The Electronic Cigarette: The Good, the Bad, and the Ugly

Cooke, Andrew; Fergeson, Jennifer E.; Bulkhi, Adeeb; Casale, Thomas B.

doi:10.1016/j.jaip.2015.05.022

Cited by 48 publications

(37 citation statements)

References 58 publications

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“…Reviews have been published on ENDS in general 10–21 or on specific topics, including: health effects 22–58 ; impact on smoking cessation 29,40–43,45,47,48,51,59–73 ; product features 22,39,41–43,45,47,74–77 ; potential to induce dependence 28,45,47,78,79 ; consumer perceptions 26,48,80,81 ; patterns of use 8,26,43,48,51,82–90 ; and policies. 8,48,91–98 Two conducted a bibliometric review of the ENDS literature 86,99 and 46% of the reviews were systematic.…”

Section: Contextmentioning

confidence: 99%

Overview of Electronic Nicotine Delivery Systems: A Systematic Review

Glasser

Collins

Pearson

et al. 2017

American Journal of Preventive Medicine

405

333

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Context Rapid developments in e-cigarettes, or electronic nicotine delivery systems (ENDS), and the evolution of the overall tobacco product marketplace warrant frequent evaluation of the published literature. The purpose of this article is to report updated findings from a comprehensive review of the published scientific literature on ENDS. Evidence acquisition The authors conducted a systematic review of published empirical research literature on ENDS through May 31, 2016, using a detailed search strategy in the PubMed electronic database, expert review, and additional targeted searches. Included studies presented empirical findings and were coded to at least one of nine topics: (1) Product Features; (2) Health Effects; (3) Consumer Perceptions; (4) Patterns of Use; (5) Potential to Induce Dependence; (6) Smoking Cessation; (7) Marketing and Communication; (8) Sales; and (9) Policies; reviews and commentaries were excluded. Data from included studies were extracted by multiple coders (October 2015 to August 2016) into a standardized form and synthesized qualitatively by topic. Evidence synthesis There were 686 articles included in this systematic review. The majority of studies assessed patterns of ENDS use and consumer perceptions of ENDS, followed by studies examining health effects of vaping and product features. Conclusions Studies indicate that ENDS are increasing in use, particularly among current smokers, pose substantially less harm to smokers than cigarettes, are being used to reduce/quit smoking, and are widely available. More longitudinal studies and controlled trials are needed to evaluate the impact of ENDS on population-level tobacco use and determine the health effects of longer-term vaping.

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Section: Contextmentioning

confidence: 99%

Overview of Electronic Nicotine Delivery Systems: A Systematic Review

Glasser

Collins

Pearson

et al. 2017

American Journal of Preventive Medicine

405

333

View full text Add to dashboard Cite

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“…These authors also described a decrease in the hyperreactivity of the airways among subjects that stopped smoking with the use of electronic cigarettes. This strategy is considered to be a potentiallly useful alternative to the treatment of asthmatic smokers [55]. However, at this moment, the safety and efficacy of electronic cigarettes for asthmatic smokers needs further evaluation.…”

Section: Introductionmentioning

confidence: 99%

The management of asthmatic smokers

Chatkin

Dullius

2016

asthma res and pract

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Asthma is still a major public health problem in most countries; new strategies to better control this disease are necessary. Such strategies must include predisposing factors. One of these factors is smoking and a significant fraction of asthmatics are smokers. However, clinical trials studying new drugs or newer therapeutic regimens for asthma generally exclude smokers. Therefore, there is a lack of specific information about the treatment of asthma in smokers. The asthmatic smoker is a special phenotype with important therapeutic and prognostic clinical implications. Any form of tobacco use, especially cigarette smoking, plays an important role in this disease. Asthmatic smokers are prone to several negative outcomes. Smoking cessation results in an improvement of symptoms and pulmonary functioning. Counselling and first-line medications for smoking cessation (nicotine replacement therapy, bupropion and varenicline) significantly increase quitting rates. The role of electronic cigarettes in this group of patients has only begun to be studied. The treatment of asthmatics that smoke has characteristics that need must be well understood by clinicians, especially the poor response to corticosteroids. This condition is not universal and physicians should always consider its inclusion in the treatment of these patients. The association of inhaled corticosteroids (ICS) plus a long-acting beta2 adrenegic (LABA) by smoking asthmatics results in more pronounced improvement in several asthma outcomes compared with the use of corticosteroid alone. Inhaled corticosteroids in extra-fine particles associated with LABA may be a new perspective of treatment. Also the use of leukotriene antagonists may become another therapeutic alternative. The purpose of this narrative review is to discuss the challenges faced by clinicians to control asthma in smokers and to present methods of coping with smoking treatment and avoiding relapses.

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“…[10] This situation has generated contentious debates among healthcare and public health professionals. [21–23] While some perceive e-cigarettes as harm reduction devices[24] that can aid smoking cessation,[25–27] others have raised concerns about their safety and likelihood of renormalizing smoking,[28, 29] the potential of introducing nonsmoking youth to nicotine addiction,[19, 30, 31] the use of e-cigarettes as a “gateway” to smoking cigarettes and using other tobacco products,[32, 33] and the potential to undermine smoking cessation and eradicate public health gains over the past half century through “dual use”. [1, 19] Despite the reported increase in usage at the national level,[8] and elsewhere in the U.S.,[34] very limited information is available in Tennessee or Central Appalachia, generating the critical need for this study.…”

Section: Introductionmentioning

confidence: 99%

The Use of E-cigarettes Among School-Going Adolescents in a Predominantly Rural Environment of Central Appalachia

et al. 2016

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Introduction E-cigarette use among youth in the United States (U.S.) continues to increase. In the rural Northeast Tennessee, where prevalence of tobacco use is higher than national and state averages, there is no literature on e-cigarette use to inform policies and programs. This study aimed to estimate the prevalence of e-cigarette use and examine association of e-cigarette use with two tobacco products among school-going adolescents. Method Data from 894 participants of a school-based survey conducted in 2016 in Northeast Tennessee were analyzed. Descriptive statistics and logistic regression analyses were conducted to estimate the prevalence and delineate the associations between e-cigarette use and other tobacco products. Results Approximately 11% of the participants currently used e-cigarettes, and 35% had ever used e-cigarettes. About 6% of the participants were current users of both e-cigarettes and cigarettes; 4% were current users of e-cigarettes and smokeless tobacco; 3% were current users of all the three products, and 15% had ever tried all the three products. More than one-half of current e-cigarette users (52%) also smoked cigarette. Adjusting for covariates, current e-cigarette use was positively associated with cigarette smoking [Odds Ratio (OR)=27.32, 95% confidence interval (CI)=14.4–51.7] and smokeless tobacco use [OR=7.92, 95% CI=3.8–16.5]. Conclusion E-cigarette use was more common among the high school students than cigarette and smokeless tobacco use, and a significant proportion of users either smoked cigarettes, used smokeless tobacco, or both. Thus, there is a critical need for preventive policies and programs to address dual and poly-use of these products.

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The Electronic Cigarette: The Good, the Bad, and the Ugly

Cited by 48 publications

References 58 publications

Overview of Electronic Nicotine Delivery Systems: A Systematic Review

Overview of Electronic Nicotine Delivery Systems: A Systematic Review

The management of asthmatic smokers

The Use of E-cigarettes Among School-Going Adolescents in a Predominantly Rural Environment of Central Appalachia

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