Vaping Habits and Respiratory Symptoms Using a Smartphone App Platform

Details

• Personal Author:
  Allen JG ; Christiani, David C. ; Eum K-D ; Lee M-SS ; Onnela J-P
• Description:
  Background: Widespread use of e-cigarette (EC) or vaping products causes respiratory disorders including the nationwide outbreak of e-cigarette or vaping product use-associated lung injury (EVALI) in 2019. Chronic adverse health effects are now being reported as well. To address this important public health issue, an innovative approach of epidemic control and epidemiologic study is required. We aimed to assess the association between short-term and long-term use of EC products and respiratory health in adults using smartphone app data. Methods: A population-based, repeated measures, longitudinal smartphone app study that performed 8-day survey participation over 60 days for each participant from August 2020 to March 2021, including 306 participants aged 21 years and older in the US. The participants were asked to complete the respiratory health questionnaire daily, weekly, and monthly on their smartphone app. We analyzed the association between vaping habits and respiratory health using generalized linear mixed models (GLMMs). Results: EC use in the previous 7 days was associated with frequent cough (OR: 5.15, 95% CI: 2.18, 12.21), chronic cough (OR: 3.92, 95% CI: 1.62, 9.45), frequent phlegm (OR: 3.99, 95% CI: 1.44, 11.10), chronic phlegm (OR: 3.55, 95% CI: 1.41, 8.96), episodes of cough and phlegm (OR: 4.68, 95% CI: 1.94, 11.28), mMRC grade 3-4 dyspnea (OR: 3.32, 95% CI: 1.35 to 8.13), chest cold (OR: 3.07, 95% CI: 1.29, 7.33), eye irritation (OR: 2.94, 95% CI: 1.34, 6.47) and nose irritation (OR : 2.02, 95% CI: 0.95, 4.30). Relatively long-term effects of the past 90 days EC use was associated with an increased risk of wheeze (OR: 3.04, 95% CI: 1.31, 7.03), wheeze attack (OR: 2.78, 95% CI: 1.07, 7.24), mMRC grade 3-4 dyspnea (OR: 2.54, 9% CI: 1.05 to 6.18), eye irritation (OR: 3.16, 95% CI: 1.49, 6.68), and eye irritation during the past month (OR: 3.50, 95% CI: 1.52, 8.04). Conclusions: In this smartphone app-based repeated measures study, short-term and relatively long-term use of EC increased the risk of respiratory symptoms. [Description provided by NIOSH]
• Subjects:
  Epidemiology Nicotine Occupational Health Public Health Respiratory System Safety Surveys And Questionnaires
• Keywords:
  Author Keywords: App Platforms Cell Phones E-cigarettes Electronic Cigarettes Electronic Nicotine Delivery Devices Public Health Questionnaires Repeated Measures Respiratory Health Vaping
• ISSN:
  1471-2458
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  24
• NIOSHTIC Number:
  nn:20069945
• Citation:
  BMC Public Health 2024 Jul; 24:2047
• Contact Point Address:
  Mi-Sun S. Lee, Environmental and Occupational Medicine and Epidemiology Program, Department of Environmental Health, Harvard T.H. Chan School of Public Health, 665 Huntington Ave, Building I Room 1406A, Boston, MA 02115
• Email:
  mslee@hsph.harvard.edu
• Federal Fiscal Year:
  2024
• Performing Organization:
  Harvard School of Public Health
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  BMC Public Health
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:b09b2fa355c134b20de75bcb30584d54c2d6bf5d7ec858858c08493365e68f882c769886e4876a3905f49f105a7c230dfa98a0043b6a461149037c2022a271b2
• Download URL:
  https://stacks.cdc.gov/view/cdc/208263/cdc_208263_DS1.pdf
• File Type:
  [PDF - 1.51 MB ]