Electronic smoking devices: A critical review of public health impacts

Authors

DOI:

https://doi.org/10.33448/rsd-v13i12.47757

Keywords:

Electronic cigarettes; Health; Smoke.

Abstract

Objective: To evaluate the impact of Electronic Smoking Devices (ESDs) on public health, exploring various medical specialties (pulmonology, endocrinology, oncology, psychiatry, cardiology, and vascular medicine) and their related consequences. Methodology: This article is an integrative literature review following the steps proposed by Mendes, Silveira, and Galvão (2008). The research was conducted in digital databases, PubMed and SciELO, covering the years 2021 to 2024, analyzing 19 relevant studies. Results: The results showed that ESDs are associated with several negative impacts on public health across different medical specialties. The most frequently observed consequences are related to the respiratory system, such as respiratory difficulties and lung injuries (EVALI). Conclusion: Although initially perceived as safer alternatives compared to traditional cigarettes, electronic smoking devices pose significant risks. Findings on their impacts highlight the need for strict public policies and awareness campaigns to minimize their use and protect public health.

References

Awad, A. A., Itumalla, R., Gaidhane, A. M., Khatib, M. N., Ballal, S., Bansal, P., Srivastava, M., Arora, I., Kumar, M., Sinha, A., Pant, K., Serhan, H. A., & Shabil, M. (2024). Association of electronic cigarette use and suicidal behaviors: a systematic review and meta-analysis. BMC Psychiatry, 24(1), 608. https://doi.org/10.1186/s12888-024-06012-7

Banks, E., Yazidjoglou, A., Brown, S., Nguyen, M., Martin, M., Beckwith, K., Daluwatta, A., Campbell, S., & Joshy, G. (2023). Electronic cigarettes and health outcomes: umbrella and systematic review of the global evidence. The Medical Journal of Australia, 218(6), 267–275. https://doi.org/10.5694/mja2.51890

Becker, T. D., Arnold, M. K., Ro, V., Martin, L., & Rice, T. R. (2021). Systematic review of electronic cigarette use (vaping) and mental health comorbidity among adolescents and young adults. Nicotine & Tobacco Research: Official Journal of the Society for Research on Nicotine and Tobacco, 23(3), 415–425. https://doi.org/10.1093/ntr/ntaa171

Bowsher, R., Marczylo, T. H., Gooch, K., Bailey, A., Wright, M. D., & Marczylo, E. L. (2024). Smoking and vaping alter genes related to mechanisms of SARS-CoV-2 susceptibility and severity: a systematic review and meta-analysis. The European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology, 64(1). https://doi.org/10.1183/13993003.00133-2024

Bjurlin, M. A., Matulewicz, R. S., Roberts, T. R., Dearing, B. A., Schatz, D., Sherman, S., Gordon, T., & Shahawy, O. E. (2020). Carcinogen biomarkers in the urine of electronic cigarette users and implications for the development of bladder cancer: A systematic review. European Urology Oncology, 4(5), 766–783. https://doi.org/10.1016/j.euo.2020.02.004

Bravo-Gutiérrez, O. A., Falfán-Valencia, R., Ramírez-Venegas, A., Sansores, R. H., Ponciano-Rodríguez, G., & Pérez-Rubio, G. (2021). Lung damage caused by heated tobacco products and electronic nicotine delivery systems: A systematic review. International Journal of Environmental Research and Public Health, 18(8), 4079. https://doi.org/10.3390/ijerph18084079

British Medical Journal Publishing Group. (2019). What are the respiratory effects of e-cigarettes? BMJ (Clinical Research Ed.), 367, l5980. https://doi.org/10.1136/bmj.l5980

Effah, F., Taiwo, B., Baines, D., Bailey, A., & Marczylo, T. (2022). Pulmonary effects of e-liquid flavors: a systematic review. Journal of Toxicology and Environmental Health. Part B, Critical Reviews, 25(7), 343–371. https://doi.org/10.1080/10937404.2022.2124563

Hartmann-Boyce, J., McRobbie, H., Lindson, N., Bullen, C., Begh, R., Theodoulou, A., Notley, C., Rigotti, N. A., Turner, T., Butler, A. R., Fanshawe, T. R., & Hajek, P. (2020). Electronic cigarettes for smoking cessation. The Cochrane Library. https://doi.org/10.1002/14651858.cd010216.pub4

Hod, R., Mohd Nor, N. H., & Maniam, S. (2022). Systematic review on e-cigarette and its effects on weight gain and adipocytes. PloS One, 17(7), e0270818. https://doi.org/10.1371/journal.pone.0270818

Honeycutt, L., Huerne, K., Miller, A., Wennberg, E., Filion, KB, Grad, R., Gershon, AS, Ells, C., Gore, G., Benedetti, A., Thombs, B., & Eisenberg, MJ (2022). Uma revisão sistemática dos efeitos do uso de cigarro eletrônico na função pulmonar. NPJ Primary Care Respiratory Medicine , 32(1), 45. https://doi.org/10.1038/s41533-022-00311-w

Izquierdo-Condoy, J. S., Naranjo-Lara, P., Morales-Lapo, E., Hidalgo, M. R., Tello-De-la-Torre, A., Vásconez-Gonzáles, E., Salazar-Santoliva, C., Loaiza-Guevara, V., Rincón Hernández, W., Becerra, D. A., González, M. B. D., López-Cortés, A., & Ortiz-Prado, E. (2024). Direct health implications of e-cigarette use: a systematic scoping review with evidence assessment. Frontiers in Public Health, 12, 1427752. https://doi.org/10.3389/fpubh.2024.1427752

Larue, F., Tasbih, T., Ribeiro, P. A. B., Lavoie, K. L., Dolan, E., & Bacon, S. L. (2021). Immediate physiological effects of acute electronic cigarette use in humans: A systematic review and meta-analysis. Respiratory Medicine, 190, 106684. https://doi.org/10.1016/j.rmed.2021.106684

Li, X., Zhang, Y., Zhang, R., Chen, F., Shao, L., & Zhang, L. (2022). Association between E-cigarettes and asthma in adolescents: A systematic review and meta-analysis. American Journal of Preventive Medicine, 62(6), 953–960. https://doi.org/10.1016/j.amepre.2022.01.015

Mendes, K. D. S., Silveira, R. C. de C. P., & Galvão, C. M. (2008). Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto & Contexto Enfermagem, 17(4), 758–764. https://doi.org/10.1590/s0104-07072008000400018

Meng, X.-C., Guo, X.-X., Peng, Z.-Y., Wang, C., & Liu, R. (2023). Efeitos agudos dos cigarros eletrônicos na função endotelial vascular: uma revisão sistemática e meta-análise de ensaios clínicos randomizados. European Journal of Preventive Cardiology, 30(5), 425–435. https://doi.org/10.1093/eurjpc/zwac248

Mughis, M., Ahmad, M., Rashid, H., Nasir, A., Mukarram, H., Chaudhary, S., Tariq, S., & Zaman, T. (2024). Assessment of respiratory health implications of vaping: A systematic review of toxicity mechanisms and adverse effects of electronic nicotine delivery systems. Cureus, 16(9), e69236. https://doi.org/10.7759/cureus.69236

Nationalacademies.org. (s.d.). https://nap.nationalacademies.org/catalog/24952/public-health-consequences-of-e-cigarettes

Novelli, C. E., Higginbotham, E. J., Kapanke, K. A., Webber-Ritchey, K. J., Parker, C. H., & Simonovich, S. D. (2022). A systematic review examining the pulmonary effects of electronic vapor delivery systems. Journal of Clinical Anesthesia, 82, 110952. https://doi.org/10.1016/j.jclinane.2022.110952

(tfi), N. T. (2021, julho 27). WHO report on the global tobacco epidemic 2021: addressing new and emerging products. Who.int; World Health Organization. https://www.who.int/publications/i/item/9789240032095

Qureshi, M. A., Vernooij, R. W. M., La Rosa, G. R. M., Polosa, R., & O’Leary, R. (2023). Respiratory health effects of e-cigarette substitution for tobacco cigarettes: a systematic review. Harm Reduction Journal, 20(1), 143. https://doi.org/10.1186/s12954-023-00877-9

Siddiqi, T. J., Rashid, A. M., Siddiqi, A. K., Anwer, A., Usman, M. S., Sakhi, H., Bhatnagar, A., Hamburg, N. M., Hirsch, G. A., Rodriguez, C. J., Blaha, M. J., DeFilippis, A. P., Benjamin, E. J., & Hall, M. E. (2023). Association of electronic cigarette exposure on cardiovascular health: A systematic review and meta-analysis. Current Problems in Cardiology, 48(9), 101748. https://doi.org/10.1016/j.cpcardiol.2023.101748

Wasfi, R. A., Bang, F., de Groh, M., Champagne, A., Han, A., Lang, J. J., McFaull, S. R., Melvin, A., Pipe, A. L., Saxena, S., Thompson, W., Warner, E., & Prince, S. A. (2022). Chronic health effects associated with electronic cigarette use: A systematic review. Frontiers in Public Health, 10, 959622. https://doi.org/10.3389/fpubh.2022.959622

Weller, A. E., Crist, R. C., Reiner, B. C., Doyle, G. A., & Berrettini, W. H. (2021). Neonatal opioid withdrawal syndrome (NOWS): A transgenerational echo of the opioid crisis. Cold Spring Harbor Perspectives in Medicine, 11(3), a039669. https://doi.org/10.1101/cshperspect.a039669

Wills, T. A., Soneji, S. S., Choi, K., Jaspers, I., & Tam, E. K. (2021). E-cigarette use and respiratory disorders: an integrative review of converging evidence from epidemiological and laboratory studies. The European Respiratory Journal: Official Journal of the European Society for Clinical Respiratory Physiology, 57(1). https://doi.org/10.1183/13993003.01815-2019

Znyk, M., Jurewicz, J., & Kaleta, D. (2021). Exposure to heated tobacco products and adverse health effects, a systematic review. International Journal of Environmental Research and Public Health, 18(12). https://doi.org/10.3390/ijerph181266

Published

12/12/2024

How to Cite

PIRES, C. V. C.; MACEDO , L. X.; FERREIRA , M. V. M. .; CARVALHO , M. S. de S. .; BEZERRA , A. L. P. .; LOPES, F. R. . Electronic smoking devices: A critical review of public health impacts. Research, Society and Development, [S. l.], v. 13, n. 12, p. e141131247757, 2024. DOI: 10.33448/rsd-v13i12.47757. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/47757. Acesso em: 5 jan. 2025.

Issue

Section

Health Sciences