scholarly journals E-Cigarette Use in Young Adult Never Cigarette Smokers with Disabilities: Results from the Behavioral Risk Factor Surveillance System Survey

Author(s):  
Nkiruka C. Atuegwu ◽  
Mark D. Litt ◽  
Suchitra Krishnan-Sarin ◽  
Reinhard C. Laubenbacher ◽  
Mario F. Perez ◽  
...  

Young adult never cigarette smokers with disabilities may be at particular risk for adopting e-cigarettes, but little attention has been paid to these people. This study examines the associations between different types of disability and e-cigarette use in this population. Young adult never-smokers from the 2016–2017 Behavioral Risk Factor Surveillance System (BRFSS) survey who were either never or current e-cigarette users (n = 79,177) were selected for the analysis. The Least Absolute Shrinkage and Selection Operator (LASSO) algorithm was used to select confounders for multivariable logistic regression models. Multivariable logistic regression models were used to determine the associations between current e-cigarette use and different types of disability after incorporating BRFSS survey design and adjusting for confounders. Young adult never-smokers who reported any disability had increased odds (OR 1.44, 95% CI 1.18–1.76) of e-cigarette use compared to those who reported no disability. Young adult never-smokers who reported self-care, cognitive, vision, and independent living disabilities had higher odds of e-cigarette use compared to those who reported no disability. There was no statistically significant difference in the odds of e-cigarette use for those reporting hearing and mobility disabilities compared to those who reported no disability. This study highlights the need for increased public education and cessation programs for this population.

2019 ◽  
Vol 2 (12) ◽  
pp. e1916800 ◽  
Author(s):  
Olufunmilayo H. Obisesan ◽  
Mohammadhassan Mirbolouk ◽  
Albert D. Osei ◽  
Olusola A. Orimoloye ◽  
S. M. Iftekhar Uddin ◽  
...  

2018 ◽  
Vol 169 (7) ◽  
pp. 429 ◽  
Author(s):  
Mohammadhassan Mirbolouk ◽  
Paniz Charkhchi ◽  
Sina Kianoush ◽  
S.M. Iftekhar Uddin ◽  
Olusola A. Orimoloye ◽  
...  

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Albert D. Osei ◽  
Mohammadhassan Mirbolouk ◽  
Olusola A. Orimoloye ◽  
Omar Dzaye ◽  
S. M. Iftekhar Uddin ◽  
...  

Abstract Background E-cigarette use prevalence has grown rapidly in the US. Despite the popularity of these products, few acute exposure toxicity studies exist, and studies on long-term pulmonary health effects are limited. E-cigarette users who are never combustible cigarette smokers (sole users) constitute a unique group of young adults that may be at increased risk of bronchial hyperreactivity and development of asthma. Given the public health concern about the potential pulmonary health effects of sole e-cigarette use, we aimed to examine the association between e-cigarette use and asthma among never combustible cigarette smokers. Methods We pooled 2016 and 2017 data of the Behavioral Risk Factor Surveillance System (BRFSS), a large, cross-sectional telephone survey of adults aged 18 years and older in the U.S. We included 402,822 participants without any history of combustible cigarette smoking (defined as lifetime smoking < 100 cigarettes) and with complete self-reported information on key variables. Current e-cigarette use, further classified as daily or occasional use, was the primary exposure. The main outcome, asthma, was defined as self-reported history of asthma. We assess the relationship of sole e-cigarette use with asthma using multivariable logistic regression adjusting for age, sex, race, income, level of education and body mass index. Results Of 402,822 never combustible cigarette smokers, there were 3103 (0.8%) current e-cigarette users and 34,074 (8.5%) with asthma. The median age group of current e-cigarette users was 18–24 years. Current e-cigarette use was associated with 39% higher odds of self-reported asthma compared to never e-cigarette users (Odds Ratio [OR], 1.39; 95% confidence interval: 1.15, 1.68). There was a graded increased odds of having asthma with increase of e-cigarette use intensity. The odds ratio of self-reported asthma increased from 1.31 (95% confidence interval: 1.05, 1.62) in occasional users to 1.73 (95% confidence interval: 1.21, 2.48) in daily e-cigarette users, compared to never e-cigarette users. Conclusion Our findings from a large, nationally representative survey suggest increased odds of asthma among never combustible smoking e-cigarette users. This may have potential public health implications, providing a strong rationale to support future longitudinal studies of pulmonary health in young e-cigarette-using adults.


2021 ◽  
Author(s):  
Harpriya Kaur ◽  
Juliann C. Scholl ◽  
Michelle Owens-Gary

<b>Objective.</b> Diabetes affects nearly 12.2% of U.S. adults. Comorbid depressive symptoms among U.S. workers with diabetes are associated with increased unemployment and reduced work performance. This study examined the age-group–specific prevalence of depression among U.S. workers with self-reported diabetes and identified factors associated with depression. <p><b>Methods.</b> Data from the 2014–2018 Behavioral Risk Factor Surveillance System were used to examine the prevalence of depression among adult workers with diabetes in the United States. Relationships between depression prevalence and diabetes and demographic, physical, and behavioral risk factors were examined through bivariate and multivariable analyses. Age was categorized into four groups: 18–34, 35–54, 55–64, and ≥65 years.</p> <p><b>Results.</b> The overall prevalence of self-reported depression among U.S. workers with diabetes was 17.4%—30% higher than among those without diabetes. Workers with diabetes aged 18–34 years had the highest depression prevalence (28.7%) compared to other age-groups. Female workers with diabetes were significantly more likely than male workers to report depression in all age-groups. Young adult workers with diabetes who had another chronic disease were nearly three times more likely to report depression than those without another chronic condition. There were no overlapping patterns of prevalence of diabetes and depression by state.</p> <p><b>Conclusion.</b> Workers with diabetes are at an increased risk of depression, which can affect their overall health and productivity. These findings indicate that, among those with diabetes, young adult workers and women are most likely to have depression. Employee wellness programs may address the specific needs of individuals with diabetes and depression. </p>


2018 ◽  
Vol 170 (1) ◽  
pp. 76 ◽  
Author(s):  
Mohammadhassan Mirbolouk ◽  
Paniz Charkhchi ◽  
Olusola A. Orimoloye ◽  
S.M. Iftekhar Uddin ◽  
Sina Kianoush ◽  
...  

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