PMID- 30866897 OWN - NLM STAT- MEDLINE DCOM- 20190510 LR - 20231006 IS - 1471-2458 (Electronic) IS - 1471-2458 (Linking) VI - 19 IP - 1 DP - 2019 Mar 13 TI - Perceived health effects of vaping among Hungarian adult e-cigarette-only and dual users: a cross-sectional internet survey. PG - 302 LID - 10.1186/s12889-019-6629-0 [doi] LID - 302 AB - BACKGROUND: Knowledge about the health effects of e-cigarette use (or vaping) among past and current combustible cigarette users is limited. Several studies have assessed vaping-related adverse events (AEs) and beneficial health effects, however, most studies focused on AEs in general and examined only a few physiological changes that vapers experience. This study aims to explore self-reported AEs and perceived health changes due to e-cigarette use among Hungarian adult e-cigarette-only users (former smokers who switched completely to e-cigarette use) and dual users (smokers who use e-cigarettes and combustible tobacco cigarettes concomitantly). METHODS: A cross-sectional, web-based survey of 1042 adult Hungarian e-cigarette users was conducted in 2015. Participants reported AEs and changes in physiological functions since they switched from smoking to e-cigarette use or while dually using e-cigarettes and combustible cigarettes. Confirmatory factor analysis with covariates was applied to explain perceived health changes due to e-cigarette-only use and dual use. RESULTS: Dual users (17.6%) were significantly more likely to report AEs of vaping than e-cigarette-only users (26.2% vs. 11.8%, p < 0.001). Experiencing health improvements were significantly more likely among e-cigarette-only users than for dual users for all surveyed physiological functions. E-cigarette-only users reported larger effects of vaping on sensory, physical functioning, and mental health factors compared to dual users. Self-reported changes in sensory and physical functioning were significantly higher among individuals using e-cigarettes more than a year and people who were past heavy smokers (smoked >/=20 cigarettes per day). Gender was related to sensory improvement only; males reported greater improvement than females. CONCLUSIONS: The majority of e-cigarette-only users reported more perceived beneficial changes in physiological functions and fewer AEs than dual users. Perceived short-term benefits of e-cigarette use may reinforce users despite the uncertainty of long-term health consequences. Health professionals should provide balanced information regarding the possible short- and long-term positive and negative health effects of e-cigarette use during consultations with patients. FAU - Abafalvi, Lilla AU - Abafalvi L AD - Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Ulloi ut 26, Budapest, H-1085, Hungary. FAU - Penzes, Melinda AU - Penzes M AUID- ORCID: 0000-0001-7396-4028 AD - Institute of Public Health, Faculty of Medicine, Semmelweis University, Ulloi ut 26, Budapest, H-1085, Hungary. melindapenzes@gmail.com. FAU - Urban, Robert AU - Urban R AD - Institute of Psychology, Eotvos Lorand University, Izabella utca 46, Budapest, H-1064, Hungary. FAU - Foley, Kristie L AU - Foley KL AD - Department of Implementation Science, Wake Forest University School of Medicine, Medical Center Boulevard, Winston Salem, NC, 27157, USA. FAU - Kaan, Reka AU - Kaan R AD - Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Ulloi ut 26, Budapest, H-1085, Hungary. FAU - Kispelyi, Barbara AU - Kispelyi B AD - Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Ulloi ut 26, Budapest, H-1085, Hungary. FAU - Hermann, Peter AU - Hermann P AD - Department of Prosthodontics, Faculty of Dentistry, Semmelweis University, Ulloi ut 26, Budapest, H-1085, Hungary. LA - eng GR - EFOP-1.8.10-VEKOP-17/European Union, co-financed by the European Social Fund and the budget of Hungary/ GR - TAMOP 4.2.6-15/1-0006/Szechenyi 2020 Program of the Hungarian Government, within the European Union EU2020/ GR - 783-3/2018/FEKUTSRAT/Hungarian Ministry of Human Capacities/ GR - R01 TW009280/TW/FIC NIH HHS/United States GR - 1R01TW009280-01/Fogarty International Center and National Cancer Institute of the National Institutes of Health/ PT - Journal Article DEP - 20190313 PL - England TA - BMC Public Health JT - BMC public health JID - 100968562 SB - IM MH - Adult MH - Cross-Sectional Studies MH - *Diagnostic Self Evaluation MH - Electronic Nicotine Delivery Systems/*statistics & numerical data MH - Female MH - Humans MH - Hungary MH - Internet MH - Male MH - Middle Aged MH - Smokers/*psychology/statistics & numerical data MH - Surveys and Questionnaires MH - Tobacco Products/*statistics & numerical data MH - Vaping/*adverse effects PMC - PMC6417163 OTO - NOTNLM OT - Adverse event OT - E-cigarette OT - Health OT - Health consequence OT - Smoking OT - Vaping COIS- ETHICS APPROVAL AND CONSENT TO PARTICIPATE: Ethics approval was obtained from the Semmelweis University Regional and Institutional Committee of Science and Research Ethics, approval number 91/2015. Respondents' consent to participate was given by agreeing to fill out the online questionnaire. The Semmelweis University Regional and Institutional Committee of Science and Research Ethics approved the use of implied consent to participate upon return of the completed survey. CONSENT FOR PUBLICATION: No identifiable individual participant data (names or other personal identifiers) are contained in this manuscript. COMPETING INTERESTS: The authors declare that they have no competing interests. PUBLISHER'S NOTE: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. EDAT- 2019/03/15 06:00 MHDA- 2019/05/11 06:00 PMCR- 2019/03/13 CRDT- 2019/03/15 06:00 PHST- 2018/08/30 00:00 [received] PHST- 2019/03/06 00:00 [accepted] PHST- 2019/03/15 06:00 [entrez] PHST- 2019/03/15 06:00 [pubmed] PHST- 2019/05/11 06:00 [medline] PHST- 2019/03/13 00:00 [pmc-release] AID - 10.1186/s12889-019-6629-0 [pii] AID - 6629 [pii] AID - 10.1186/s12889-019-6629-0 [doi] PST - epublish SO - BMC Public Health. 2019 Mar 13;19(1):302. doi: 10.1186/s12889-019-6629-0.