Electronic cigarette use in relation to changes in smoking status and respiratory symptoms

Introduction How e-cigarette use relates to changes in smoking status and respiratory symptoms in the population remains controversial. The aim was to study the association between e-cigarette use and, changes in smoking status and changes in respiratory symptoms. Methods A prospective, population-...

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Main Authors: Linnéa Hedman<sup>+<sup>, Gustaf Lyytinen<sup>+<sup>, Helena Backman, Magnus Lundbäck, Caroline Stridsman, Anne Lindberg, Hannu Kankaanranta, Lina Rönnebjerg, Eva Rönmark, Linda Ekerljung
Format: Article
Language:English
Published: European Publishing 2024-01-01
Series:Tobacco Induced Diseases
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Online Access:https://www.tobaccoinduceddiseases.org/Electronic-cigarette-use-in-relation-to-changes-in-smoking-nstatus-and-respiratory,176949,0,2.html
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author Linnéa Hedman<sup>+<sup>
Gustaf Lyytinen<sup>+<sup>
Helena Backman
Magnus Lundbäck
Caroline Stridsman
Anne Lindberg
Hannu Kankaanranta
Lina Rönnebjerg
Eva Rönmark
Linda Ekerljung
author_facet Linnéa Hedman<sup>+<sup>
Gustaf Lyytinen<sup>+<sup>
Helena Backman
Magnus Lundbäck
Caroline Stridsman
Anne Lindberg
Hannu Kankaanranta
Lina Rönnebjerg
Eva Rönmark
Linda Ekerljung
author_sort Linnéa Hedman<sup>+<sup>
collection DOAJ
description Introduction How e-cigarette use relates to changes in smoking status and respiratory symptoms in the population remains controversial. The aim was to study the association between e-cigarette use and, changes in smoking status and changes in respiratory symptoms. Methods A prospective, population-based study of random samples of the population (age 16–69 years) was performed within The Obstructive Lung Disease in Northern Sweden (OLIN) study and West Sweden Asthma Study (WSAS). A validated postal questionnaire containing identical questions was used in OLIN and WSAS at baseline in 2006–2008 and at follow-up in 2016. In total, 17325 participated on both occasions. Questions about respiratory symptoms and tobacco smoking were included in both surveys, while e-cigarette use was added in 2016. Results In 2016, 1.6% used e-cigarettes, and it was significantly more common in persistent tobacco smokers (10.6%), than in those who quit smoking (2.1%), started smoking (7.8%), or had relapsed into tobacco smoking at follow-up (6.4%) (p<0.001). Among current smokers at baseline, tobacco smoking cessation was less common in e-cigarette users than e-cigarette non-users (14.2% vs 47.6%, p<0.001) and there was no association with a reduction in the number of tobacco cigarettes smoked per day. Those who were persistent smokers reported increasing respiratory symptoms. In contrast, the symptoms decreased among those who quit tobacco smoking, but there was no significant difference in respiratory symptoms between quitters with and without e-cigarette use. Conclusions E-cigarette use was associated with persistent tobacco smoking and reporting respiratory symptoms. We found no association between e-cigarette use and tobacco smoking cessation, reduction of number of tobacco cigarettes smoked per day or reduction of respiratory symptoms.
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spelling doaj-art-497d1a2f2f674bc9852f9989cb1283bb2025-01-24T15:26:48ZengEuropean PublishingTobacco Induced Diseases1617-96252024-01-0122January11110.18332/tid/176949176949Electronic cigarette use in relation to changes in smoking status and respiratory symptomsLinnéa Hedman<sup>+<sup>0https://orcid.org/0000-0002-1630-3167Gustaf Lyytinen<sup>+<sup>1https://orcid.org/0000-0001-9879-3990Helena Backman2https://orcid.org/0000-0002-0553-8067Magnus Lundbäck3Caroline Stridsman4https://orcid.org/0000-0001-6622-3838Anne Lindberg5https://orcid.org/0000-0002-3292-7471Hannu Kankaanranta6https://orcid.org/0000-0001-5258-0906Lina Rönnebjerg7https://orcid.org/0000-0003-0598-1066Eva Rönmark8https://orcid.org/0000-0002-2358-8754Linda Ekerljung9https://orcid.org/0000-0001-5784-0041Department of Public Health and Clinical Medicine, The OLIN Unit, Umeå University, Umeå, SwedenDepartment of Clinical Sciences, Division of Cardiovascular Medicine, Karolinska Institutet, Danderyd University Hospital, Stockholm, SwedenDepartment of Public Health and Clinical Medicine, The OLIN Unit, Umeå University, Umeå, SwedenDepartment of Clinical Sciences, Division of Cardiovascular Medicine, Karolinska Institutet, Danderyd University Hospital, Stockholm, SwedenDepartment of Public Health and Clinical Medicine, The OLIN Unit, Umeå University, Umeå, SwedenDepartment of Public Health and Clinical Medicine, The OLIN Unit, Umeå University, Umeå, SwedenKrefting Research Center, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenKrefting Research Center, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenDepartment of Public Health and Clinical Medicine, The OLIN Unit, Umeå University, Umeå, SwedenKrefting Research Center, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenIntroduction How e-cigarette use relates to changes in smoking status and respiratory symptoms in the population remains controversial. The aim was to study the association between e-cigarette use and, changes in smoking status and changes in respiratory symptoms. Methods A prospective, population-based study of random samples of the population (age 16–69 years) was performed within The Obstructive Lung Disease in Northern Sweden (OLIN) study and West Sweden Asthma Study (WSAS). A validated postal questionnaire containing identical questions was used in OLIN and WSAS at baseline in 2006–2008 and at follow-up in 2016. In total, 17325 participated on both occasions. Questions about respiratory symptoms and tobacco smoking were included in both surveys, while e-cigarette use was added in 2016. Results In 2016, 1.6% used e-cigarettes, and it was significantly more common in persistent tobacco smokers (10.6%), than in those who quit smoking (2.1%), started smoking (7.8%), or had relapsed into tobacco smoking at follow-up (6.4%) (p<0.001). Among current smokers at baseline, tobacco smoking cessation was less common in e-cigarette users than e-cigarette non-users (14.2% vs 47.6%, p<0.001) and there was no association with a reduction in the number of tobacco cigarettes smoked per day. Those who were persistent smokers reported increasing respiratory symptoms. In contrast, the symptoms decreased among those who quit tobacco smoking, but there was no significant difference in respiratory symptoms between quitters with and without e-cigarette use. Conclusions E-cigarette use was associated with persistent tobacco smoking and reporting respiratory symptoms. We found no association between e-cigarette use and tobacco smoking cessation, reduction of number of tobacco cigarettes smoked per day or reduction of respiratory symptoms.https://www.tobaccoinduceddiseases.org/Electronic-cigarette-use-in-relation-to-changes-in-smoking-nstatus-and-respiratory,176949,0,2.htmlairwaysendsepidemiologyprospectivequitting smoking
spellingShingle Linnéa Hedman<sup>+<sup>
Gustaf Lyytinen<sup>+<sup>
Helena Backman
Magnus Lundbäck
Caroline Stridsman
Anne Lindberg
Hannu Kankaanranta
Lina Rönnebjerg
Eva Rönmark
Linda Ekerljung
Electronic cigarette use in relation to changes in smoking status and respiratory symptoms
Tobacco Induced Diseases
airways
ends
epidemiology
prospective
quitting smoking
title Electronic cigarette use in relation to changes in smoking status and respiratory symptoms
title_full Electronic cigarette use in relation to changes in smoking status and respiratory symptoms
title_fullStr Electronic cigarette use in relation to changes in smoking status and respiratory symptoms
title_full_unstemmed Electronic cigarette use in relation to changes in smoking status and respiratory symptoms
title_short Electronic cigarette use in relation to changes in smoking status and respiratory symptoms
title_sort electronic cigarette use in relation to changes in smoking status and respiratory symptoms
topic airways
ends
epidemiology
prospective
quitting smoking
url https://www.tobaccoinduceddiseases.org/Electronic-cigarette-use-in-relation-to-changes-in-smoking-nstatus-and-respiratory,176949,0,2.html
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