Effect Comparison of E-Cigarette and Traditional Smoking and association with Stroke-a Cross-Sectional Study of NhaNES.

Introduction:
This text provides an analysis of a cross-sectional study examining the association between e-cigarette smoking and stroke prevalence using the National health and Nutrition Examination Survey (NhaNES) database. The study aims to evaluate the prevalence of e-cigarette, traditional, and dual smokers among respondents with a history of stroke and the odds of different methods of nicotine consumption among respondents with a history of stroke.

Key Points:

* The study analyzes data from 79,825 respondents who smoked e-cigarettes or traditional smoking or dual smoking from the NhaNES survey from 2015 to 2018.
* The overall prevalence of stroke among e-cigarette smokers is 1.57%, among traditional smokers is 78.04%, and among dual smokers is 20.39%.
* Stroke is more prevalent among traditional smokers than e-cigarette and dual smokers (6.75% vs. 1.09% vs. 3.72%, p<0.0001).
* E-cigarette smokers have an early onset of stroke compared to dual and traditional smokers, respectively (median age in years: 48 vs. 50 vs. 59; p<0.0001).
* among stroke respondents with congestive heart failure, the prevalence of e-cigarette utilization is higher compared to that of traditional smokers and dual smokers (25.76% vs. 16.59% vs. 21.75%, p<0.0001).
* among respondents with high blood pressure, the prevalence of dual smoking is higher in comparison to traditional smoking (98.02% vs. 80.91%, p<0.0001).
* after adjusting for socio-demographic characteristics and comorbidities, the odds of having a history of stroke is higher among e-cigarette smokers in comparison with traditional smokers (adjusted odds ratio (aOR): 1.15; 95% CI: 1.15--1.16; p<0.0001).

Main Message:
The study finds that e-cigarette smokers had an early onset of stroke compared to traditional and dual smokers. Furthermore, the odds of having a history of stroke is 1.15 times higher among e-cigarette smokers compared to traditional smokers. These findings have clear implications in helping physicians, healthcare policymakers, and tobacco product regulatory authorities to call for strict new regulations on e-cigarette access, sales, and marketing.

Patel U, Patel N, Khurana M, et al. Effect Comparison of E-Cigarette and Traditional Smoking and association with Stroke-a Cross-Sectional Study of NhaNES. Neurology international. 2022;14(2):441-452. doi:10.3390/neurolint14020037