Association of E-Cigarette Use With Respiratory Disease Among Adults: A Longitudinal Analysis
Study attempts to draw a link between vaping and lung illnesses such as emphysema, chronic bronchitis and COPD.
E-cigarettes deliver an aerosol of nicotine by heating a liquid and are promoted as an alternative to combustible tobacco. This study determines the longitudinal associations between e-cigarette use and respiratory disease controlling for combustible tobacco use. This was a longitudinal analysis of the adult Population Assessment of Tobacco and Health Waves 1, 2, and 3. Multivariable logistic regression was performed to determine the associations between e-cigarette use and respiratory disease, controlling for combustible tobacco smoking, demographic, and clinical variables. Data were collected in 2013–2016 and analyzed in 2018–2019. Among people who did not report respiratory disease (chronic obstructive pulmonary disease, chronic bronchitis, emphysema, or asthma) at Wave 1, the longitudinal analysis revealed statistically significant associations between former e-cigarette use (AOR=1.31, 95% CI=1.07, 1.60) and current e-cigarette use (AOR=1.29, 95% CI=1.03, 1.61) at Wave 1 and having incident respiratory disease at Waves 2 or 3, controlling for combustible tobacco smoking, demographic, and clinical variables. Current combustible tobacco smoking (AOR=2.56, 95% CI=1.92, 3.41) was also significantly associated with having respiratory disease at Waves 2 or 3. Odds of developing respiratory disease for a current dual user (e-cigarette and all combustible tobacco) were 3.30 compared with a never smoker who never used e-cigarettes. Analysis controlling for cigarette smoking alone yielded similar results. Use of e-cigarettes is an independent risk factor for respiratory disease in addition to combustible tobacco smoking. Dual use, the most common use pattern, is riskier than using either product alone.
Stanton Glantz has a history of interpreting data in a manner that sets him apart from his peers. His paper on vaping impacting myocardial infarction rates found that vaping increased ones chances of having a heart attack up to a decade before one even started to use the product.
Professor John Britton’s letter published in the Times on December 17th, 2019:
American Journal of Preventative Medicine
Dharma N. Bhatta, PhD, MPH, Stanton A. Glantz, PhD
Dharma N. Bhatta, PhD, MPH, Stanton A. Glantz, PhD. Association of E-Cigarette Use With Respiratory Disease Among Adults: A Longitudinal Analysis. Am J Prev Med 2019;000(000):1−9. © 2019 American Journal of Preventive Medicine. Published by Elsevier Inc. DOI: https://doi.org/10.1016/j.amepre.2019.07.028