Abstract
Electronic cigarettes (E-Cigs) have been advertised as a safer alternative to smoking. However, E-Cigs use, like smoking, delivers ultra-small aerosol particles, which may be associated with cardiovascular disease. This study aimed to look into the association between E-Cigs use and cardiovascular disease outcomes. The study involved self-reported data from 16,855 participants from the National Health Interview Survey data from years 2014, 2016, 2017, and 2018. Results from the logistic regression analysis report E-Cigs users had higher odds of having myocardial infarction (OR 4.09, 95% CI [1.29, 12.98], P<0.05) when compared to non-users. Dual users had higher odds of myocardial infarction (OR 5.44, 95% CI [2.90, 10.22], P<0.05), stroke (OR 2.32, 95% CI [1.44, 3.74], P<0.05), and coronary artery disease (OR 2.27, 95% CI [1.37, 2.44], P<0.05) when compared to non-users.
Highlights
Electronic cigarettes (E-Cigs) have become more popular among current cigarette smokers due to their perceived safety and targeted marketing as a potential cessation aid to regular smoking
In the United States, the proportion of current E-Cigs users has increased to 4.8% of the adult population, and 2.3% of whom use tobacco use, and 17.8% of whom are former users [2]
These results indicate that the dual use of both tobacco use and E-Cigs is more dangerous than the use of either tobacco products alone for myocardial infarction or stroke
Summary
Electronic cigarettes (E-Cigs) have become more popular among current cigarette smokers due to their perceived safety and targeted marketing as a potential cessation aid to regular smoking. Recent prevalence data revealed that the adult users aged 25-44 years and aged 45-64 years had increased to 4.2% among adults aged 25-44 years and 2.1% among adults aged 45-64 years as per the National Health Interview Survey (NHIS) data in 2018 [1]. In the United States, the proportion of current E-Cigs users has increased to 4.8% of the adult population, and 2.3% of whom use tobacco use (dual users), and 17.8% of whom are former users [2]. This study sought to assess and compare cardiovascular outcomes between ECigs users and tobacco smokers through a self-reported NHIS data questionnaire
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