电子香烟使用与成年人主观认知主诉
Electronic cigarette use and subjective cognitive complaints in adults.
机构信息
Department of Clinical & Translational Research, University of Rochester Medical Center, Rochester, New York, United States of America.
Department of Public Health Sciences, University of Rochester Medical Center, Rochester, New York, United States of America.
出版信息
PLoS One. 2020 Nov 2;15(11):e0241599. doi: 10.1371/journal.pone.0241599. eCollection 2020.
INTRODUCTION
Electronic cigarette use (vaping) has become popular in recent years. The number of Americans with a variety of cognitive deficits has been increasing dramatically. This study aimed to examine the potential association of vaping with subjective cognitive complaints in US adults.
METHODS
A combined 2016 and 2017 Behavioral Risk Factor Surveillance System (BRFSS) national survey dataset yielded 886,603 adults who indicated their smoking and vaping status, as well as whether they had subjective cognitive complaints. With this dataset, the cross-sectional association of electronic cigarette use with subjective cognitive complaints was examined using multivariable weighted logistic regression models.
RESULTS
Both dual users (adjusted Odds Ratio [aOR] = 2.07; 95% Confidence Interval [CI] = 1.66 to 2.60) and current vapers who were either ex-smokers (aOR = 1.94; 95% CI = 1.40 to 2.71) or never smoked (aOR = 1.96; 95% CI = 1.16 to 3.30) showed a significantly higher association with subjective cognitive complaints than never users. Current smokers (aOR = 1.49; 95% CI = 1.32 to 1.69) and ex-smokers (aOR = 1.25; 95% CI = 1.11 to 1.41) had a significantly higher association with subjective cognitive complaints compared to never users. Compared to current smokers, the ex-smokers showed a lower association with subjective cognitive complaints (aOR = 0.84; 95% CI = 0.73 to 0.96). Finally, the association of vaping with subjective cognitive complaints was not statistically significant in individual age group.
CONCLUSION
Similar to smoking, vaping is associated with subjective cognitive complaints in US adults. These results provide preliminary evidence for a cross-sectional association of vaping with potential cognitive health effects in adults.
介绍
近年来，电子烟的使用（ vaping）变得越来越流行。患有各种认知障碍的美国人数急剧增加。本研究旨在探讨美国成年人中电子烟使用与主观认知抱怨之间的潜在关联。
方法
2016 年和 2017 年行为风险因素监测系统（BRFSS）的全国调查数据集合并得出 886603 名成年人，他们报告了自己的吸烟和电子烟使用情况，以及是否有主观认知抱怨。使用该数据集，通过多变量加权逻辑回归模型检查电子烟使用与主观认知抱怨之间的横断面关联。
结果
双重使用者（调整后的优势比[aOR]=2.07；95％置信区间[CI]=1.66 至 2.60）和当前电子烟使用者，无论是前吸烟者（aOR=1.94；95％CI=1.40 至 2.71）还是从未吸烟的人（aOR=1.96；95％CI=1.16 至 3.30）与主观认知抱怨的关联明显更高。与从未使用者相比，当前吸烟者（aOR=1.49；95％CI=1.32 至 1.69）和前吸烟者（aOR=1.25；95％CI=1.11 至 1.41）与主观认知抱怨的关联明显更高。与当前吸烟者相比，前吸烟者与主观认知抱怨的关联较低（aOR=0.84；95％CI=0.73 至 0.96）。最后，在各个年龄组中，电子烟与主观认知抱怨之间的关联均无统计学意义。
结论
与吸烟类似，电子烟的使用与美国成年人的主观认知抱怨有关。这些结果提供了电子烟与成年人潜在认知健康影响的横断面关联的初步证据。
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