Incident respiratory disease among youths using combustible tobacco, electronic nicotine products, or both: a longitudinal analysis.

Introduction:
This text is a summary of a longitudinal analysis examining the association between exclusive combustible tobacco use, exclusive electronic nicotine products use, dual use, and incident respiratory disease among youth without respiratory disease at baseline. The study uses data from the Population assessment of Tobacco and health (PaTh) survey waves 4 and 5.

Key Points:

* The study found that exclusive combustible tobacco use, electronic nicotine products use, and dual use of combustible tobacco and electronic nicotine products were more likely to be associated with an increased risk of respiratory disease incidence compared to never use any products.
* The study defined respiratory disease as a self-report of asthma, bronchitis, pneumonia, or chronic cough.
* The analyses included individuals who were free of respiratory disease at baseline, which was defined as excluding ever or past 12-month respiratory disease.
* Responses to the survey were reported by either parents/guardians or youths.
* The study created a composite variable of having any respiratory disease incidence (reported one or more diseases).
* Self-reported any combustible tobacco (cigarettes, cigars, traditional cigars, filtered cigars, cigarillos, pipe tobacco, bidis, kreteks, or hookah) users and electronic nicotine products users at wave 4 were categorized as exclusive combustible tobacco users, exclusive electronic nicotine products users, dual users, and never users.
* The study controlled for demographic characteristics, including age, sex, race/ethnicity, and body mass index.

Main Message:
This study highlights the potential respiratory risks associated with the use of combustible tobacco, electronic nicotine products, and dual use among youth. The findings emphasize the need for increased education and regulation regarding the use of these products, particularly among young people. as an expert in regulatory matters, it is crucial to consider these risks when developing policies and guidelines regarding the sale, marketing, and use of tobacco and nicotine products.

Bhatta DN, adhikari R. Incident respiratory disease among youths using combustible tobacco, electronic nicotine products, or both: a longitudinal analysis. World journal of pediatrics : WJP. 2022;18(11):786-790. doi:10.1007/s12519-022-00608-3