Exhalation of alternative tobacco product aerosols differs from cigarette smoke—and may lead to alternative health risks.

Background: Variation in alternative tobacco product (ATP) constituents, heating potential, and consumer behaviors have made it difficult to characterize their health risks. To date, most toxicity studies of ATPs have used established cigarette endpoints to inform study design. Furthermore, to asses...

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Publicado en:Tobacco Use Insights pp. 1 - 7
Autores principales: Karey, Emma, Reed, Taylor, Katsigeorgis, Maria, Farrell, Kayla, Hess, Jade, Gibbon, Grace, Weitzman, Michael, Gordon, Terry
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 2/28/2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2/28/2022
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      pub: Sage Publications Inc.
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        atl: Exhalation of alternative tobacco product aerosols differs from cigarette smoke—and may lead to alternative health risks.
      aug:
        au:
          Karey, Emma
          Reed, Taylor
          Katsigeorgis, Maria
          Farrell, Kayla
          Hess, Jade
          Gibbon, Grace
          Weitzman, Michael
          Gordon, Terry
        affil: Department of Environmental Medicine, 12296 New York University Grossman School of Medicine, New York, NY, USA
      sug:
        subj:
          Tobacco Products
          Aerosols
          Expiration
          Smoking
          Electronic Cigarettes
          Human
          New York
          Vaping
          Descriptive Statistics
      ab: Background: Variation in alternative tobacco product (ATP) constituents, heating potential, and consumer behaviors have made it difficult to characterize their health risks. To date, most toxicity studies of ATPs have used established cigarette endpoints to inform study design. Furthermore, to assess where ATPs fall on the tobacco harm continuum, with cigarettes representing maximum potential risk, studies have tended to compare the relative biological responses to ATPs against those due to cigarettes. Objectives: 1) To characterize the exhalation profiles of two popular ATPs: electronic cigarettes (e-cigarettes) and hookah waterpipes (hookah) and 2) to determine if ATP exhalation patterns were representative of cigarette exhalation patterns. Methods: Exhalation patterns were recorded (mouth only, nose only, or both mouth and nose) among individuals observed in the New York City tri-state area using a recognizable tobacco product (cigarette, e-cigarette, or hookah). Cigarette smokers and e-cigarette vapers were observed on city streets; water-pipe smokers were observed inside Manhattan hookah bars. Results: E-cigarette vapers practiced exclusive nasal exhalation at far higher rates than did cigarette smokers (19.5% vs 4.9%). Among vapers, e-cigarette device type was also significantly associated with exhalation profile. Overall, cigarette smokers exhaled from their nose approximately half to one-third as often as ATP users (hookah and e-cigarettes, respectively). Conclusions: Nasal exhalation of tobacco emissions appears to be a shared characteristic across several types of ATPs. It is therefore plausible that ATP-specific consumer behaviors may foster unique upper respiratory health consequences that have not been observed in smokers. Thus, product-specific behaviors should inform the prioritization of biological endpoints used in studies evaluating ATP toxicity and health effects.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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