ENDS Public Health: Difference between revisions

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==Never Smokers==
==Never Smokers==
===2020: Electronic Cigarette Use Among U.S. Adults, 2018===
In 2018, 34 million U.S. adults were current smokers, and 55 million were former cigarette smokers for any duration (5). E-cigarette use was highest among current smokers and former smokers who quit cigarettes within the past year and those who quit 1–4 years ago. The percentages who had ever used an e-cigarette or who were current e-cigarette users declined among former smokers who had gone longer without smoking cigarettes and was lowest among those who never smoked cigarettes.
===2017: Health impact of E-cigarettes: a prospective 3.5-year study of regular daily users who have never smoked===
In a small sample of young-adult never-smoking, daily EC users who were carefully followed for approximately 3½ years, we found no decrements in spirometric indices, development of respiratory symptoms, changes in markers of lung inflammation in exhaled air or findings of early lung damage on HRCT, when compared with a carefully matched group of never-smoking non-EC users. Even the heaviest EC users failed to exhibit any evidence of emerging lung injury as reflected in these physiologic, clinical or inflammatory measures. Moreover, no changes were noted in blood pressure or heart rate. Since the EC users who we studied were never smokers, potential confounding by inhalation of combustion products of tobacco were obviated.
While the sample size was small, the results of this study may provide some preliminary evidence that long-term use of ECs is unlikely to raise significant health concerns in relatively young users
===2016: Visible Vaping: E-Cigarettes and the Further Denormalization of Smoking===
Visible vaping was commonly reported by interviewees who typically interpreted such vaping as indicating that the individual was seeking to reduce or cease his or her smoking. Whilst the sight of someone using an e-cigarette could stimulate curiosity on the part of non-smokers as to what the experience of vaping was like there was little indication that our sample of non-smokers were intending taking up vaping on a regular basis. There were indications from our interviews that visible vaping had resulted in either no change in what individuals assessed as their likelihood of to smoke and for a minority of interviewees visible vaping had resulted in a reduced likelihood of smoking as assessed by interviewees.
To the extent that electronic cigarette use remains distinguishable from smoking combustible cigarettes there is a possibility that vaping may be associated with further denormalization of smoking.


==Pregnancy==
==Pregnancy==