Antwi Godfred O, Rhodes Darson L
Department of Public Health and Health Education, SUNY Brockport, 350 New Campus Drive, Brockport, NY 14420, USA.
J Public Health (Oxf). 2022 Mar 7;44(1):158-164. doi: 10.1093/pubmed/fdaa229.
Concern about the health impacts of e-cigarette use is growing; however, limited research exists regarding potential long-term health effects of this behavior. This study explored the relationship between e-cigarette use and COPD in a sample of US adults.
A secondary data analysis using data from the 2018 Behavioral Risk Factor Surveillance Survey in the USA was computed to examine associations between e-cigarette use and COPD controlling for conventional cigarette smoking status, past month leisure physical activity and demographic characteristics including age, sex, education, race, marital status and body mass index.
Significant associations between e-cigarette use and COPD among former combustible cigarette smokers and those who reported never using combustible cigarettes were found. Compared with never e-cigarette users, the odds of having COPD were significantly greater for daily e-cigarette users (OR = 1.53; 95% CI: 1.11-2.03), occasional users (OR = 1.43, 95% CI: 1.13-1.80) and former users (OR = 1.46 95% CI: 1.28-1.67).
Findings from this study indicate a potential link between e-cigarette use and COPD. Further research to explore the potential effects of e-cigarette on COPD is recommended.
对电子烟使用对健康影响的担忧日益增加；然而，关于这种行为潜在的长期健康影响的研究有限。本研究在美国成年人样本中探讨了电子烟使用与慢性阻塞性肺疾病（COPD）之间的关系。
利用美国2018年行为风险因素监测调查的数据进行二次数据分析，以检验电子烟使用与COPD之间的关联，并控制传统香烟吸烟状况、过去一个月的休闲体育活动以及包括年龄、性别、教育程度、种族、婚姻状况和体重指数在内的人口统计学特征。
在既往可燃香烟吸烟者和报告从未使用过可燃香烟的人群中，发现电子烟使用与COPD之间存在显著关联。与从不使用电子烟的人相比，每日使用电子烟的人患COPD的几率显著更高（比值比[OR]=1.53；95%置信区间[CI]：1.11-2.03），偶尔使用者（OR=1.43，95%CI：1.13-1.80）和既往使用者（OR=1.46，95%CI：1.28-1.67）。
本研究结果表明电子烟使用与COPD之间存在潜在联系。建议进一步开展研究以探索电子烟对COPD的潜在影响。
