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Title: The Evolving Landscape of Electronic Cigarettes: A systematic review of recent evidence.
Austin Authors: Bozier, Jack;Chivers, Emily K;Chapman, David G;Larcombe, Alexander N;Bastian, Nicole;Masso-Silva, J A;Byun, M K;McDonald, Christine F ;Alexander Crotty, Laura E;Ween, Miranda P
Affiliation: School of Medicine, University of Melbourne, Victoria, Australia
School of Life Sciences, University of Technology Sydney, Sydney, NSW, Australia
Department of Medicine, Division of Pulmonary Critical Care & Sleep, University of California San Diego, San Diego, CA, USA
Division of Pulmonology, Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, South Korea
Woolcock Institute of Medical Research, University of Sydney, Sydney, NSW, Australia
Department of Thoracic Medicine, Royal Adelaide Hospital, Adelaide, SA, Australia
Respiratory and Sleep Medicine
Institute for Breathing and Sleep
Telethon Kids Institute, Perth, WA, Australia
School of Paediatrics and Reproductive Health, University of Adelaide, Adelaide, SA, Australia
School of Medicine, University of Adelaide, Adelaide, SA, Australia
School of Public Health, Curtin University, Perth, WA, Australia
Pulmonary Critical Care Section, Veterans Affairs San Diego Healthcare System, San Diego, CA, USA
Issue Date: 29-Jan-2020
Date: 2020-01-29
Publication information: Chest 2020; online first: 29 January
Abstract: Smoking continues to be a burden to economies and healthcare systems across the world. One proposed solution to the problem has been e-cigarettes; however, as a relatively new product in the market, little is known about their potential health impacts. Furthermore, e-cigarettes continue to evolve at a rapid rate, making it necessary to regularly review and synthesize available studies. Whilst e-cigarettes are marketed as a smoking cessation tool by some manufacturers, the reality is that many non-smokers, including youth, are using them. In this review we focus on two major demographics - smokers and non-smokers, and evaluate the most recent data (2018-2019) regarding the potential health effects of e-cigarettes. We assessed peer-reviewed studies on health impacts of e-cigarettes with particular focus on common questions asked by policy makers, clinicians, and scientists: 1. What are the effects of e-cigarettes compared with air/not-smoking?; 2. Is there any direct evidence of harm or benefit to humans?; 3. Is there a risk from second-hand exposure?; 4. What are the risks and/or benefits of e-cigarettes compared with tobacco cigarette use?; 5. Are there risks or benefits to specific populations - people with COPD or asthma, and pregnant women (and their offspring)?; 6. What are the effects of flavoring chemicals?; 7. What are the effects of including nicotine in e-liquids?; 8. How often is nicotine-level labelling incorrect? and 9. What are the risks when e-cigarettes explode?
DOI: 10.1016/j.chest.2019.12.042
ORCID: 0000-0001-6481-3391
Journal: Chest
PubMed URL: 32006591
Type: Journal Article
Appears in Collections:Journal articles

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