Association between Electronic Cigarette Use and Asthma among High School Students in South Korea.

<h4>Objectives</h4>Little is known about health outcomes related to electronic cigarette (EC) use, despite its growing popularity. The aim of this study is to investigate the association between EC use and asthma.<h4>Methods</h4>The study design is a cross-sectional study. A...

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Main Authors: Jun Ho Cho, Samuel Y Paik
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0151022&type=printable
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author Jun Ho Cho
Samuel Y Paik
author_facet Jun Ho Cho
Samuel Y Paik
author_sort Jun Ho Cho
collection DOAJ
description <h4>Objectives</h4>Little is known about health outcomes related to electronic cigarette (EC) use, despite its growing popularity. The aim of this study is to investigate the association between EC use and asthma.<h4>Methods</h4>The study design is a cross-sectional study. A total of 35,904 high school students were included as the final study population. The presence of asthma was based on a student's self-reported doctor diagnosis of asthma in the past 12 months.<h4>Results</h4>Prevalence rates of asthmatics in 'current EC users' (n = 2,513), 'former EC users' (n = 2,078), and 'never EC users' (n = 31,313), were 3.9% (n = 98), 2.2% (n = 46) and 1.7% (n = 530), respectively. Comparing 'current EC' users with 'never EC' users, the unadjusted OR for asthma was 2.36 (95% CI: 1.89-2.94). In order to control for the effect of conventional cigarette (CC) smoking, after stratifying the subjects by the three CC smoking categories (never CC, former CC, and current CC), within the 'never CC' category, the unadjusted OR for asthma for 'current EC' users was 3.41 (95% CI: 1.79-6.49), and the adjusted OR was 2.74 (95% CI: 1.30-5.78). Severe asthma was reflected by the number of days absent from school due to asthma symptoms; current EC users had the highest adjusted OR for severe asthma compared to 'never EC' users.<h4>Conclusions</h4>When compared to a reference population of high school students in South Korea, EC users have an increased association with asthma and are more likely to have had days absent from school due to severe asthma symptoms. In conclusion, the results indicate that EC use may be a risk factor for asthma. The results may be useful in developing a scientific basis for the evaluation of a potential health hazard by EC.
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spelling doaj-art-abb0b6e8c543462d81c5d0b53d2cc92d2025-08-20T02:15:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01113e015102210.1371/journal.pone.0151022Association between Electronic Cigarette Use and Asthma among High School Students in South Korea.Jun Ho ChoSamuel Y Paik<h4>Objectives</h4>Little is known about health outcomes related to electronic cigarette (EC) use, despite its growing popularity. The aim of this study is to investigate the association between EC use and asthma.<h4>Methods</h4>The study design is a cross-sectional study. A total of 35,904 high school students were included as the final study population. The presence of asthma was based on a student's self-reported doctor diagnosis of asthma in the past 12 months.<h4>Results</h4>Prevalence rates of asthmatics in 'current EC users' (n = 2,513), 'former EC users' (n = 2,078), and 'never EC users' (n = 31,313), were 3.9% (n = 98), 2.2% (n = 46) and 1.7% (n = 530), respectively. Comparing 'current EC' users with 'never EC' users, the unadjusted OR for asthma was 2.36 (95% CI: 1.89-2.94). In order to control for the effect of conventional cigarette (CC) smoking, after stratifying the subjects by the three CC smoking categories (never CC, former CC, and current CC), within the 'never CC' category, the unadjusted OR for asthma for 'current EC' users was 3.41 (95% CI: 1.79-6.49), and the adjusted OR was 2.74 (95% CI: 1.30-5.78). Severe asthma was reflected by the number of days absent from school due to asthma symptoms; current EC users had the highest adjusted OR for severe asthma compared to 'never EC' users.<h4>Conclusions</h4>When compared to a reference population of high school students in South Korea, EC users have an increased association with asthma and are more likely to have had days absent from school due to severe asthma symptoms. In conclusion, the results indicate that EC use may be a risk factor for asthma. The results may be useful in developing a scientific basis for the evaluation of a potential health hazard by EC.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0151022&type=printable
spellingShingle Jun Ho Cho
Samuel Y Paik
Association between Electronic Cigarette Use and Asthma among High School Students in South Korea.
PLoS ONE
title Association between Electronic Cigarette Use and Asthma among High School Students in South Korea.
title_full Association between Electronic Cigarette Use and Asthma among High School Students in South Korea.
title_fullStr Association between Electronic Cigarette Use and Asthma among High School Students in South Korea.
title_full_unstemmed Association between Electronic Cigarette Use and Asthma among High School Students in South Korea.
title_short Association between Electronic Cigarette Use and Asthma among High School Students in South Korea.
title_sort association between electronic cigarette use and asthma among high school students in south korea
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0151022&type=printable
work_keys_str_mv AT junhocho associationbetweenelectroniccigaretteuseandasthmaamonghighschoolstudentsinsouthkorea
AT samuelypaik associationbetweenelectroniccigaretteuseandasthmaamonghighschoolstudentsinsouthkorea