuse of all three products. The outcome was parent-reported diagnosis of bronchitis, pneumonia, or chronic cough among youth. We conducted weighted multilevel Poisson models (person n = 17,517, 43,290 observations) to examine the longitudinal exposure-outcome relationship, adjusting for covariates: sex, age, race and ethnicity, parental education, body mass index, secondhand smoke exposure, and household use of combustible products. Results Compared to nonuse, exclusive cigarette use (Risk Ratio (RR) = 1.83, 95% CI 1.25–2.68), exclusive e-cigarette use (RR = 1.53, 95% CI 1.08–2.15), combustible product + e-cigarette dual use (RR = 1.90, 95% CI 1.18–3.04), cigarettes + OC dual use (RR = 1.96, 95% CI 1.11–3.48), and polytobacco use (RR = 3.06 95% CI 1.67–5.63) were associated with a higher risk of bronchitis, pneumonia, or chronic cough. In additional analyses, we found that the risk ratio for polytobacco use was higher compared to exclusive e-cigarette use (RR 2.01 CI 95% 1.02–3.95), but not higher compared to exclusive cigarette use (RR 1.67 CI 95% 0.85–3.28). Conclusion We found that exclusive, dual, and poly tobacco use were all associated with higher risk of bronchitis, pneumonia, or chronic cough compared to non-current use.

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ENDS, Cigarettes, and Respiratory Illness: Longitudinal Associations Among U.S. Youth

Cited by 4 publications

References 38 publications

Longitudinal associations between exclusive, dual and polytobacco use and respiratory illness among youth

Longitudinal associations between exclusive, dual and polytobacco use and respiratory illness among youth

Association between tobacco product use and respiratory health and asthma-related interference with activities among U.S. Adolescents

Longitudinal associations between exclusive, dual and polytobacco use and respiratory illness among youth

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