The effects of electronic cigarette use patterns on health-related symptom burden and quality of life: analysis of US prospective longitudinal cohort study data
ObjectiveThis study aimed to examine the association between e-cigarette (EC) use patterns and health-related symptoms (fatigue, pain, and emotional problems) as well as general quality of life (QoL).MethodsData were analyzed from 7,225 adults across Waves 1–6 of the US Population Assessment of Toba...
Saved in:
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2024-11-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1433678/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850192026879918080 |
|---|---|
| author | Yue Cao Xuxi Zhang Ian M. Fearon Jiaxuan Li Xi Chen Yuming Xiong Fangzhen Zheng Jianqiang Zhang Xinying Sun Xiaona Liu |
| author_facet | Yue Cao Xuxi Zhang Ian M. Fearon Jiaxuan Li Xi Chen Yuming Xiong Fangzhen Zheng Jianqiang Zhang Xinying Sun Xiaona Liu |
| author_sort | Yue Cao |
| collection | DOAJ |
| description | ObjectiveThis study aimed to examine the association between e-cigarette (EC) use patterns and health-related symptoms (fatigue, pain, and emotional problems) as well as general quality of life (QoL).MethodsData were analyzed from 7,225 adults across Waves 1–6 of the US Population Assessment of Tobacco and Health (PATH) study. Current combustible cigarette (CC) or EC use patterns included dual CC/EC use, exclusive EC use, non-current use of CC or EC, and exclusive CC smoking. Multivariate linear mixed-effects models were used to investigate longitudinal associations between EC use patterns, and symptom burdens/QoL scores.ResultsThose who were not currently smoking or vaping reported the lowest fatigue, pain, and emotional problems, and the best QoL, among the four groups (all p < 0.001). Compared to exclusive CC smoking, exclusive EC use was associated with a significant decrease of 0.065 units in average fatigue (95% confidence interval [CI]: −0.121, −0.009), of 0.206 units in average pain (95% CI: −0.355, −0.058), and of 0.103 units in average QoL scores (95% CI: −0.155, −0.051), with emotional problems similar over time.ConclusionExclusive EC users had less health-related symptoms and better QoL than those who were exclusive CC smokers. This should be taken into account when assessing the harm reduction potential of ECs. |
| format | Article |
| id | doaj-art-e8e47c0b02a342bb85ce83e0fe7e2411 |
| institution | OA Journals |
| issn | 2296-2565 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj-art-e8e47c0b02a342bb85ce83e0fe7e24112025-08-20T02:14:42ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-11-011210.3389/fpubh.2024.14336781433678The effects of electronic cigarette use patterns on health-related symptom burden and quality of life: analysis of US prospective longitudinal cohort study dataYue Cao0Xuxi Zhang1Ian M. Fearon2Jiaxuan Li3Xi Chen4Yuming Xiong5Fangzhen Zheng6Jianqiang Zhang7Xinying Sun8Xiaona Liu9Department of Health Sciences, Smoore Tech Research Institute, Shenzhen, ChinaDepartment of Social Medicine and Health Education, School of Public Health, Peking University, Beijing, ChinawhatIF? Consulting Ltd., Harwell, United KingdomDepartment of Health Sciences, Smoore Tech Research Institute, Shenzhen, ChinaDepartment of Health Sciences, Smoore Tech Research Institute, Shenzhen, ChinaDepartment of Health Sciences, Smoore Tech Research Institute, Shenzhen, ChinaDepartment of Health Sciences, Smoore Tech Research Institute, Shenzhen, ChinaDepartment of Health Sciences, Smoore Tech Research Institute, Shenzhen, ChinaDepartment of Social Medicine and Health Education, School of Public Health, Peking University, Beijing, ChinaDepartment of Health Sciences, Smoore Tech Research Institute, Shenzhen, ChinaObjectiveThis study aimed to examine the association between e-cigarette (EC) use patterns and health-related symptoms (fatigue, pain, and emotional problems) as well as general quality of life (QoL).MethodsData were analyzed from 7,225 adults across Waves 1–6 of the US Population Assessment of Tobacco and Health (PATH) study. Current combustible cigarette (CC) or EC use patterns included dual CC/EC use, exclusive EC use, non-current use of CC or EC, and exclusive CC smoking. Multivariate linear mixed-effects models were used to investigate longitudinal associations between EC use patterns, and symptom burdens/QoL scores.ResultsThose who were not currently smoking or vaping reported the lowest fatigue, pain, and emotional problems, and the best QoL, among the four groups (all p < 0.001). Compared to exclusive CC smoking, exclusive EC use was associated with a significant decrease of 0.065 units in average fatigue (95% confidence interval [CI]: −0.121, −0.009), of 0.206 units in average pain (95% CI: −0.355, −0.058), and of 0.103 units in average QoL scores (95% CI: −0.155, −0.051), with emotional problems similar over time.ConclusionExclusive EC users had less health-related symptoms and better QoL than those who were exclusive CC smokers. This should be taken into account when assessing the harm reduction potential of ECs.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1433678/fullelectronic cigarettetobaccocigarette smokingharm reductionsymptom burdenquality of life |
| spellingShingle | Yue Cao Xuxi Zhang Ian M. Fearon Jiaxuan Li Xi Chen Yuming Xiong Fangzhen Zheng Jianqiang Zhang Xinying Sun Xiaona Liu The effects of electronic cigarette use patterns on health-related symptom burden and quality of life: analysis of US prospective longitudinal cohort study data Frontiers in Public Health electronic cigarette tobacco cigarette smoking harm reduction symptom burden quality of life |
| title | The effects of electronic cigarette use patterns on health-related symptom burden and quality of life: analysis of US prospective longitudinal cohort study data |
| title_full | The effects of electronic cigarette use patterns on health-related symptom burden and quality of life: analysis of US prospective longitudinal cohort study data |
| title_fullStr | The effects of electronic cigarette use patterns on health-related symptom burden and quality of life: analysis of US prospective longitudinal cohort study data |
| title_full_unstemmed | The effects of electronic cigarette use patterns on health-related symptom burden and quality of life: analysis of US prospective longitudinal cohort study data |
| title_short | The effects of electronic cigarette use patterns on health-related symptom burden and quality of life: analysis of US prospective longitudinal cohort study data |
| title_sort | effects of electronic cigarette use patterns on health related symptom burden and quality of life analysis of us prospective longitudinal cohort study data |
| topic | electronic cigarette tobacco cigarette smoking harm reduction symptom burden quality of life |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1433678/full |
| work_keys_str_mv | AT yuecao theeffectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT xuxizhang theeffectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT ianmfearon theeffectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT jiaxuanli theeffectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT xichen theeffectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT yumingxiong theeffectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT fangzhenzheng theeffectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT jianqiangzhang theeffectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT xinyingsun theeffectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT xiaonaliu theeffectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT yuecao effectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT xuxizhang effectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT ianmfearon effectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT jiaxuanli effectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT xichen effectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT yumingxiong effectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT fangzhenzheng effectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT jianqiangzhang effectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT xinyingsun effectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata AT xiaonaliu effectsofelectroniccigaretteusepatternsonhealthrelatedsymptomburdenandqualityoflifeanalysisofusprospectivelongitudinalcohortstudydata |