Assessing the association between e-cigarette use and cardiovascular disease: A meta-analysis of exclusive and dual use with combustible cigarettes

IF 3.7 2区 医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2024-06-08 DOI:10.1016/j.addbeh.2024.108086
Chen Chen , Cuiqiong Huo , Paola P. Mattey-Mora , Aurelian Bidulescu , Maria A. Parker
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Abstract

Background

Growing evidence highlights the impact of e-cigarette use on cardiovascular health, prompting a crucial examination of its association with cardiovascular disease (CVD) in both exclusive e-cigarette and dual use scenarios with combustible cigarettes. This meta-analysis assessed the association between e-cigarette use and CVD by synthesizing the existing literature.

Methods

Pertinent observational studies were identified using multiple electronic databases, from August 22nd, 2006, to April 10th, 2024. A meta-analysis was conducted using random-effect models. Risk of bias was assessed using the National Institutes of Health (NIH) Study Quality Assessment Tools.

Findings: A total of 20 observational studies involving 8,499,444 participants were included in the meta-analysis. Dual use (e-cigarettes and combustible cigarette) increased the odds of CVD by 2.56 times (95 % CI: 2.11, 3.11) compared to never use of both. Current e-cigarette use combined with former combustible cigarette increased the odds of CVD by 2.02 times (95 % CI: 1.58, 2.58) compared to never use of either. Exclusive current e-cigarette use did not show a statistically significant association with CVD odds compared to never use of either (OR = 1.24, 95 % CI: 0.93, 1.67).

Conclusions

Dual use of e-cigarettes and combustible cigarettes was significantly associated with CVD, but results failed to show a significant association between exclusive e-cigarette use and CVD. Robust and longitudinal studies are needed to understand the long-term implications of e-cigarette use and CVD. Public health efforts should focus on awareness, smoking cessation, and regulating both e-cigarettes and combustible cigarettes.

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评估使用电子烟与心血管疾病之间的关联:独家使用和与可燃卷烟双重使用的荟萃分析
背景越来越多的证据凸显了使用电子烟对心血管健康的影响,这促使人们对电子烟与心血管疾病(CVD)的关系进行重要的研究,包括电子烟的独家使用和与可燃卷烟的双重使用。本荟萃分析通过综合现有文献,评估了使用电子烟与心血管疾病之间的关系。方法通过多个电子数据库,确定了 2006 年 8 月 22 日至 2024 年 4 月 10 日期间的相关观察性研究。采用随机效应模型进行荟萃分析。使用美国国立卫生研究院(NIH)研究质量评估工具对偏倚风险进行了评估:荟萃分析共纳入了 20 项观察性研究,涉及 8,499,444 名参与者。与从未使用电子烟和可燃卷烟相比,双重使用(电子烟和可燃卷烟)会使心血管疾病的几率增加 2.56 倍(95 % CI:2.11, 3.11)。目前使用电子烟并曾吸食可燃卷烟的人群患心血管疾病的几率是从未使用其中任何一种的人群的 2.02 倍(95 % CI:1.58, 2.58)。结论同时使用电子烟和可燃卷烟与心血管疾病有显著关联,但结果未能显示完全使用电子烟与心血管疾病有显著关联。要了解使用电子烟和心血管疾病的长期影响,还需要进行大量的纵向研究。公共卫生工作的重点应放在提高认识、戒烟以及规范电子烟和可燃卷烟上。
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来源期刊
Addictive behaviors
Addictive behaviors 医学-药物滥用
CiteScore
8.40
自引率
4.50%
发文量
283
审稿时长
46 days
期刊介绍: Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.
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