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Research ArticleOriginal Research

Relationship Between Chronic Lung Disease Diagnosis and Susceptibility to E-Cigarette Use in Adults

Mohammed M Alqahtani, Abdullah M M Alanazi, Mark T Dransfield, J Michael Wells, Donald H Lein and Peter S Hendricks
Respiratory Care February 2023, respcare.10071; DOI: https://doi.org/10.4187/respcare.10071
Mohammed M Alqahtani
Department of Respiratory Therapy, College of Applied Medical Sciences, King Saud Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; and King Abdulaziz Medical City, Riyadh, Saudi Arabia.
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  • For correspondence: [email protected]
Abdullah M M Alanazi
Department of Respiratory Therapy, College of Applied Medical Sciences, King Saud Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia; and King Abdullah International Medical Research Center, Riyadh, Saudi Arabia; and King Abdulaziz Medical City, Riyadh, Saudi Arabia.
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Mark T Dransfield
University of Alabama at Birmingham, Birmingham, Alabama.
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J Michael Wells
Division of Pulmonary, Allergy, and Critical Care Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
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Donald H Lein Jr
Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, Alabama.
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Peter S Hendricks
Department of Health Behavior, University of Alabama at Birmingham, Birmingham, Alabama.
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Abstract

BACKGROUND: Electronic cigarettes (e-cigarettes) are known to cause adverse pulmonary effects, yet paradoxically, the prevalence of e-cigarette use has increased among individuals with chronic lung disease. We assessed the relationship between chronic lung disease and the susceptibility to e-cigarette use in adults and determined if specific behavioral, social, and environmental factors influence this relationship.

METHODS: We enrolled adults age ≥ 18 y in Alabama with chronic lung disease from university medical clinics (n = 140) and individuals without chronic lung disease (n = 123, reference group) from January 2020–March 2021. A cross-sectional design was used where we administered questionnaires to collect sociodemographic information and assessed susceptibility to e-cigarette use, exposure to social and environmental factors (ie, advertisements, warning labels, special prices, others’ e-cigarette vapors, use of an e-cigarette by others in the home, and visiting a web site or online discussion), and behavioral factors (ie, alcohol and cannabis use). Moderation analyses were conducted to determine if any of these factors would modify the association between chronic lung disease and susceptibility to e-cigarette use.

RESULTS: Susceptibility to e-cigarette use was higher among adults without chronic lung disease than among those with chronic lung disease. Noticing e-cigarette warning labels and visiting a web site or online discussion about e-cigarettes were significantly associated with an increased likelihood of susceptibility to using e-cigarettes in both groups. Exposure to e-cigarette vapor from close contacts, special pricing, living with someone who uses e-cigarettes, and cannabis use were significantly associated with an increased likelihood of susceptibility to e-cigarette use in individuals without chronic lung disease. However, our analyses did not indicate a statistically significant interaction between chronic lung disease and any social, environmental, or behavioral factors on susceptibility to e-cigarette use.

CONCLUSIONS: Individuals without chronic lung disease were more susceptible to e-cigarette use than those with chronic lung disease. Although the prevalence of some behavioral and environmental factors differed among individuals with and without chronic lung disease, these factors did not moderate the association between chronic lung disease and susceptibility to e-cigarette use. Longitudinal investigations are warranted to better test the temporal relationships between chronic lung disease, substance use, social and environmental factors, and the susceptibility to e-cigarette use among individuals with chronic lung disease to identify prevention strategies for this population.

  • e-cigarettes
  • asthma
  • COPD
  • chronic lung disease
  • susceptibility
  • predictors
  • moderators

Footnotes

  • Correspondence: Mohammed M Alqahtani PhD RRT RRT-NPS. E-mail: Qahtanimoh{at}ksau-hs.edu.sa
  • Copyright © 2023 by Daedalus Enterprises

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Respiratory Care: 68 (3)
Respiratory Care
Vol. 68, Issue 3
1 Mar 2023
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Relationship Between Chronic Lung Disease Diagnosis and Susceptibility to E-Cigarette Use in Adults
Mohammed M Alqahtani, Abdullah M M Alanazi, Mark T Dransfield, J Michael Wells, Donald H Lein, Peter S Hendricks
Respiratory Care Feb 2023, respcare.10071; DOI: 10.4187/respcare.10071

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Relationship Between Chronic Lung Disease Diagnosis and Susceptibility to E-Cigarette Use in Adults
Mohammed M Alqahtani, Abdullah M M Alanazi, Mark T Dransfield, J Michael Wells, Donald H Lein, Peter S Hendricks
Respiratory Care Feb 2023, respcare.10071; DOI: 10.4187/respcare.10071
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Keywords

  • e-cigarettes
  • asthma
  • COPD
  • chronic lung disease
  • susceptibility
  • predictors
  • moderators

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