Is vaping a gateway to smoking: a review of the longitudinal studies

Chatterjee, Kshitij; Alzghoul, Bashar; Innabi, Ayoub; Meena, Nikhil

doi:10.1515/ijamh-2016-0033

Cited by 67 publications

(66 citation statements)

References 44 publications

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“…Notably, there was substantial variabililty in documented ENDS use across departments and less than half of ENDS documentation occurred in pediatrics among patients aged 12–17. Given emerging evidence that ENDS use may serve as a gateway to tobacco smoking among youth (Chatterjee et al, 2016), routine documentation in pediatrics, in particular, would allow for a more thorough assessment of the longitudinal impact of ENDS use on changes in smoking status and health.…”

Section: Discussionmentioning

confidence: 99%

Do you vape? Leveraging electronic health records to assess clinician documentation of electronic nicotine delivery system use among adolescents and adults

Young-Wolff

Klebaner

Folck

et al. 2017

Preventive Medicine

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Use of electronic nicotine delivery systems (ENDS) has increased substantially over the past decade. However, unlike smoking, which is systematically captured by clinicians through routine screening and discrete documentation fields in the electronic health record (EHR), unknown is the extent to which clinicians are documenting patients’ use of ENDS. Data were gathered from medical visits with patients aged 12 and older (N = 9,119; 55% male) treated in a large, integrated healthcare system. We used natural language processing to assess the incidence rates of clinician documentation of patients’ ENDS use in unstructured tobacco comments in the EHR, and the words most frequently documented in relation to ENDS, from 2006–2015. ENDS documentation in the EHR increased dramatically over time (from 0.01 to 9.5 per 10,000 patients, p < 0.0001), particularly among adults aged 18–24 and 25–44. Most prevalent were “e-cig,” “electronic cigarettes”, and “vape,” with much variation in spelling and phrasing of these words. Records of adolescent and young adult patients were more likely to contain the word “vape”, and less likely to have “e-cig” and “electronic cigarette” than records of adults (ps < 0.0001). The relatively low observed number of patients with ENDS terms in the EHR suggested vast under documentation. While healthcare providers are increasingly documenting patients’ use of ENDS in the EHR, overall documentation rates remain low. Discrete EHR fields for standard screening and documentation of ENDS that reflect the language used by patients would provide more complete longitudinal population-level surveillance of ENDS use and its association with short- and long-term health outcomes.

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Section: Discussionmentioning

confidence: 99%

Do you vape? Leveraging electronic health records to assess clinician documentation of electronic nicotine delivery system use among adolescents and adults

Young-Wolff

Klebaner

Folck

et al. 2017

Preventive Medicine

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“…A review of the longitudinal effects of e-cigarette use on onset of smoking among adolescents and young adults concluded that e-cigarette use does lead to a higher incidence of combustible cigarette smoking [50]. …”

Section: E-cigarettes and Childrenmentioning

confidence: 99%

Tobacco, e-cigarettes, and child health

Peterson

Hecht

2017

Current Opinion in Pediatrics

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Purpose of the review The availability of the Children’s Health Exposure Assessment Resource funded by the National Institute of Environmental Health Sciences provides new opportunities for exploring the role of tobacco smoke exposure in causing harm to children. Findings Children of smokers are exposed to nicotine and other harmful tobacco smoke chemicals in utero as well as in their environment. This passive exposure to tobacco smoke has a variety of negative effects on children. In utero exposure to tobacco smoke causes poor birth outcomes and influences lung, cardiovascular and brain development, placing children at increased risk of a number of adverse health outcomes later in life such as obesity, behavioral problems and cardiovascular disease. Furthermore, most smokers start in their adolescence, an age of increased nicotine addiction risk. Biomarkers of tobacco exposure helps clarify the role tobacco chemicals play in influencing health both in childhood and beyond. While e-cigarettes appear to be a nicotine delivery device of reduced harm, it appears to be a gateway to the use of combustible cigarette smoking in adolescents. Summary Pediatric researchers interested in elucidating the role of tobacco smoke exposure in adverse outcomes in children should incorporate biomarkers of tobacco exposure in their studies.

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“…E-cigarettes are more popular among younger individuals, who are also more likely to believe that they are less harmful than cigarettes in the United Kingdom, but the patterns and pathways of use among adolescents remain unclear [1][2][3] . A key question in the debate is whether experimentation and use among adolescents is a gateway to smoking tobacco 4,5 . While multiple studies have shown that regular use of e-cigarettes and, to some extent, experimentation with the product are rare among non-smokers, the cross-sectional nature of these studies precludes conclusions with regards to transition from e-cigarettes to combustible tobacco and vice versa 1,6 .…”

Section: Introductionmentioning

confidence: 99%