Kurdyś-Bykowska Paulina, Kośmider Leon, Konwant Dawid, Stencel-Gabriel Krystyna
Department and Clinical Department of Pediatrics in Bytom, Medical University of Silesia, 40-055 Katowice, Poland.
Department of General and Inorganic Chemistry, Faculty of Pharmaceutical Sciences in Sosnowiec, Medical University of Silesia in Katowice, 41-200 Sosnowiec, Poland.
Pediatr Rep. 2024 Jun 21;16(3):530-541. doi: 10.3390/pediatric16030044.
In recent years, the prevalence of tobacco and electronic cigarette (e-cigarette) use among adolescents has raised significant public health concerns worldwide. This study aimed to investigate respiratory symptoms among Polish adolescents. We conducted an online survey among Polish school students from all provinces, collecting data over two months in spring 2021. Students voluntarily complete the anonymous survey, answering questions about respiratory symptoms, smoking habits (both traditional and electronic cigarettes), and demographic information. The analysis focused on four subgroups, namely non-tobacco users, traditional cigarette smokers, e-cigarette users, and dual users, totaling 10,388 pupils aged 12-18 years, predominantly attending secondary technical and comprehensive schools. A total of 10,388 pupils participated in the study, 55.6% (5778) of whom were girls and 44.4% (4610) boys. Adolescents who admitted using both e-cigarettes and traditional cigarettes experienced more frequent episodes of cough during the day (39.70%) and at night (18.40%) compared to their peers in other groups. Chest discomfort, including pain and pressure, was also reported more often by adolescents who used e-cigarettes and traditional cigarettes concurrently (27.60%) compared to their peers in other groups. Chest pressure was experienced less commonly by non-smoking adolescents (14.40%) than by smokers (18.90%). Higher severity of cough during the day and at night was observed in the group of adolescents using traditional cigarettes and e-cigarettes concurrently compared to the other groups. The adolescents in the dual-user group experienced more severe dyspnea and wheezing compared to the other groups included in the comparison. The results of this study confirm the correlation between the occurrence of respiratory symptoms in adolescents who smoke cigarettes, adolescents who use e-cigarettes, and adolescents who are dual users. The respiratory symptoms occur most frequently and are the most severe in the group of adolescents who use e-cigarettes and traditional cigarettes.
近年来，青少年烟草和电子烟使用的流行率在全球范围内引发了重大的公共卫生问题。本研究旨在调查波兰青少年的呼吸道症状。我们对来自波兰所有省份的在校学生进行了一项在线调查，于2021年春季的两个月内收集数据。学生们自愿完成匿名调查，回答有关呼吸道症状、吸烟习惯（传统香烟和电子烟）以及人口统计学信息的问题。分析集中在四个亚组，即非烟草使用者、传统香烟吸烟者、电子烟使用者和双重使用者，共有10388名12至18岁的学生，主要就读于中等技术学校和综合学校。共有10388名学生参与了这项研究，其中55.6%（5778名）为女生，44.4%（4610名）为男生。与其他组的同龄人相比，承认同时使用电子烟和传统香烟的青少年白天（39.70%）和夜间（18.40%）咳嗽发作更为频繁。同时使用电子烟和传统香烟的青少年报告胸部不适（包括疼痛和压迫感）的情况也比其他组的同龄人更为常见（27.60%）。非吸烟青少年（14.40%）胸部压迫感的发生率低于吸烟者（18.90%）。与其他组相比，同时使用传统香烟和电子烟的青少年组白天和夜间咳嗽的严重程度更高。与比较中纳入的其他组相比，双重使用者组的青少年呼吸困难和喘息更为严重。本研究结果证实了吸烟青少年、使用电子烟青少年和双重使用者青少年呼吸道症状的发生之间存在相关性。呼吸道症状在同时使用电子烟和传统香烟的青少年组中出现最为频繁且最为严重。
