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Youth E-Cigarette Use and Functionally Important Respiratory Symptoms: The Population Assessment of Tobacco and Health (PATH) Study Waves 3 and 4

Author

Listed:
  • Elizabeth R. Stevens

    (Department of Population Heath, Grossman School of Medicine, New York University, New York, NY 10016, USA)

  • Shu Xu

    (School of Global Public Health, New York University, New York, NY 10012, USA)

  • Raymond Niaura

    (School of Global Public Health, New York University, New York, NY 10012, USA)

  • Charles M. Cleland

    (Department of Population Heath, Grossman School of Medicine, New York University, New York, NY 10016, USA)

  • Scott E. Sherman

    (Department of Population Heath, Grossman School of Medicine, New York University, New York, NY 10016, USA
    Department of Medicine, VA New York Harbor Healthcare System, New York, NY 10010, USA)

  • Andi Mai

    (Department of Population Heath, Grossman School of Medicine, New York University, New York, NY 10016, USA)

  • Emma Karey

    (Department of Medicine, Grossman School of Medicine, New York University, New York, NY 10016, USA)

  • Nan Jiang

    (Department of Population Heath, Grossman School of Medicine, New York University, New York, NY 10016, USA)

Abstract

Respiratory effects of e-cigarette use among youth are not fully understood. This study investigated the longitudinal association between e-cigarette use and a validated index of functionally important respiratory symptoms among US youth. Data from Waves 3–4 of the Population Assessment of Tobacco and Health Study were analyzed. The sample included youth (aged 12–17) without asthma at baseline (Wave 3), who completed a follow-up survey (Wave 4), and were not missing data for analytic variables (n = 3899). Exposure was e-cigarette use status (never, former, or current) at baseline. The outcome was a respiratory symptom index based on responses for seven wheezing items at Wave 4. An index of ≥2 was defined as having functionally important respiratory symptoms. Lagged logistic regression models examined the association between baseline e-cigarette use and functionally important respiratory symptoms at follow-up by combustible tobacco use status (never or ever), and controlling for baseline covariates. At baseline, 13.7% of participants reported former e-cigarette use, and 4.3% reported current use. Baseline e-cigarette use did not increase the odds of having functionally important respiratory symptoms at follow-up regardless of combustible tobacco use status. Future research on larger populations of e-cigarette users with longer follow-up periods will improve our understanding of the respiratory risks associated with e-cigarette use among youth.

Suggested Citation

  • Elizabeth R. Stevens & Shu Xu & Raymond Niaura & Charles M. Cleland & Scott E. Sherman & Andi Mai & Emma Karey & Nan Jiang, 2022. "Youth E-Cigarette Use and Functionally Important Respiratory Symptoms: The Population Assessment of Tobacco and Health (PATH) Study Waves 3 and 4," IJERPH, MDPI, vol. 19(22), pages 1-8, November.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:22:p:15324-:d:978212
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    References listed on IDEAS

    as
    1. Christie Cherian & Eugenia Buta & Patricia Simon & Ralitza Gueorguieva & Suchitra Krishnan-Sarin, 2021. "Association of Vaping and Respiratory Health among Youth in the Population Assessment of Tobacco and Health (PATH) Study Wave 3," IJERPH, MDPI, vol. 18(15), pages 1-11, August.
    2. Jun Ho Cho & Samuel Y Paik, 2016. "Association between Electronic Cigarette Use and Asthma among High School Students in South Korea," PLOS ONE, Public Library of Science, vol. 11(3), pages 1-13, March.
    3. Anna Tzortzi & Melpo Kapetanstrataki & Vaso Evangelopoulou & Panagiotis Behrakis, 2020. "A Systematic Literature Review of E-Cigarette-Related Illness and Injury: Not Just for the Respirologist," IJERPH, MDPI, vol. 17(7), pages 1-27, March.
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