Department of Psychiatry, Yale University School of Medicine, New Haven, CT, United States of America.
Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT, United States of America.
PLoS One. 2024 Jul 30;19(7):e0308006. doi: 10.1371/journal.pone.0308006. eCollection 2024.
This study aimed to determine the prevalence and predictors of oral, ocular, or dermal e-liquid exposure and subsequent outcomes (becoming sick, going to the hospital) in the US. We examined survey data from the Population Assessment of Tobacco and Health Study Wave 5 (2018-2019). The analytic sample included US youth (aged 12-17 years), young adults (aged 18-24 years), and older adults (aged ≥ 25 years) who reported e-cigarette use in the past 12 months. We first determined the prevalence of self-reported e-liquid exposure (in the mouth, skin, or eyes), subsequently "becoming sick" from the exposure, and "going to the hospital" after the exposure. We also examined associations between these outcomes and the device type used (refillable tank /mod system, replaceable prefilled cartridges, disposable/ other device type). E-liquid exposure was reported by 25% of youth (aged 12-17 years), 25% of young adults (aged 18-24 years), and 19% of older adults (aged≥ 25 years). Among individuals reporting e-liquid exposure, subsequent sickness was reported by 10% of youth11% of young adults, and 14% of older adults, and "going to the hospital" was reported by 3.5% of youth, 2.7% of young adults, and 6.8% of older adults. Among young adults, the use of a refillable tank /mod system was associated with higher odds of e-liquid exposure (aOR = 2.2, 95% CI = 1.2, 4.1) than the use of other device types, including disposables. The findings suggest that, at a minimum, e-cigarettes/e-liquids may need warning labels that state the risks of e-liquid exposure and packaging regulations that promote device and bottle designs that minimize e-liquid spills.
本研究旨在确定美国口腔、眼部或皮肤接触电子烟液及其随后结果（患病、就医）的流行率和预测因素。我们分析了 2018-2019 年“人口评估烟草与健康研究”第五波的数据。分析样本包括过去 12 个月内报告使用电子烟的美国青少年（12-17 岁）、青年（18-24 岁）和成年人（≥25 岁）。我们首先确定了自我报告的电子烟液接触（口腔、皮肤或眼睛）的流行率，随后确定了接触后的患病情况和接触后的就医情况。我们还研究了这些结果与所使用设备类型（可填充罐/改装系统、可替换预充墨盒、一次性/其他设备类型）之间的关联。25%的青少年（12-17 岁）、25%的青年（18-24 岁）和 19%的成年人（≥25 岁）报告了电子烟液接触。在报告电子烟液接触的人群中，10%的青少年、11%的青年和 14%的成年人随后出现不适，3.5%的青少年、2.7%的青年和 6.8%的成年人因此就医。在青年中，与使用其他设备类型（包括一次性设备）相比，使用可填充罐/改装系统与电子烟液接触的几率更高（调整后的比值比[aOR] = 2.2，95%置信区间[CI] = 1.2，4.1）。这些发现表明，至少电子烟和电子烟液可能需要带有警示标签，说明接触电子烟液的风险，并制定包装法规，促进设备和瓶身设计，最大限度地减少电子烟液溢出。
