University of Utah, Department of Health, Kinesiology, & Recreation, 250 S 1820 E, Salt Lake City, UT 84105, USA.
Wake Forest School of Medicine, Department of Biostatistics and Data Science, Medical Center Boulevard, Winston-Salem, NC 27157, USA.
Addict Behav. 2020 May;104:106315. doi: 10.1016/j.addbeh.2020.106315. Epub 2020 Jan 13.
E-cigarettes are the most prevalent tobacco product among US youth, but little is known about the health symptoms users experience.
Between August 2016 and May 2017, we conducted a nationally representative cross-sectional telephone survey of 975 US youth ages 13-17. Respondents who reported ever trying e-cigarettes were asked whether they ever experienced six physical health symptoms they thought were caused by e-cigarette use. We examined whether symptoms varied by demographics and tobacco use.
Approximately 12.4% of respondents (n = 141) reported ever trying e-cigarettes. Of lifetime e-cigarette users, 37.0% reported past 30-day e-cigarette use, 17.2% reported past 30-day cigarette use, and 23.7% reported past 30-day use of another tobacco product. Most (63.3%) reported a symptom, most often cough (42.3%), followed by dizziness or lightheadedness (31.5%), headache or migraine (25.4%), dry or irritated mouth or throat (14.9%), shortness of breath (13.7%), change in or loss of taste (3.5%), and other (5.7%; nausea, dry eyes, earache, and tight chest). Headaches were more common among past 30-day e-cigarette users than non-users (43.8% vs. 14.6%). Shortness of breath was more common among past 30-day cigarette (33.8% vs. 9.5%) and other tobacco users (31.6% vs. 8.2%). Past 30-day cigarette users were also more likely to report any symptom (86.0% vs. 58.6%).
Most youth e-cigarette users attribute health symptoms to their e-cigarette use. Past 30-day users were more likely to report certain symptoms than non-users. Findings can educate health practitioners and school nurses about common symptoms youth may experience and inform prevention messages.
电子烟是美国青少年中最流行的烟草产品，但人们对使用者所经历的健康症状知之甚少。
我们于 2016 年 8 月至 2017 年 5 月期间，对 975 名年龄在 13-17 岁的美国青少年进行了一项全国性的代表性横断面电话调查。报告曾尝试过电子烟的受访者被问到他们是否曾经历过他们认为是电子烟使用引起的六种身体健康症状。我们研究了症状是否因人口统计学和烟草使用而有所不同。
大约 12.4%的受访者（n=141）报告曾尝试过电子烟。在终身电子烟使用者中，37.0%报告过去 30 天内使用过电子烟，17.2%报告过去 30 天内使用过香烟，23.7%报告过去 30 天内使用过其他烟草制品。大多数（63.3%）报告有症状，最常见的是咳嗽（42.3%），其次是头晕或头晕眼花（31.5%）、头痛或偏头痛（25.4%）、口干或喉咙干燥或刺激（14.9%）、呼吸急促（13.7%）、味觉改变或丧失（3.5%）和其他（5.7%；恶心、干眼症、耳痛和胸闷）。过去 30 天内使用电子烟的人比非使用者更常出现头痛（43.8%比 14.6%）。过去 30 天内使用香烟（33.8%比 9.5%）和其他烟草制品（31.6%比 8.2%）的人更容易出现呼吸急促。过去 30 天内使用香烟的人也更有可能报告任何症状（86.0%比 58.6%）。
大多数青少年电子烟使用者将健康症状归因于他们使用电子烟。过去 30 天内使用电子烟的人比非使用者更有可能报告某些症状。这些发现可以为卫生保健从业者和学校护士提供有关青少年可能经历的常见症状的教育，并为预防信息提供依据。
