Relieving or Aggravating the Burden: Non-Communicable Diseases (NCDs) of Electronic and Conventional Cigarette Users (Dual Users) in Indonesia
Introduction Conventional (tobacco) and e-cigarette smoking prevalence is a growing concern in Indonesia. It has worsened as e-cigarettes complement conventional cigarettes, causing dual users. Dual users of e-cigarettes and conventional cigarettes potentially cause an additional burden in terms of...
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| Format: | Article |
| Language: | English |
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European Publishing
2024-01-01
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| Series: | Tobacco Induced Diseases |
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| Online Access: | https://www.tobaccoinduceddiseases.org/Relieving-or-Aggravating-the-Burden-Non-Communicable-Diseases-NCDs-of-Electronic,175755,0,2.html |
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| _version_ | 1832587230375313408 |
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| author | Faizal R. Moeis Risky K. Hartono Renny Nurhasana Aryana Satrya Teguh Dartanto |
| author_facet | Faizal R. Moeis Risky K. Hartono Renny Nurhasana Aryana Satrya Teguh Dartanto |
| author_sort | Faizal R. Moeis |
| collection | DOAJ |
| description | Introduction
Conventional (tobacco) and e-cigarette smoking prevalence is a growing concern in Indonesia. It has worsened as e-cigarettes complement conventional cigarettes, causing dual users. Dual users of e-cigarettes and conventional cigarettes potentially cause an additional burden in terms of the health of their users.
Methods
Our study is a secondary data analysis of the 2018 National Basic Health (Riskesdas) Survey. The sample is limited to respondents aged 15 – 64 years old who either only used e-cigarettes (e-cigarette single users), only used conventional cigarettes (conventional cigarette single users) or used both e-cigarettes and conventional cigarettes (dual users) in the last month. The sample size of the data was 174,917 individuals. Our analysis utilized the logit and negative binomial regression to test whether the type of smoking behavior was associated with reporting to have a Non Communicable Diseases (NCDs) and complications, respectively.
Results
Our study finds: (1) dual users are positively associated to report having NCDs, such as liver failure (AOR=2.38; 95% CI: 2.32–2.44), diabetes (AOR=1.53; 95% CI: 1.50–1.57), hypertension (AOR=1.49; 95% CI: 1.48–1.51), and gum diseases (AOR=1.74; 95% CI: 1.73–1.74) compared to single users and(2) e-cigarette single users are positively associated with reporting to have NCDs and dental problems, such as asthma (AOR=3.11; 95% CI: 3.01–3.22), diabetes (AOR=16.01; 95% CI: 14.57–17.59), broken tooth (AOR=1.04; 95% CI: 1.03–1.06) and they have disease complication compared to conventional cigarette single users.
Conclusions
Therefore, simultaneous control of the consumption of e-cigarettes and conventional cigarettes is essential. In addition, it is important to promote policies to increase the price of e-cigarettes and conventional cigarettes to reduce smoking prevalence and prevent dual users. Moreover, as there are negative consequences of conventional and e-cigarette single users or dual users, the most effective alternative is to stop smoking, not switch smoking. |
| format | Article |
| id | doaj-art-8d3742abd6db4fbabc680e59cf047d86 |
| institution | Kabale University |
| issn | 1617-9625 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj-art-8d3742abd6db4fbabc680e59cf047d862025-01-24T15:26:48ZengEuropean PublishingTobacco Induced Diseases1617-96252024-01-0122January11310.18332/tid/175755175755Relieving or Aggravating the Burden: Non-Communicable Diseases (NCDs) of Electronic and Conventional Cigarette Users (Dual Users) in IndonesiaFaizal R. Moeis0https://orcid.org/0000-0001-8474-5904Risky K. Hartono1Renny Nurhasana2https://orcid.org/0000-0003-3154-8223Aryana Satrya3Teguh Dartanto4https://orcid.org/0000-0002-1737-3650Institute for Economic and Social Research, Faculty of Economics and Business, Universitas Indonesia, Jakarta, IndonesiaCenter for Social Security Studies (CSSS-UI), Universitas Indonesia, Jakarta, IndonesiaCenter for Social Security Studies (CSSS-UI), Universitas Indonesia, Jakarta, IndonesiaCenter for Social Security Studies (CSSS-UI), Universitas Indonesia, Jakarta, IndonesiaDepartment of Economics, Faculty of Economics and Business, Universitas Indonesia, Jakarta, IndonesiaIntroduction Conventional (tobacco) and e-cigarette smoking prevalence is a growing concern in Indonesia. It has worsened as e-cigarettes complement conventional cigarettes, causing dual users. Dual users of e-cigarettes and conventional cigarettes potentially cause an additional burden in terms of the health of their users. Methods Our study is a secondary data analysis of the 2018 National Basic Health (Riskesdas) Survey. The sample is limited to respondents aged 15 – 64 years old who either only used e-cigarettes (e-cigarette single users), only used conventional cigarettes (conventional cigarette single users) or used both e-cigarettes and conventional cigarettes (dual users) in the last month. The sample size of the data was 174,917 individuals. Our analysis utilized the logit and negative binomial regression to test whether the type of smoking behavior was associated with reporting to have a Non Communicable Diseases (NCDs) and complications, respectively. Results Our study finds: (1) dual users are positively associated to report having NCDs, such as liver failure (AOR=2.38; 95% CI: 2.32–2.44), diabetes (AOR=1.53; 95% CI: 1.50–1.57), hypertension (AOR=1.49; 95% CI: 1.48–1.51), and gum diseases (AOR=1.74; 95% CI: 1.73–1.74) compared to single users and(2) e-cigarette single users are positively associated with reporting to have NCDs and dental problems, such as asthma (AOR=3.11; 95% CI: 3.01–3.22), diabetes (AOR=16.01; 95% CI: 14.57–17.59), broken tooth (AOR=1.04; 95% CI: 1.03–1.06) and they have disease complication compared to conventional cigarette single users. Conclusions Therefore, simultaneous control of the consumption of e-cigarettes and conventional cigarettes is essential. In addition, it is important to promote policies to increase the price of e-cigarettes and conventional cigarettes to reduce smoking prevalence and prevent dual users. Moreover, as there are negative consequences of conventional and e-cigarette single users or dual users, the most effective alternative is to stop smoking, not switch smoking.https://www.tobaccoinduceddiseases.org/Relieving-or-Aggravating-the-Burden-Non-Communicable-Diseases-NCDs-of-Electronic,175755,0,2.htmldiseasedual usere-cigaretteindonesiasmoking |
| spellingShingle | Faizal R. Moeis Risky K. Hartono Renny Nurhasana Aryana Satrya Teguh Dartanto Relieving or Aggravating the Burden: Non-Communicable Diseases (NCDs) of Electronic and Conventional Cigarette Users (Dual Users) in Indonesia Tobacco Induced Diseases disease dual user e-cigarette indonesia smoking |
| title | Relieving or Aggravating the Burden: Non-Communicable Diseases (NCDs) of Electronic and Conventional Cigarette Users (Dual Users) in Indonesia |
| title_full | Relieving or Aggravating the Burden: Non-Communicable Diseases (NCDs) of Electronic and Conventional Cigarette Users (Dual Users) in Indonesia |
| title_fullStr | Relieving or Aggravating the Burden: Non-Communicable Diseases (NCDs) of Electronic and Conventional Cigarette Users (Dual Users) in Indonesia |
| title_full_unstemmed | Relieving or Aggravating the Burden: Non-Communicable Diseases (NCDs) of Electronic and Conventional Cigarette Users (Dual Users) in Indonesia |
| title_short | Relieving or Aggravating the Burden: Non-Communicable Diseases (NCDs) of Electronic and Conventional Cigarette Users (Dual Users) in Indonesia |
| title_sort | relieving or aggravating the burden non communicable diseases ncds of electronic and conventional cigarette users dual users in indonesia |
| topic | disease dual user e-cigarette indonesia smoking |
| url | https://www.tobaccoinduceddiseases.org/Relieving-or-Aggravating-the-Burden-Non-Communicable-Diseases-NCDs-of-Electronic,175755,0,2.html |
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