IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v19y2022i20p13687-d949510.html
   My bibliography  Save this article

The Health Effects of Real-World Dual Use of Electronic and Conventional Cigarettes versus the Health Effects of Exclusive Smoking of Conventional Cigarettes: A Systematic Review

Author

Listed:
  • Charlotta Pisinger

    (Center for Clinical Research and Prevention, Bispebjerg-Frederiksberg University Hospital, Capital Region of Denmark, 2400 Copenhagen, Denmark
    Danish Heart Foundation, 1120 Copenhagen, Denmark
    Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, 1165 Copenhagen, Denmark)

  • Sofie K. Bergman Rasmussen

    (Center for Clinical Research and Prevention, Bispebjerg-Frederiksberg University Hospital, Capital Region of Denmark, 2400 Copenhagen, Denmark)

Abstract

Background: A high prevalence of dual use of e-cigarettes and conventional cigarettes has been reported across the world. Methods: A systematic search was carried out. We included original articles on any topic relevant to health, excluding mental health, in all languages. The PRISMA guidelines were followed. Both reviewers independently screened and read all publications. We compared dual use with exclusive smoking of conventional cigarettes (ESCC). Results: Fifty-two publications (49 studies) were included. Thirteen papers/10 studies were prospective. There was great heterogeneity across studies. Many methodological weaknesses, such as inaccurate exposure measurement, lack of adjustment for former tobacco consumption, and lack of significance testing were identified. Most prospective studies found dual use to be at least as harmful as ESCC. The longest follow-up was six years. Most of the best available cross-sectional studies found dual use associated with the same and, in several studies, significantly higher risk of self-reported symptoms/disease than in ESCC. The intensity of cigarette smoking seems associated with worse health. Conclusion: Existing studies indicate that dual use is at least as, or probably even more, harmful than ESCC. Due to the predominance of cross-sectional studies and the methodological weaknesses we judged the overall certainty of the evidence as “low certainty”.

Suggested Citation

  • Charlotta Pisinger & Sofie K. Bergman Rasmussen, 2022. "The Health Effects of Real-World Dual Use of Electronic and Conventional Cigarettes versus the Health Effects of Exclusive Smoking of Conventional Cigarettes: A Systematic Review," IJERPH, MDPI, vol. 19(20), pages 1-23, October.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13687-:d:949510
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/19/20/13687/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/19/20/13687/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Daniel Tzu-Hsuan Chen & Christina N. Kyriakos, 2021. "Cigarette and E-Cigarettes Dual Users, Exclusive Users and COVID-19: Findings from Four UK Birth Cohort Studies," IJERPH, MDPI, vol. 18(8), pages 1-12, April.
    2. Monique Williams & Prue Talbot, 2019. "Design Features in Multiple Generations of Electronic Cigarette Atomizers," IJERPH, MDPI, vol. 16(16), pages 1-15, August.
    3. Maciej L. Goniewicz & Noel J. Leigh & Michal Gawron & Justyna Nadolska & Lukasz Balwicki & Connor McGuire & Andrzej Sobczak, 2016. "Dual use of electronic and tobacco cigarettes among adolescents: a cross-sectional study in Poland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(2), pages 189-197, March.
    4. 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.
    5. Adam Prokopowicz & Andrzej Sobczak & Jerzy Szdzuj & Katarzyna Grygoyć & Leon Kośmider, 2020. "Metal Concentration Assessment in the Urine of Cigarette Smokers Who Switched to Electronic Cigarettes: A Pilot Study," IJERPH, MDPI, vol. 17(6), pages 1-12, March.
    6. Dong-Woo Choi & Jooeun Jeon & Sang Ah Lee & Kyu-Tae Han & Eun-Cheol Park & Sung-In Jang, 2018. "Association between Smoking Behavior Patterns and Glycated Hemoglobin Levels in a General Population," IJERPH, MDPI, vol. 15(10), pages 1-10, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Stephen L. Hamann & Nipapun Kungskulniti & Naowarut Charoenca & Vijj Kasemsup & Suwanna Ruangkanchanasetr & Passara Jongkhajornpong, 2023. "Electronic Cigarette Harms: Aggregate Evidence Shows Damage to Biological Systems," IJERPH, MDPI, vol. 20(19), pages 1-19, September.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. 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.
    2. Raffaele Palladino & Thomas Hone & Filippos T. Filippidis, 2018. "Changes in support for bans of illicit drugs, tobacco, and alcohol among adolescents and young adults in Europe, 2008–2014," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(1), pages 23-31, January.
    3. Brian Rastian & Chase Wilbur & Daniel B. Curtis, 2022. "Transfer of Metals to the Aerosol Generated by an Electronic Cigarette: Influence of Number of Puffs and Power," IJERPH, MDPI, vol. 19(15), pages 1-17, July.
    4. Sandra Joss & Anna Moser & Julian Jakob & Kali Tal & Jean-François Etter & Kevin Selby & Anna Schoeni & Philippe Poirson & Reto Auer, 2021. "Counseling in Vape Shops: A Survey of Vape Shop Managers in Switzerland," IJERPH, MDPI, vol. 18(20), pages 1-11, October.
    5. Sung Hoon Jeong & Bich Na Jang & Seung Hoon Kim & Sung-In Jang & Eun-Cheol Park, 2021. "Investigation of the Association between Smoking Behavior and Metabolic Syndrome Using Lipid Accumulation Product Index among South Korean Adults," IJERPH, MDPI, vol. 18(8), pages 1-10, April.
    6. Il Yun & Hye Jin Joo & Yu Shin Park & Eun-Cheol Park, 2022. "Association between Physical Exercise and Glycated Hemoglobin Levels in Korean Patients Diagnosed with Diabetes," IJERPH, MDPI, vol. 19(6), pages 1-11, March.
    7. Hongying Dai & Michael J. Deem & Jianqiang Hao, 2017. "Geographic variations in electronic cigarette advertisements on Twitter in the United States," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(4), pages 479-487, May.
    8. Lukasz Balwicki & Danielle Smith & Malgorzata Balwicka-Szczyrba & Michal Gawron & Andrzej Sobczak & Maciej L. Goniewicz, 2018. "Youth Access to Electronic Cigarettes in an Unrestricted Market: A Cross-Sectional Study from Poland," IJERPH, MDPI, vol. 15(7), pages 1-7, July.
    9. Rehab Auf & Mary Jo Trepka & Mazen Selim & Ziyad Ben Taleb & Mario De La Rosa & Elena Bastida & Miguel Ángel Cano, 2019. "E-cigarette use is associated with other tobacco use among US adolescents," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(1), pages 125-134, January.
    10. Nicholas J. Felicione & K. Michael Cummings & Shannon Gravely & David Hammond & Ann McNeill & Ron Borland & Geoffrey T. Fong & Richard J. O’Connor, 2021. "“Don’t Know” Responses for Nicotine Vaping Product Features among Adult Vapers: Findings from the 2018 and 2020 ITC Four Country Smoking and Vaping Surveys," IJERPH, MDPI, vol. 18(15), pages 1-15, July.
    11. Evan Floyd & Toluwanimi Oni & Changjie Cai & Bilal Rehman & Jooyeon Hwang & Tyler Watson, 2022. "Validation of a High Flow Rate Puff Topography System Designed for Measurement of Sub-Ohm, Third Generation Electronic Nicotine Delivery Systems," IJERPH, MDPI, vol. 19(13), pages 1-12, June.
    12. Nkiruka C. Atuegwu & Cheryl Oncken & Reinhard C. Laubenbacher & Mario F. Perez & Eric M. Mortensen, 2020. "Factors Associated with E-Cigarette Use in U.S. Young Adult Never Smokers of Conventional Cigarettes: A Machine Learning Approach," IJERPH, MDPI, vol. 17(19), pages 1-16, October.
    13. 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.
    14. Seokhwan Kim & Kyuhee Jo, 2022. "Multiple Tobacco Product Use among Adolescents with Asthma in Korea," IJERPH, MDPI, vol. 19(15), pages 1-10, August.
    15. Jonathan L. Kwong & Don A. Klinger & Ian Janssen & William Pickett, 2018. "Derivation of some contemporary scales to measure adolescent risk-taking in Canada," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(1), pages 137-147, January.
    16. 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.
    17. Monique Williams & Wentai Luo & Kevin McWhirter & Omeka Ikegbu & Prue Talbot, 2022. "Chemical Elements, Flavor Chemicals, and Nicotine in Unused and Used Electronic Cigarettes Aged 5–10 Years and Effects of pH," IJERPH, MDPI, vol. 19(24), pages 1-16, December.
    18. Jefferson Fowles & Tracy Barreau & Nerissa Wu, 2020. "Cancer and Non-Cancer Risk Concerns from Metals in Electronic Cigarette Liquids and Aerosols," IJERPH, MDPI, vol. 17(6), pages 1-10, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:19:y:2022:i:20:p:13687-:d:949510. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.