Vaping-Related Adverse Events and Perceived Health Improvements: A Cross-Sectional Survey among Daily E-Cigarette Users

Abstract

Web-based samples of e-cigarette users commonly report significant vaping-related health improvements (HIs) and mild adverse events (AEs). This cross-sectional study with in-person interviewing data collection examined self-reported AEs and perceived HIs among Hungarian adult current daily exclusive e-cigarette (n = 65) and dual users (n = 127), and former daily e-cigarette users (n = 91) in 2018. Logistic regression was used to evaluate associations between reporting any AEs/HIs, vaping status, and covariates. More former users (52.7%) reported AEs than current users (39.6%; p = 0.038). Exclusive and dual daily users reported similar rates of AEs (44.6% and 37.0%, respectively; p = 0.308). More current users (46.9%) experienced HIs than former users (35.2%; p = 0.064). Exclusive daily users were more likely to report HIs than dual users (63.1% versus 38.6%; p = 0.001). Former user status and smoking cessation/reduction reasons increased the odds of reporting AEs, whereas nicotine-containing e-liquid use and older age decreased the odds of reporting AEs. Exclusive vaper status, using advanced generation devices, and smoking cessation/reduction reasons increased the odds of experiencing HIs. This study, which used a traditional data collection methodology, found a higher rate of AEs and a lower rate of HIs compared to web-based surveys. Our results highlight that experiencing AEs and HIs is affected by users’ characteristics, in addition to the device and e-liquid type.

How do Smokers in a Snus-Prevalent Society Consider E-cigarettes, Snus, and Nicotine Replacement Therapy Products as Relevant Replacements for Cigarettes in the Event They Should Stop Smoking?

“…Relapse to smoking seems to be more common among ex-smokers vaping infrequently or using less advanced devices. 51 Moreover, switching to e-cigarettes is associated with coughing and dry throat, 52 often related to inadequate vaping technique or the mixing ratio of propylene glycol and glycerol in the e-juice. 53 A qualitative study in the United Kingdom argued that smoking lapse is perceived qualitatively differently when using e-cigarettes compared to not using e-cigarettes to quit.…”

Efectos fisiopatológicos del cigarro electrónico: un problema de salud pública

“…11 Aun así, tanto los efectos a largo plazo, 11 la tasa de efectos adversos (EA) como el impacto a la salud no se conocen bien. 12 En un estudio transversal llevado a cabo por Pénzes et al en 2018, se encontró que 44.6% de 65 adultos húngaros que son usuarios diarios de CE reportaban EA. Los EA más comunes en usuarios diarios fueron: boca y faringe seca, tos, sensación de quemadura en boca, labios y faringe y dolor de cabeza.…”

“…En contraste, usuarios que antes consumían refirieron otra variedad de EA, siendo éstos: palpitaciones, problemas para respirar, mareo, disminución del gusto y somnolencia. 12 EVALI. Se ha reconocido una entidad en la literatura médica asociada al uso de CE, EVALI (por sus siglas en inglés, e-cigarette or vaping, product use-associated lung injury), traducida al español se conoce como lesión pulmonar asociada a cigarrillo electrónico o producto de vaporizador.…”

“…Desde otro punto de vista, usuarios exclusivos de CE reportaron más IM que usuarios de cigarro de combustión, siendo 63.1 contra 38.6%. 12 En ratones se ha comprobado que el CE tiene efectos en la hemostasia y aumenta el riesgo de eventos trombogénicos, 18 aun así se necesita realizar más investigación al respecto.…”

“…La evidencia señala que el consumo de CE puede producir desde efectos adversos hasta consecuencias graves a la salud como daño pulmonar, cardiovascular e incluso neurológico. 11,12 A pesar de que la fisiopatología de estas alteraciones no se conoce en su totalidad, ésta se asocia sobre todo a los componentes químicos que constituyen el CE. 1 Cabe mencionar que el daño que puede ocasionar el CE es multifactorial e incluye los factores: tipo de dispositivo, contenido del líquido para convertir en aerosol, el comportamiento y experiencia del usuario.…”