Parental Smoking and E-cigarette Use in Homes and Cars

Drehmer, Jeremy E.; Nabi-Burza, Emara; Walters, Bethany Hipple; Ossip, Deborah J.; Levy, Douglas E.; Rigotti, Nancy A.; Klein, Jonathan D.; Winickoff, Jonathan P.

doi:10.1542/peds.2018-3249

Cited by 46 publications

(41 citation statements)

References 32 publications

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“…Since young smokers were accustomed to smoking with their friends [ 12 ], they had less opportunity to smoke during the pandemic. Some also admitted that they had hidden their smoking habits from their parents, and that smoking at home was not allowed [ 13 ]. In addition, Hong Kong residents are adamant that they have had almost 100% mass masking in the community since the outbreak.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on the Hong Kong Youth Quitline Service and Quitting Behaviors of Its Users

Cheung

Xia

et al. 2020

IJERPH

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Tobacco use is a possible risk factor for contracting and spreading COVID-19. We aimed to describe the impact of the COVID-19 pandemic on the Youth Quitline service and quitting behaviors of its users in Hong Kong. We conducted a telephone survey involving 201 participants of the Youth Quitline service, and retrospectively analyzed the operation and use of Quitline since the COVID-19 outbreak in Hong Kong. The number of incoming calls to the Youth Quitline and the participants′ quit rate has increased since the COVID-19 outbreak in Hong Kong. Many participants (68%) did not realize that tobacco use potentially increased their risk for developing and spreading COVID-19; however, 43% agreed that the pandemic motivated their intention to quit, and 83% changed their smoking habits during the pandemic. These changes were mainly due to wearing masks (30%), closure of bars/pubs (25%), suspension of classes (14%), and being unable to socialize with friends (24%). Overall, 58% reduced their tobacco use; of these participants, 66% reported a ≥50% reduction in daily cigarette consumption. The participants reduced their smoking during the COVID-19 pandemic despite lacking knowledge about the potentially increased risk for contracting COVID-19 from continued smoking. The pandemic could create new opportunities to motivate young smokers to quit smoking, especially those seeking support for smoking cessation, and may further contribute to reducing the risks posed by COVID-19.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on the Hong Kong Youth Quitline Service and Quitting Behaviors of Its Users

Cheung

Xia

et al. 2020

IJERPH

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“…Generally, people viewed SHA as less harmful than SHS 60. A parental interview data in the USA has shown that, while compared with smoke-free policy at homes and cars, there were fewer parents who enforced ‘vape-free’ homes and cars, suggesting that parents perceived e-cigarette aerosol was safe for their children 61. Therefore, increasing awareness of the potential harmful effects might decrease SHA exposure.…”

Section: Discussionmentioning

confidence: 99%

Exposure to secondhand aerosol of electronic cigarettes in indoor settings in 12 European countries: data from the TackSHS survey

et al. 2020

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Introduction: Exposure to secondhand aerosol from e-cigarette (SHA) may pose harmful effects to bystanders. This study aims to investigate the prevalence, duration, and determinants of SHA exposure in various indoor settings in 12 European countries. Methods:In 2017-2018, we conducted a cross-sectional study, the TackSHS survey, on a representative sample of the population aged ≥15 years in 12 European countries (Spain). We described the prevalence and duration of exposure to SHA in several indoor settings among 11,604 e-cigarette non-users. Individual-and country-level characteristics associated with SHA exposure were also explored using multi-level logistic regression analyses.Results: Overall, 16.0% of e-cigarette non-users were exposed to SHA in any indoor setting at least weekly, ranging from 4.3% in Spain to 29.6% in England. The median duration of SHA exposure among those who were exposed was 43 minutes/day. "Other indoor settings" (e.g. bar, restaurant) was reported as the place where most of e-cigarette non-users were exposed (8.3%), followed by workplace/educational venues (6.4%), home (5.8%), public transportation (3.5%), and private transportation (2.7%). SHA exposure was more likely to occur in certain groups of non-users: men, younger age groups, those with higher level of education, e-cigarette past users, current smokers, those perceiving SHA harmless and living in countries with a higher e-cigarette use prevalence. Conclusions:We found inequalities of SHA exposure across and within European countries.Governments should consider extending their tobacco smoke-free legislation to e-cigarettes to protect bystanders, particularly vulnerable populations such as young people.

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“…Non-smokers (exposed ≥2 h/day) have been found to absorb nicotine from SHA e-cigarette aerosol similar to second hand tobacco smoke exposure as measured by salivary cotinine concentrations [93] . Parents may perceive e-cigarette aerosol as safe for children [94] ; parents who were dual users of cigarettes and e-cigarettes were more likely to have strictly enforced smoke-free policies than vape-free policies for the home, were less likely to have strictly enforced smoke-free policies for the car and vape-free policies in the home and car than parents who only use traditional cigarettes. SHA exposure to vaping was described as the most likely cause of hypersensitivity pneumonitis in a 37 year old adult [95] .…”

Section: Proposed Mechanisms Of Lung Damagementioning

confidence: 99%

An update on controversies in e-cigarettes

Bhatt

Ramphul

Bush

2020

Paediatric Respiratory Reviews

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E-cigarettes are electronic nicotine delivery systems (ENDS) which mimic tobacco smoking without the combustion of tobacco. These devices have been misleadingly marketed as “less harmful” alternatives to conventional smoking tobacco products. The e-liquid in e-cigarettes include nicotine, a humectant and other additives including flavourings, colourants, or adulterants such as bacterial and fungal products. In this review, we discuss the contrasting views of the tobacco lobby and most professional societies. We describe the epidemiology of the use of these devices, with a widespread and significant rise in youth e-cigarette use seen in both the USA and Europe. We also describe what is known about the toxicity and mechanisms of EVALI (e-cigarette or vaping associated lung injury). This characterised by respiratory failure with an intense inflammatory response. The presentations are diverse and clinicians should consider vaping as a possible cause of any unusual respiratory illness in patients who have a history of vaping or other use of e-cigarette-related products. Second hand exposure to e-cigarettes is also harmful through respiration and transdermal absorption. E-cigarettes have a worse acute toxicity than tobacco and their long-term toxicity is unknown, and we advocate for the immediate, most vigorous anti-vaping legislation possible.

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Parental Smoking and E-cigarette Use in Homes and Cars

Cited by 46 publications

References 32 publications

Impact of COVID-19 on the Hong Kong Youth Quitline Service and Quitting Behaviors of Its Users

Impact of COVID-19 on the Hong Kong Youth Quitline Service and Quitting Behaviors of Its Users

Exposure to secondhand aerosol of electronic cigarettes in indoor settings in 12 European countries: data from the TackSHS survey

An update on controversies in e-cigarettes

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