• Am. J. Respir. Crit. Care Med. · Jun 2022

    Association of Electronic Cigarette Use with Respiratory Symptom Development among US Young Adults.

    • Wubin Xie, Alayna P Tackett, Jonathan B Berlowitz, Alyssa F Harlow, Hasmeena Kathuria, Panagis Galiatsatos, Jessica L Fetterman, Junhan Cho, Michael J Blaha, Naomi M Hamburg, Rose Marie Robertson, Andrew P DeFilippis, Michael E Hall, Aruni Bhatnagar, Emelia J Benjamin, and Andrew C Stokes.
    • Department of Global Health.
    • Am. J. Respir. Crit. Care Med. 2022 Jun 1; 205 (11): 132013291320-1329.

    AbstractRationale: Electronic cigarette (e-cigarette) use is highly prevalent among young adults. However, longitudinal data assessing the association between e-cigarette use and respiratory symptoms are lacking. Objectives: To determine whether e-cigarette use is associated with the development of respiratory symptoms in young adults. Methods: Data are derived from the PATH (Population Assessment of Tobacco and Health) study waves 2 (2014-2015), 3 (2015-2016), 4 (2016-2018), and 5 (2018-2019). Young adults aged 18-24 years at baseline with no prevalent respiratory disease or symptoms were included in the analyses. Binary logistic regression models with a generalized estimating equation were used to estimate time-varying and time-lagged associations of e-cigarette use during waves 2-4, with respiratory symptom development approximately 12 months later at waves 3-5. Measurements and Main Results: The per-wave prevalence of former and current e-cigarette use was 15.2% and 5.6%, respectively. Former e-cigarette use was associated with higher odds of developing any respiratory symptom (adjusted odds ratio [aOR], 1.20; 95% confidence interval [CI], 1.04-1.39) and wheezing in the chest (aOR, 1.41; 95% CI, 1.08-1.83) in multivariable adjusted models. Current e-cigarette use was associated with higher odds for any respiratory symptom (aOR, 1.32; 95% CI, 1.06-1.65) and wheezing in the chest (aOR, 1.51; 95% CI, 1.06-2.14). Associations persisted among participants who never smoked combustible cigarettes. Conclusions: In this nationally representative cohort of young adults, former and current e-cigarette use was associated with higher odds of developing wheezing-related respiratory symptoms, after accounting for cigarette smoking and other combustible tobacco product use.

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