Perceived Harm and Addictiveness of e-Cigarette: A Systematic Review

https://doi.org/10.22146/jmpf.43783

Susi Ari Kristina(1*), Ni Putu Ayu Linda Permitasari(2), Ahmad Intihan(3), Dima Nurrohmah Hayati(4), Kharisma Aprilita Rosyidah(5)

(1) Department of Pharmaceutics, Faculty of Pharmacy, Universitas Gadjah Mada
(2) Research Assistant, Faculty of Pharmacy, Universitas Gadjah Mada
(3) Master Student in Pharmacy Management, Faculty of Pharmacy, Universitas Gadjah Mada
(4) Master Student in Pharmacy Management, Faculty of Pharmacy, Universitas Gadjah Mada
(5) Master Student in Pharmacy Management, Faculty of Pharmacy, Universitas Gadjah Mada
(*) Corresponding Author

Abstract


The popularity of electronic nicotine delivery systems (ENDS), also known as e-cigarette, has been growing rapidly in the past years. Therefore, it is also important to explore how e-cigarette users perceive its harm and addiction risk. The aim of this study is to review and determine perceived harm and addictiveness of e-cigarette among e-cigarette users. We conducted a systematic review for published articles in English that had reported about perceived harm and addictiveness of e-cigarette published during year 2008 to 2018. Relevant studies were located through an extensive search from three electronic databases (PubMed, Science Direct, and Cochrane Database of Systematic Reviews) and Google Scholar on October 2018. Key terms used were “perceived harm”, “perceived risk”, “harm and addictiveness”, “belief”, “electronic cigarette”, “e-cigarette”, and “vaping”. A result of 88 studies were retrieved and reviewed. After further inspection of references from the collected studies, only 5 selected studies met all inclusion criteria. The final studies consisted of three cross-sectional studies, one longitudinal, and one prospective study. E-cigarette were perceived harmless and less addictive than cigarettes among its users with many predictors associated, including sex, age, race, education, advertisement and health belief for smoking cessation. Compared to non-users, e-cigarette users were significantly less likely to worry about the health risks, either its harm or addictiveness. E-cigarette was perceived harmless and less addictive than tobacco cigarettes. Further study about e-cigarette profile is particularly important to design public health messages that accurately interpret the scientific data on the potential harm and addictiveness of e-cigarette.


Keywords


ENDS; e-cigarette; harm; addictiveness;

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References

  1. Wang MP, Li WHC, Jiang N, Chu LY, Kwong A, Lai V, et al. E-Cigarette awareness, perceptions and use among community-recruited smokers in Hong Kong. PLoS ONE. 2015;10(10).
  2. Farsalinos K. E-cigarettes: an aid in smoking cessation, or a new health hazard? Ther Adv Respir Dis. 2018;12:1 -20.
  3. Owotomo O, Maslowsky J, Loukas A. Perceptions of the harm and addictiveness of conventional cigarette smoking among adolescent e-cigarette users. J Adolescent Health. 2018;62:87-93.
  4. Giovacchini CX, Pacek L, McClernon FJ, Que LG. Use and perceived risk of electronic cigarettes among North Carolina middle and high school students. N North Caroline Med J. 2017;78(1):7-13.
  5. Rodriguez E, Parrón T, Alarcón R. Perceptions and use of the e-cigarette among University Students. Arch Bronconeumol. 2017;53(11):641-52.
  6. Abo-Elkheir OI, Sobh E. Knowledge about electronic cigarettes and its perception: a community survey, Egypt Respiratory Res. 2016;17:58.
  7. Tan ASL, Bigman CA. E-cigarette awareness and perceived harmfulness: prevalence and associations with smoking cessation outcomes. Am J Prev Med. 2014;47(2):141-9.
  8. Cheung YTD, Wang MP, Ho SY, Jiang N, Kwong A, Lai V, et al. Public support for electronic cigarette regulation in Hong Kong: A population-based cross-sectional study. Int J Environ Res Pub Health 2017;14:709.
  9. Cummings KM, Dresler CM, Field JK, Fox J, Gritz ER, Hanna NH, et al. E-cigarettes and cancer patients. J Thoracic Oncology. 2014;9(4).
  10. Karbouji MA, Abduldaem AM, Allogmani AM, Alharbi AS, Alnozha O, Al-Zalabani AH. Awareness and attitude toward smoking e-cigarettes (Vape) among smokers in Saudi Arabia 2017. Egypt J Hospital Med. 2018;70(8):1346-51.
  11. Maglalang DD, Brown-Johnson C, Prochaska JJ. Associations with e-cigarette use among Asian American and Pacific Islander young adults in California. Prev Med Reports. 2016;4:29–32.
  12. Rohde JA, Noar SM, Horvitz C, Lazard AJ, Ross JC, Sutfin EL. The role of knowledge and risk beliefs in adolescent e-cigarette use: A pilot study. Int J Environ Res Pub Health. 2018;15:830.
  13. Volesky KD, Mak AI, Scherf C, Watson LM, Cassol E. Characteristics of e-cigarette users and their perceptions of the benefits, harms and risks of e-cigarette use: survey results from a convenience sample in Ottawa, Canada. Policy Pract. 2016;36(7).
  14. Pisinger C. A systematic review of health effects of electronic cigarettes. Denmark: Research Centre for Prevention and Health. 2015. Geneva: WHO.
  15. Hall MT, Austin R, Do TA, AG R. Perceptions of harm from electronic-cigarette use among a sample of US Navy personnel. Tob Prev Cessation. 2017;3:128.
  16. Reinhold B, Fischbein R, Bhamidipalli SS, Bryant J, Kenne DR. Associations of attitudes towards electronic cigarettes with advertisement exposure and social determinants: a cross sectional study. Tob Induced Diseases. 2017;15(13).
  17. Tan ASL, Lee C, Bigman CA. Comparison of beliefs about e-cigarettes’ harms and benefits among never users and ever users of e-cigarettes. Drug Alcohol Dependence. 2016;158:67-75.
  18. Choi K, JL F. Beliefs and Experimentation with Electronic Cigarettes: A prospective anaysis among young adults. Am J Prev Med. 2014 46(2):175-8.
  19. Cooper M, Harrell MB, Pérez A, Delk J, Perry CL. Flavorings and perceived harm and addictiveness of e-cigarettes among youth. Tob Regul Sci. 2016;2(3):278–89.
  20. Etter, Jean-François, Bullen, Chris. Electronic cigarette: users profile, utilization, satisfaction and perceived efficacy. Addiction. 2011;106(11):2017-28.
  21. Hitchman SC, Brose LS, Brown J, Robson D, McNeill A. Associations between e-cigarette type, frequency of use, and quitting smoking: Findings from a longitudinal online panel survey in Great Britain. Nicotine Tob Res. 2015:1187-94.
  22. Farsalinos KE, Romagna G, Tsiapras D, Kyrzopoulos S, Voudris V. Characteristics, perceived side effects and benefits of electronic cigarette use: A worldwide survey of more than 19,000 consumers. Int J Environ Res Pub Health. 2014;11:4356-73.
  23. Glantz SA, Bareham DW. Annual review of public health e-cigarettes: Use, effects on smoking, risks, and policy implications. Annu Rev Pub Health. 2018;39(28):1–28.
  24. Wackowski OA, Hammond D, O’Connor RJ, Strasser AA, Delnevo CD. Considerations and future research directions for e-cigarette warnings—Findings from expert interviews. Int J Environ Res Pub Health. 2017;14:781.
  25. Cox S, Jakes S. Nicotine and e-cigarettes: Rethinking addiction in the context of reduced harm. Int J Drug Policy. 2017;44:84-5.
  26. U.S. Department of Health and Human Services. E-Cigarette Use Among Youth and Young Adults. 2016. New York: USDHHS.
  27. Levy DT, Borland R, Lindblom EN, Goniewicz ML, Meza R, Holford TR, et al. Potential deaths averted in USA by replacing cigarettes with e-cigarettes. Tob Control. 2017;27(1):18-25.
  28. Trimis CLB, Berhane K, Unger JB, Cruz TB, Huh J, Leventhal AM, et al. Psychosocial factors associated with adolescent electronic cigarette and cigarette use. Pediatrics. 2015;136(2).
  29. Halpern-Felsher BL, Biehl M, Kropp RY, Rubinstein ML. Perceived risks and benefits of smoking: differences among adolescents with different smoking experiences and intentions. Prev Med. 2004;39:559–67.
  30. Hart JL, Walker KL, Sears CG, Lee AS, Ridner SL, Keith RJ. E-cigarette use and perceived health change: Better health through vaping? Tob Induc Diseases. 2018;16:48.
  31. Hartwell G, Thomas S, Egan M, Gilmore A, Petticrew M. E-cigarettes and equity: a systematic review of differences in awareness and use between sociodemographic groups. Tob Control. 2016;0:1-7.



DOI: https://doi.org/10.22146/jmpf.43783

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