Electronic cigarette use and chest pain in US adults: Evidence from the PATH study
Introduction Electronic cigarettes (e-cigarette) were introduced for smoking cessation/reduction but have also become popular among the youth. Although e-cigarettes contain fewer toxins than combustible cigarettes, their long-term cardiovascular and pulmonary effects remain unknown. We aimed to asse...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
European Publishing
2024-01-01
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| Series: | Tobacco Induced Diseases |
| Subjects: | |
| Online Access: | https://www.tobaccoinduceddiseases.org/Electronic-cigarette-use-and-chest-pain-in-US-adults-Evidence-nfrom-the-PATH-study,175732,0,2.html |
| _version_ | 1826856590428340224 |
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| author | Leili Behrooz Wubin Xie Aboli Goghari Rosemarie Robertson Aruni Bhatnagar Andrew Stokes Naomi M. Hamburg |
| author_facet | Leili Behrooz Wubin Xie Aboli Goghari Rosemarie Robertson Aruni Bhatnagar Andrew Stokes Naomi M. Hamburg |
| author_sort | Leili Behrooz |
| collection | DOAJ |
| description | Introduction
Electronic cigarettes (e-cigarette) were introduced for smoking
cessation/reduction but have also become popular among the youth. Although
e-cigarettes contain fewer toxins than combustible cigarettes, their long-term
cardiovascular and pulmonary effects remain unknown. We aimed to assess the
association between self-reported chest pain and e-cigarette use.
Methods
We analyzed data from the PATH (Population Assessment of Tobacco
and Health) study wave 4 (2016–2018) and wave 5 (2018–2019). Based on
questionnaires from wave 4, we categorized tobacco use as: 1) non-use, 2)
exclusive e-cigarette use, 3) combustible cigarette use, and 4) dual use. Presence
of established cardiovascular disease was examined at wave 4, and participants
aged >40 years were asked about chest pain during wave 5. We used binary
logistic regression models to determine the association between tobacco exposures
and self-reported chest pain.
Results
We evaluated a total of 11254 adults. The rates of chest pain were 1518
out of 7055 non-users, 49 from 208 exclusive e-cigarette users, 1192 from 3722
combustible cigarette users, and 99 out of 269 dual users. In the multivariable
models adjusted for relevant covariates, combustible cigarette users (adjusted
odds ratio, AOR=1.77; 95% CI: 1.56–2.01) and dual users (AOR=2.22; 95% CI:
1.61–3.05) had higher odds of reporting ever having chest pain, as well as having
chest pain in the past 30 days. Conversely, exclusive e-cigarette users had similar
odds of reporting chest pain compared to non-users (AOR=1.03; 95% CI: 0.69–
1.54) and lower odds than combustible and dual users. In sensitivity analyses,
categorizing individuals based on their reported history of cardiovascular disease,
overall findings were similar.
Conclusions
Exclusive e-cigarette use is associated with a lower rate of chest pain
compared to combustible cigarette use and dual use. |
| first_indexed | 2024-03-08T03:06:10Z |
| format | Article |
| id | doaj.art-a3e34005a396496386c7f64a09566e43 |
| institution | Directory Open Access Journal |
| issn | 1617-9625 |
| language | English |
| last_indexed | 2025-02-16T18:24:09Z |
| publishDate | 2024-01-01 |
| publisher | European Publishing |
| record_format | Article |
| series | Tobacco Induced Diseases |
| spelling | doaj.art-a3e34005a396496386c7f64a09566e432025-01-24T15:26:48ZengEuropean PublishingTobacco Induced Diseases1617-96252024-01-0122January11010.18332/tid/175732175732Electronic cigarette use and chest pain in US adults: Evidence from the PATH studyLeili Behrooz0https://orcid.org/0000-0003-3971-9226Wubin Xie1Aboli Goghari2Rosemarie Robertson3Aruni Bhatnagar4Andrew Stokes5Naomi M. Hamburg6Section of Vascular Biology, Whitaker Cardiovascular Institute, Chobanian and Avedisian School of Medicine, Boston University, Boston, United StatesPopulation and Global Health, Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, MalaysiaDepartment of Global Health, School of Public Health, Boston University, Boston, United StatesTobacco Regulation and Addiction Center, American Heart Association, Dallas, United StatesDepartment of Medicine, School of Medicine, University of Louisville, Louisville, United StatesDepartment of Global Health, School of Public Health, Boston University, Boston, United StatesSection of Vascular Biology, Whitaker Cardiovascular Institute, Chobanian and Avedisian School of Medicine, Boston University, Boston, United StatesIntroduction Electronic cigarettes (e-cigarette) were introduced for smoking cessation/reduction but have also become popular among the youth. Although e-cigarettes contain fewer toxins than combustible cigarettes, their long-term cardiovascular and pulmonary effects remain unknown. We aimed to assess the association between self-reported chest pain and e-cigarette use. Methods We analyzed data from the PATH (Population Assessment of Tobacco and Health) study wave 4 (2016–2018) and wave 5 (2018–2019). Based on questionnaires from wave 4, we categorized tobacco use as: 1) non-use, 2) exclusive e-cigarette use, 3) combustible cigarette use, and 4) dual use. Presence of established cardiovascular disease was examined at wave 4, and participants aged >40 years were asked about chest pain during wave 5. We used binary logistic regression models to determine the association between tobacco exposures and self-reported chest pain. Results We evaluated a total of 11254 adults. The rates of chest pain were 1518 out of 7055 non-users, 49 from 208 exclusive e-cigarette users, 1192 from 3722 combustible cigarette users, and 99 out of 269 dual users. In the multivariable models adjusted for relevant covariates, combustible cigarette users (adjusted odds ratio, AOR=1.77; 95% CI: 1.56–2.01) and dual users (AOR=2.22; 95% CI: 1.61–3.05) had higher odds of reporting ever having chest pain, as well as having chest pain in the past 30 days. Conversely, exclusive e-cigarette users had similar odds of reporting chest pain compared to non-users (AOR=1.03; 95% CI: 0.69– 1.54) and lower odds than combustible and dual users. In sensitivity analyses, categorizing individuals based on their reported history of cardiovascular disease, overall findings were similar. Conclusions Exclusive e-cigarette use is associated with a lower rate of chest pain compared to combustible cigarette use and dual use.https://www.tobaccoinduceddiseases.org/Electronic-cigarette-use-and-chest-pain-in-US-adults-Evidence-nfrom-the-PATH-study,175732,0,2.htmlsmoking cessationelectronic cigaretteschest pain |
| spellingShingle | Leili Behrooz Wubin Xie Aboli Goghari Rosemarie Robertson Aruni Bhatnagar Andrew Stokes Naomi M. Hamburg Electronic cigarette use and chest pain in US adults: Evidence from the PATH study Tobacco Induced Diseases smoking cessation electronic cigarettes chest pain |
| title | Electronic cigarette use and chest pain in US adults: Evidence
from the PATH study |
| title_full | Electronic cigarette use and chest pain in US adults: Evidence
from the PATH study |
| title_fullStr | Electronic cigarette use and chest pain in US adults: Evidence
from the PATH study |
| title_full_unstemmed | Electronic cigarette use and chest pain in US adults: Evidence
from the PATH study |
| title_short | Electronic cigarette use and chest pain in US adults: Evidence
from the PATH study |
| title_sort | electronic cigarette use and chest pain in us adults evidence from the path study |
| topic | smoking cessation electronic cigarettes chest pain |
| url | https://www.tobaccoinduceddiseases.org/Electronic-cigarette-use-and-chest-pain-in-US-adults-Evidence-nfrom-the-PATH-study,175732,0,2.html |
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