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Cross-Sectional Association Between Exclusive and Concurrent Use of Cigarettes, ENDS, and Cigars, the Three Most Popular Tobacco Products, and Wheezing Symptoms Among U.S. Adults.
- Source :
-
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco [Nicotine Tob Res] 2020 Dec 15; Vol. 22 (Suppl 1), pp. S76-S84. - Publication Year :
- 2020
-
Abstract
- Introduction: This study assessed the association of exclusive and concurrent use of cigarettes, electronic nicotine delivery systems (ENDS), and cigars with ever and past 12-month wheezing symptoms among a nationally representative sample of US adult current tobacco users.<br />Methods: Cross-sectional data from the Population Assessment of Tobacco and Health (PATH) Study Wave 3 (W3) were used. The weighted prevalence of self-reported ever and past 12-month wheezing symptoms for noncurrent users compared with users of cigarettes, ENDS, cigars, and any combination of these products (polytobacco use of these tobacco products) were presented for 28 082 adults. The cross-sectional association of tobacco use with self-reported wheezing symptoms was assessed using weighted multivariable and ordinal logistic regression with consideration of complex sampling design.<br />Results: Significantly higher odds of ever had wheezing or whistling in the chest at any time in the past were observed among current cigarette (adjusted odds ratio: 2.62, 95% confidence intervals [CI]: 2.35, 2.91), ENDS (1.49, 95% CI: 1.14, 1.95), and polytobacco users (2.67, 95% CI: 2.26, 3.16) compared with noncurrent users. No associations were seen for cigar use. Polytobacco use was associated with a higher odds of ever wheezing when compared with exclusive ENDS (1.61, 95% CI: 1.19, 2.17) and exclusive cigar use (2.87, 95% CI: 1.93, 4.26), but not exclusive use of cigarettes.<br />Conclusions: Ever wheezing is associated with the use of cigarettes, ENDS, and polytobacco use of cigarettes, ENDS, and/or cigars, but not cigar use. The association of polytobacco use and wheezing appears to be driven by cigarette use.<br />Implications: Cross-sectional associations with ever and past 12-month wheezing symptoms were found to be the strongest among cigarette users, exclusively or in combination. Future longitudinal research is needed to better understand how cigarette use interacts with other tobacco and nicotine products and contributes to respiratory symptoms.<br /> (© The Author(s) 2020. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco.)
- Subjects :
- Adolescent
Adult
Cross-Sectional Studies
Female
Humans
Longitudinal Studies
Male
Prevalence
Respiratory Sounds drug effects
Tobacco Use Disorder etiology
United States epidemiology
Young Adult
Electronic Nicotine Delivery Systems statistics & numerical data
Respiratory Sounds physiopathology
Tobacco Products adverse effects
Tobacco Use adverse effects
Tobacco Use Disorder epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1469-994X
- Volume :
- 22
- Issue :
- Suppl 1
- Database :
- MEDLINE
- Journal :
- Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
- Publication Type :
- Academic Journal
- Accession number :
- 33320256
- Full Text :
- https://doi.org/10.1093/ntr/ntaa199