Electronic cigarettes: patterns of use, health effects, use in smoking cessation and regulatory issues

Background Electronic cigarettes (e-cigarettes) are battery-powered devices that vaporize a liquid solution to deliver a dose of inhaled nicotine to the user. There is ongoing debate regarding their regulation. Methods This comprehensive narrative review aimed to discuss key issues including usage...

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Main Authors: Muhammad Aziz Rahman, Nicholas Hann, Andrew Wilson, Linda Worrall-Carter
Format: Article
Language:English
Published: European Publishing 2014-12-01
Series:Tobacco Induced Diseases
Subjects:
Online Access:http://www.journalssystem.com/tid/Electronic-cigarettes-patterns-of-use-health-effects-use-in-smoking-cessation-and-regulatory-issues,67132,0,2.html
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author Muhammad Aziz Rahman
Nicholas Hann
Andrew Wilson
Linda Worrall-Carter
author_facet Muhammad Aziz Rahman
Nicholas Hann
Andrew Wilson
Linda Worrall-Carter
author_sort Muhammad Aziz Rahman
collection DOAJ
description Background Electronic cigarettes (e-cigarettes) are battery-powered devices that vaporize a liquid solution to deliver a dose of inhaled nicotine to the user. There is ongoing debate regarding their regulation. Methods This comprehensive narrative review aimed to discuss key issues including usage patterns, health effects, efficacy in smoking cessation and regulatory concerns with a view to informing future regulation and research agendas. Material and Methods PubMed, Scopus and Web of Science databases were searched using the terms (electronic cigarettes OR e-cigarettes) for articles in English, relevant to humans and published during January 2009-January 2014. Results The literature search revealed 37 relevant articles. Findings suggest that e-cigarettes are mostly used by middle-aged current smokers, particularly males, to help them for quitting or for recreation. E-cigarettes contain very low levels of multiple toxic substances such as formaldehyde and acrolein, but these levels are many times lower than those found in cigarettes. They were found to have effectiveness in aiding smoking cessation to a limited degree. Debate continues regarding regulating their use for cessation versus heavy restrictions to control recreational use on the basis that it perpetuates nicotine addiction. Conclusions The cytotoxicity and long term health effects of e-cigarettes are unknown. Nevertheless the e-cigarette market continues to expand, largely driven by middle-aged smokers who claim to be using e-cigarettes in an attempt to reduce or quit smoking. E-cigarettes may have some potential as smoking cessation aids and, in the researchers’ view, should therefore be subject to further research and regulation similar to other nicotine replacement therapies.
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spelling doaj.art-cc42ff18790a4226a8a2afa750c0698a2022-12-21T19:05:19ZengEuropean PublishingTobacco Induced Diseases1617-96252014-12-0112December10.1186/1617-9625-12-2167132Electronic cigarettes: patterns of use, health effects, use in smoking cessation and regulatory issuesMuhammad Aziz Rahman0Nicholas Hann1Andrew Wilson2Linda Worrall-Carter3St Vincent’s Centre for Nursing Research (SVCNR), Australian Catholic University, Melbourne, AustraliaThe University of Melbourne, Melbourne, AustraliaThe Cardiovascular Research Centre (CvRC), Australian Catholic University, Melbourne, AustraliaSt Vincent’s Centre for Nursing Research (SVCNR), Australian Catholic University, Melbourne, AustraliaBackground Electronic cigarettes (e-cigarettes) are battery-powered devices that vaporize a liquid solution to deliver a dose of inhaled nicotine to the user. There is ongoing debate regarding their regulation. Methods This comprehensive narrative review aimed to discuss key issues including usage patterns, health effects, efficacy in smoking cessation and regulatory concerns with a view to informing future regulation and research agendas. Material and Methods PubMed, Scopus and Web of Science databases were searched using the terms (electronic cigarettes OR e-cigarettes) for articles in English, relevant to humans and published during January 2009-January 2014. Results The literature search revealed 37 relevant articles. Findings suggest that e-cigarettes are mostly used by middle-aged current smokers, particularly males, to help them for quitting or for recreation. E-cigarettes contain very low levels of multiple toxic substances such as formaldehyde and acrolein, but these levels are many times lower than those found in cigarettes. They were found to have effectiveness in aiding smoking cessation to a limited degree. Debate continues regarding regulating their use for cessation versus heavy restrictions to control recreational use on the basis that it perpetuates nicotine addiction. Conclusions The cytotoxicity and long term health effects of e-cigarettes are unknown. Nevertheless the e-cigarette market continues to expand, largely driven by middle-aged smokers who claim to be using e-cigarettes in an attempt to reduce or quit smoking. E-cigarettes may have some potential as smoking cessation aids and, in the researchers’ view, should therefore be subject to further research and regulation similar to other nicotine replacement therapies.http://www.journalssystem.com/tid/Electronic-cigarettes-patterns-of-use-health-effects-use-in-smoking-cessation-and-regulatory-issues,67132,0,2.htmlE-cigaretteselectronic cigarettessmokingsmoking cessationtobacco
spellingShingle Muhammad Aziz Rahman
Nicholas Hann
Andrew Wilson
Linda Worrall-Carter
Electronic cigarettes: patterns of use, health effects, use in smoking cessation and regulatory issues
Tobacco Induced Diseases
E-cigarettes
electronic cigarettes
smoking
smoking cessation
tobacco
title Electronic cigarettes: patterns of use, health effects, use in smoking cessation and regulatory issues
title_full Electronic cigarettes: patterns of use, health effects, use in smoking cessation and regulatory issues
title_fullStr Electronic cigarettes: patterns of use, health effects, use in smoking cessation and regulatory issues
title_full_unstemmed Electronic cigarettes: patterns of use, health effects, use in smoking cessation and regulatory issues
title_short Electronic cigarettes: patterns of use, health effects, use in smoking cessation and regulatory issues
title_sort electronic cigarettes patterns of use health effects use in smoking cessation and regulatory issues
topic E-cigarettes
electronic cigarettes
smoking
smoking cessation
tobacco
url http://www.journalssystem.com/tid/Electronic-cigarettes-patterns-of-use-health-effects-use-in-smoking-cessation-and-regulatory-issues,67132,0,2.html
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