Characteristic of nicotine delivery devices – electronic cigarettes – as a tool to fight against tobacco dependence
DOI:
https://doi.org/10.14739/2310-1210.2018.02.125528Keywords:
electronic nicotine delivery systems, nicotine, tobacco use disorder, youth, vapingAbstract
The aim of the study is the analysis of specialized scientific literature and the review of data about the modern views on the electronic devices of nicotine delivery – electronic cigarettes from the view of evidence-based medicine. In recent years, electronic cigarettes (EC) have become widespread. More than 10 years have passed since the first batch release of electronic cigarettes, and during that time, many studies have been conducted on various aspects of their use. However, the main concern of experts is the lack of a clear unanimous opinion about their health security and the EC's effectiveness as a method of tobacco control.
The review presents modern data regarding existing EC modifications, the impact of their use on the human body at the cellular and systemic levels. Attention is paid to the fact that the actual physical nicotine dependence in the vast majority of cases is combined with psychological dependence, which reduces the effectiveness of other nicotine delivery devices. Data from randomized clinical trials show that further development of methods for studying the effects of the EC on the organism is very actual. In general, such studies were made to highlight key issues regarding the safety and effectiveness of e-cigarette use, including the fight against tobacco smoking.
Special cautions were made to the research results that indicate the growing of popularity of e-cigarettes among teenagers, particularly in the US, Poland, Latvia, Finland and Korea.
Conclusions. The EC has proven to be effective in removing of tobacco-related complaints, but so far, the EC cannot be available as safe and effective method to completely abandon smoking. Existing production regulations do not standardize either the EC itself or the liquid for them, because of which the composition (including the content of harmful to health substances) is not actually regulated. In addition, there are no data about the long-term effects of EC usage, which is a priority area for further research.
References
(2013) Socopros vyyavil v Ukraine 31% kuril'schikov. [Social survey revealed 31% of smokers in Ukraine]. Zn.ua. Retrieved from: http://zn.ua/UKRAINE/socopros-vyyavil-v-ukraine-31-kurilschikov-117450_.html [in Russian].
Eshchenko, K. N., Zhadan, A. V., & Shustval', N. F. (2013) Serdechno-sosudistaya sistema i kureniye [Cardiovascular system and smoking]. Har'kovskaya medicinskaya akademiya poslediplomnogo obrazovaniya, 4, 12–19. [in Russian].
Mryha, I. A. (2015) Electronni syharety – Nova era pahubnoi zalezhnosti? [Electronic cigarettes – new era of addiction?]. Voxukraine. Retrieved from: http://voxukraine.org/2015/05/10/e-syharety/ [in Ukrainian].
Charney, N. (2014) America’s vaping revolution: How suspicious should we really be of the e-cigarette craze? Salon magazine, 7, 4.
O'Leary, T., & Laniel, S. (2008) Marketers of electronic cigarettes should halt unproved therapy claims. WHO media center. Retrieved from: http://www.who.int/mediacentre/news/releases/2008/pr34/en/.
Woessner, J. A. (2011) Historical Timeline of Electronic Cigarettes. CASAA - The Consumer Advocates for Smoke-free Alternatives Association. Retrieved from: http://casaa.org/E-cigarette_History.html.
(2014) Electronic cigarettes (e-cigarettes) dollar sales in the United States in 2014, by channel (in million U.S. dollars). The Statistics Portal. Retrieved from: http://www.statista.com/statistics/285074/us-e-cigarettes-dollar-sales-by-channel-2012/.
Fargo, W. (2015) The e-cigarette market. Tobacco Vapor Electronic Cigarette Association, 2, 1.
Caponnetto, P., Campagna, D., Papale, G., Russo, C., & Polosa, R. (2012) The emerging phenomenon of electronic cigarettes. Expert Review of Respiratory Medicine, 6, 63–74. doi: 10.1586/ers.11.92.
Weaver, M., Alison, B., Spindle, T., & Eissenberg, T. (2014) Electronic Cigarettes. Journal of Addiction Medicine, 8, 234–240. doi: 10.1097/ADM.0000000000000043.
Bobko, O. O., & Usata, V. Ya. (2011) Doslidzhennia vplyvu tiutiunopalinnia na orhanism studentiv VNTU [Investigation of the impact of smoking to the organism of VNTU students]. Zbirnyk naukovykh statei III Vseukrainskoho zizdu ekolohiv z mizhnarodnoiu uchastiu, 2, 706–709. [in Ukrainian].
(2015) Diia electronnykh syharet na orhanism. Electronni syharety. [The impact of electronic cigarettes to the organism]. eCigTalk. Retrieved from: http://sygareta.com/diya-elektronnih-sigaret-na-organizm-elektronni-sigareti/ [in Ukrainian].
de Andrade, M., Hastings, G., & Angus, K. (2013) Promotion of electronic cigarettes: tobacco marketing reinvented. BMJ, 347, 7473. doi: 10.1136/bmj.f7473.
King, B., Alam, S., Promoff, G., Arrazola, R., & Dube, S. R. (2013) Awareness and ever use of electronic cigarettes among US adults 2010–2011. Nicotine Tob Res, 15(9), 1623–1627. doi: 10.1093/ntr/ntt013.
Etter, J., & Bullen, C. (2014) A longitudinal study of electronic cigarette users. Addict Behav., 39, 491–494. doi: 10.1016/j.addbeh.2013.10.028.
Bullen, C., Vickerman, K., Newcombe, R., & Walker, N. (2013) Centers for Disease Control and Prevention. Notes from the field: electronic cigarette use among middle and high school students. Morb Mortal Wkly Rep., 62, 729–730.
Leventhal, A. M., Strong, D. R., Kirkpatrick, M. G., Unger, J. B., Sussman, S., Riggs, N. R., et al. (2015) Association of Electronic Cigarette Use With Initiation of Combustible Tobacco Product Smoking in Early Adolescence. JAMA, 314, 700–707. doi: 10.1001/jama.2015.8950.
Houston, T. (2013) Material Data Safety Sheet: Propylene Glycol. Sciencelab, 62, 1442–1445.
Chen, S., Schweitzer, K., Law, S., Van Demark, M., Poirier, Ch., Justice, M. J. (2015) Endothelial disruptive pro-inflammatory effects of nicotine and e-cigarette vapor exposures. Am J Physiol Lung Cell Mol Physiol, 309, L175–L187. doi: 10.1152/ajplung.00411.2014.
Sussan, T., Gajghate, S., Thimmulappa, R., Ma, J., Kim, J. H., Sudini, K., et al. (2015) Exposure to Electronic Cigarettes Impairs Pulmonary Anti-Bacterial and Anti-Viral Defenses in a Mouse Model. Plos One, 10(2), e0116861. doi: 10.1371/journal.pone.0116861.
Czogała, J., Cholewiński, M., Kutek, A., & Zielińska-Danch, W. (2012) Evaluation of changes in hemodynamic parameters after the use of electronic nicotine delivery systems among regular cigarette smokers. Przegl Lek., 69, 841–845.
Swedeh, M., Oncken, C., & Burki, N. (2014) Acute Effects Of Electronic Cigarettes On Airway Function In Human Subjects. Tobacco Control., 1, 178–185.
Khan, M., & Stanbrook, M. B. (2015) Efficacy And Safety Of Electronic Cigarettes For Smoking Cessation. Novel approaches to understand and improve health outcomes, 102, 182–187.
Waters, J. (2015) E-cigarettes are just as addictive as the real thing and most are mislabeled, researchers warn. DailyMail. Retrieved from: http://www.dailymail.co.uk/sciencetech/article-3171371/E-cigarettes-just-addictive-real-thing-mislabeled-researchers-warn.html.
Barbeau, A. M., Burda, J., & Siegel, M. (2013) Perceived efficacy of e-cigarettes versus nicotine replacement therapy among successful e-cigarette users: a qualitative approach. Addictional Science Clin Pract, 8, 5. doi: 10.1186/1940-0640-8-5.
McRobbie, H., Bullen, C., Hartmann-Boyce, J., & Hajek, P. (2014) Electronic cigarettes for smoking cessation and reduction. Cochrane Database Syst Rev., 12, CD010216. doi: 10.1002/14651858.CD010216.pub2
Rahman, M. A., Hann, N., Wilson, A., Mnatzaganian, G., & Worrall-Carter, L. (2015) E-Cigarettes and Smoking Cessation: Evidence from a Systematic Review and Meta-Analysis. Plos One, 10(3), e0122544. doi: 10.1371/journal.pone.0122544.
Waghel, R., Battise, D., Ducker, M. (2014) Effectiveness of Electronic Cigarettes as a Tool for Smoking Cessation or Reduction. Journ of Pharm techn, 31(1), 8–12. doi: 10.1177/8755122514547641.
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