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Association between Electronic Cigarettes Use and Asthma in the United States: Data from the National Health Interview Survey 2016–2019

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Purpose: This article aimed to investigate 1) whether electronic cigarette (EC) users are more likely to experience asthma attacks or emergency room (ER) visits due to asthma than non-users and 2) how age and smoking behaviors moderate the effect size of the association. Materials and Methods: We used National Health Interview Survey data from 2016–2019. Multiple logistic regression analysis was performed to identify the association between current EC use and having an asthma attack and ER visitation due to asthma. Inter action terms were included to explore the moderation effects of age and cigarette smoking status. Subgroup analysis was conduct ed according to age group. Results: Of the 218911 participants, 2.0% of them experienced an asthma attack, and 0.5% visited the ER due to asthma. Current EC use was associated with higher odds of having an asthma attack. In interaction analysis, age and smoking status were identi fied as a moderator in the relationship between EC use and asthma attacks. Participants in their 20s or 30s showed the highest in teraction effect. Conclusion: Our analysis indicates the potential impact of EC use on public health and the moderating effects of smoking behavior.

Abstract

Purpose: This article aimed to investigate 1) whether electronic cigarette (EC) users are more likely to experience asthma attacks or emergency room (ER) visits due to asthma than non-users and 2) how age and smoking behaviors moderate the effect size of the association. Materials and Methods: We used National Health Interview Survey data from 2016–2019. Multiple logistic regression analysis was performed to identify the association between current EC use and having an asthma attack and ER visitation due to asthma. Inter action terms were included to explore the moderation effects of age and cigarette smoking status. Subgroup analysis was conduct ed according to age group. Results: Of the 218911 participants, 2.0% of them experienced an asthma attack, and 0.5% visited the ER due to asthma. Current EC use was associated with higher odds of having an asthma attack. In interaction analysis, age and smoking status were identi fied as a moderator in the relationship between EC use and asthma attacks. Participants in their 20s or 30s showed the highest in teraction effect. Conclusion: Our analysis indicates the potential impact of EC use on public health and the moderating effects of smoking behavior.

참고문헌 (37)

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