Perceived health effects of vaping among Hungarian adult e-cigarette-only and dual users: A cross-sectional internet survey

Lilla Abafalvi, Melinda Pénzes, R. Urbán, Kristie L. Foley, Réka Kaán, Barbara Kispélyi, P. Hermann

Research output: Contribution to journalArticle

Abstract

Background: Knowledge about the health effects of e-cigarette use (or vaping) among past and current combustible cigarette users is limited. Several studies have assessed vaping-related adverse events (AEs) and beneficial health effects, however, most studies focused on AEs in general and examined only a few physiological changes that vapers experience. This study aims to explore self-reported AEs and perceived health changes due to e-cigarette use among Hungarian adult e-cigarette-only users (former smokers who switched completely to e-cigarette use) and dual users (smokers who use e-cigarettes and combustible tobacco cigarettes concomitantly). Methods: A cross-sectional, web-based survey of 1042 adult Hungarian e-cigarette users was conducted in 2015. Participants reported AEs and changes in physiological functions since they switched from smoking to e-cigarette use or while dually using e-cigarettes and combustible cigarettes. Confirmatory factor analysis with covariates was applied to explain perceived health changes due to e-cigarette-only use and dual use. Results: Dual users (17.6%) were significantly more likely to report AEs of vaping than e-cigarette-only users (26.2% vs. 11.8%, p < 0.001). Experiencing health improvements were significantly more likely among e-cigarette-only users than for dual users for all surveyed physiological functions. E-cigarette-only users reported larger effects of vaping on sensory, physical functioning, and mental health factors compared to dual users. Self-reported changes in sensory and physical functioning were significantly higher among individuals using e-cigarettes more than a year and people who were past heavy smokers (smoked ≥20 cigarettes per day). Gender was related to sensory improvement only; males reported greater improvement than females. Conclusions: The majority of e-cigarette-only users reported more perceived beneficial changes in physiological functions and fewer AEs than dual users. Perceived short-term benefits of e-cigarette use may reinforce users despite the uncertainty of long-term health consequences. Health professionals should provide balanced information regarding the possible short- and long-term positive and negative health effects of e-cigarette use during consultations with patients.

Original languageEnglish
Article number302
JournalBMC public health
Volume19
Issue number1
DOIs
Publication statusPublished - Mar 13 2019

Fingerprint

Tobacco Products
Internet
Cross-Sectional Studies
Health
Vaping

Keywords

  • Adverse event
  • E-cigarette
  • Health
  • Health consequence
  • Smoking
  • Vaping

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Perceived health effects of vaping among Hungarian adult e-cigarette-only and dual users : A cross-sectional internet survey. / Abafalvi, Lilla; Pénzes, Melinda; Urbán, R.; Foley, Kristie L.; Kaán, Réka; Kispélyi, Barbara; Hermann, P.

In: BMC public health, Vol. 19, No. 1, 302, 13.03.2019.

Research output: Contribution to journalArticle

Abafalvi, Lilla ; Pénzes, Melinda ; Urbán, R. ; Foley, Kristie L. ; Kaán, Réka ; Kispélyi, Barbara ; Hermann, P. / Perceived health effects of vaping among Hungarian adult e-cigarette-only and dual users : A cross-sectional internet survey. In: BMC public health. 2019 ; Vol. 19, No. 1.
@article{ededd3f16d934b8b910632b0e36529d2,
title = "Perceived health effects of vaping among Hungarian adult e-cigarette-only and dual users: A cross-sectional internet survey",
abstract = "Background: Knowledge about the health effects of e-cigarette use (or vaping) among past and current combustible cigarette users is limited. Several studies have assessed vaping-related adverse events (AEs) and beneficial health effects, however, most studies focused on AEs in general and examined only a few physiological changes that vapers experience. This study aims to explore self-reported AEs and perceived health changes due to e-cigarette use among Hungarian adult e-cigarette-only users (former smokers who switched completely to e-cigarette use) and dual users (smokers who use e-cigarettes and combustible tobacco cigarettes concomitantly). Methods: A cross-sectional, web-based survey of 1042 adult Hungarian e-cigarette users was conducted in 2015. Participants reported AEs and changes in physiological functions since they switched from smoking to e-cigarette use or while dually using e-cigarettes and combustible cigarettes. Confirmatory factor analysis with covariates was applied to explain perceived health changes due to e-cigarette-only use and dual use. Results: Dual users (17.6{\%}) were significantly more likely to report AEs of vaping than e-cigarette-only users (26.2{\%} vs. 11.8{\%}, p < 0.001). Experiencing health improvements were significantly more likely among e-cigarette-only users than for dual users for all surveyed physiological functions. E-cigarette-only users reported larger effects of vaping on sensory, physical functioning, and mental health factors compared to dual users. Self-reported changes in sensory and physical functioning were significantly higher among individuals using e-cigarettes more than a year and people who were past heavy smokers (smoked ≥20 cigarettes per day). Gender was related to sensory improvement only; males reported greater improvement than females. Conclusions: The majority of e-cigarette-only users reported more perceived beneficial changes in physiological functions and fewer AEs than dual users. Perceived short-term benefits of e-cigarette use may reinforce users despite the uncertainty of long-term health consequences. Health professionals should provide balanced information regarding the possible short- and long-term positive and negative health effects of e-cigarette use during consultations with patients.",
keywords = "Adverse event, E-cigarette, Health, Health consequence, Smoking, Vaping",
author = "Lilla Abafalvi and Melinda P{\'e}nzes and R. Urb{\'a}n and Foley, {Kristie L.} and R{\'e}ka Ka{\'a}n and Barbara Kisp{\'e}lyi and P. Hermann",
year = "2019",
month = "3",
day = "13",
doi = "10.1186/s12889-019-6629-0",
language = "English",
volume = "19",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Perceived health effects of vaping among Hungarian adult e-cigarette-only and dual users

T2 - A cross-sectional internet survey

AU - Abafalvi, Lilla

AU - Pénzes, Melinda

AU - Urbán, R.

AU - Foley, Kristie L.

AU - Kaán, Réka

AU - Kispélyi, Barbara

AU - Hermann, P.

PY - 2019/3/13

Y1 - 2019/3/13

N2 - Background: Knowledge about the health effects of e-cigarette use (or vaping) among past and current combustible cigarette users is limited. Several studies have assessed vaping-related adverse events (AEs) and beneficial health effects, however, most studies focused on AEs in general and examined only a few physiological changes that vapers experience. This study aims to explore self-reported AEs and perceived health changes due to e-cigarette use among Hungarian adult e-cigarette-only users (former smokers who switched completely to e-cigarette use) and dual users (smokers who use e-cigarettes and combustible tobacco cigarettes concomitantly). Methods: A cross-sectional, web-based survey of 1042 adult Hungarian e-cigarette users was conducted in 2015. Participants reported AEs and changes in physiological functions since they switched from smoking to e-cigarette use or while dually using e-cigarettes and combustible cigarettes. Confirmatory factor analysis with covariates was applied to explain perceived health changes due to e-cigarette-only use and dual use. Results: Dual users (17.6%) were significantly more likely to report AEs of vaping than e-cigarette-only users (26.2% vs. 11.8%, p < 0.001). Experiencing health improvements were significantly more likely among e-cigarette-only users than for dual users for all surveyed physiological functions. E-cigarette-only users reported larger effects of vaping on sensory, physical functioning, and mental health factors compared to dual users. Self-reported changes in sensory and physical functioning were significantly higher among individuals using e-cigarettes more than a year and people who were past heavy smokers (smoked ≥20 cigarettes per day). Gender was related to sensory improvement only; males reported greater improvement than females. Conclusions: The majority of e-cigarette-only users reported more perceived beneficial changes in physiological functions and fewer AEs than dual users. Perceived short-term benefits of e-cigarette use may reinforce users despite the uncertainty of long-term health consequences. Health professionals should provide balanced information regarding the possible short- and long-term positive and negative health effects of e-cigarette use during consultations with patients.

AB - Background: Knowledge about the health effects of e-cigarette use (or vaping) among past and current combustible cigarette users is limited. Several studies have assessed vaping-related adverse events (AEs) and beneficial health effects, however, most studies focused on AEs in general and examined only a few physiological changes that vapers experience. This study aims to explore self-reported AEs and perceived health changes due to e-cigarette use among Hungarian adult e-cigarette-only users (former smokers who switched completely to e-cigarette use) and dual users (smokers who use e-cigarettes and combustible tobacco cigarettes concomitantly). Methods: A cross-sectional, web-based survey of 1042 adult Hungarian e-cigarette users was conducted in 2015. Participants reported AEs and changes in physiological functions since they switched from smoking to e-cigarette use or while dually using e-cigarettes and combustible cigarettes. Confirmatory factor analysis with covariates was applied to explain perceived health changes due to e-cigarette-only use and dual use. Results: Dual users (17.6%) were significantly more likely to report AEs of vaping than e-cigarette-only users (26.2% vs. 11.8%, p < 0.001). Experiencing health improvements were significantly more likely among e-cigarette-only users than for dual users for all surveyed physiological functions. E-cigarette-only users reported larger effects of vaping on sensory, physical functioning, and mental health factors compared to dual users. Self-reported changes in sensory and physical functioning were significantly higher among individuals using e-cigarettes more than a year and people who were past heavy smokers (smoked ≥20 cigarettes per day). Gender was related to sensory improvement only; males reported greater improvement than females. Conclusions: The majority of e-cigarette-only users reported more perceived beneficial changes in physiological functions and fewer AEs than dual users. Perceived short-term benefits of e-cigarette use may reinforce users despite the uncertainty of long-term health consequences. Health professionals should provide balanced information regarding the possible short- and long-term positive and negative health effects of e-cigarette use during consultations with patients.

KW - Adverse event

KW - E-cigarette

KW - Health

KW - Health consequence

KW - Smoking

KW - Vaping

UR - http://www.scopus.com/inward/record.url?scp=85062883607&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85062883607&partnerID=8YFLogxK

U2 - 10.1186/s12889-019-6629-0

DO - 10.1186/s12889-019-6629-0

M3 - Article

C2 - 30866897

AN - SCOPUS:85062883607

VL - 19

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

IS - 1

M1 - 302

ER -