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Adult E-Cigarettes Use Associated with a Self-Reported Diagnosis of COPD

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  • Mario F. Perez

    (Department of Medicine, UConn Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA)

  • Nkiruka C. Atuegwu

    (Department of Medicine, UConn Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA)

  • Erin L. Mead

    (Department of Medicine, UConn Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA)

  • Cheryl Oncken

    (Department of Medicine, UConn Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA)

  • Eric M. Mortensen

    (Department of Medicine, UConn Health, University of Connecticut School of Medicine, Farmington, CT 06030, USA)

Abstract

The use of electronic cigarettes (e-cigarettes) has increased in the US, but little is known about the effects of these products on lung health. The main purpose of this study was to examine the association between e-cigarette use and a participant’s report of being diagnosed with chronic obstructive pulmonary disease (COPD) in a nationally representative sample of adults. Methods: The first wave of the Population Assessment of Tobacco and Health (PATH) survey adult data was used ( N = 32,320). Potential confounders between e-cigarette users and non-users were balanced using propensity score matching. Odds ratios (OR) were calculated to examine the association between e-cigarette use and COPD in the propensity-matched sample, the entire sample, different age groups, and in nonsmokers. Replicate weights and balanced repeated replication methods were utilized to account for the complex survey design. Results: Of the 3642 participants who met the criteria for e-cigarette use, 2727 were propensity matched with 2727 non e-cigarette users. In the propensity-matched sample, e-cigarette users were more likely to report being diagnosed with COPD (OR 1.43, 95% confidence interval [CI] 1.12–1.85) than non-e-cigarette users after adjusting for confounders. The result was similar in the entire sample and in the different age subgroups. Among nonsmokers, the odds of reporting a COPD diagnosis were even greater among e-cigarette users (OR 2.94, 95% CI 1.73–4.99) compared to non-e-cigarette users. Conclusion: Our findings demonstrate that e-cigarette use was associated with a reported diagnosis of COPD among adults in the US. Further research is necessary to characterize the nature of this association and on the long-term effects of using e-cigarettes.

Suggested Citation

  • Mario F. Perez & Nkiruka C. Atuegwu & Erin L. Mead & Cheryl Oncken & Eric M. Mortensen, 2019. "Adult E-Cigarettes Use Associated with a Self-Reported Diagnosis of COPD," IJERPH, MDPI, vol. 16(20), pages 1-10, October.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:20:p:3938-:d:277181
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    References listed on IDEAS

    as
    1. 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.
    2. Konstantinos E. Farsalinos & Giorgio Romagna & Dimitris Tsiapras & Stamatis Kyrzopoulos & Vassilis Voudris, 2014. "Characteristics, Perceived Side Effects and Benefits of Electronic Cigarette Use: A Worldwide Survey of More than 19,000 Consumers," IJERPH, MDPI, vol. 11(4), pages 1-18, April.
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    Keywords

    E-cigarettes; COPD; Adults; PATH;
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