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Racial and ethnic disparities in biomarkers of exposure and potential harm among U.S. adult exclusive e-cigarette users: 2013-2019.
Dai, Hongying Daisy; Nollen, Nikki; Rennard, Stephen; Guenzel, Nicolas; Pham, Hanh; Khan, Ali S.
Afiliación
  • Dai HD; College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States. Electronic address: daisy.dai@unmc.edu.
  • Nollen N; Department of Population Health, University of Kansas Medical Center, Kansas City, KS, United States.
  • Rennard S; College of Medicine, University of Nebraska Medical Center, Omaha, NE, United States.
  • Guenzel N; College of Nursing, University of Nebraska Medical Center, Omaha, NE, United States.
  • Pham H; College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States; College of Osteopathic Medicine, Kansas City University, Kansas City, MO, United States.
  • Khan AS; College of Public Health, University of Nebraska Medical Center, Omaha, NE, United States.
Drug Alcohol Depend ; 252: 110984, 2023 11 01.
Article en En | MEDLINE | ID: mdl-37804563
OBJECTIVE: Provide evidence on racial and ethnic differences in biomarkers of exposure from rising e-cigarette use among U.S. adults. METHODS: Data were drawn from Waves 1-5 of the Population Assessment of Tobacco and Health study (September 2013-November 2019). Differences in biomarkers of exposure and potential harm (BOE/BoPH) across non-Hispanic (NH)-Whites, NH Blacks, Hispanic/Latinos, and NH others were examined using generalized estimation equations. RESULTS: Among exclusive e-cigarette users, mean concentrations of BOEs/BoPHs were not significantly different across NH Blacks (n=97), NH others (n=122), and NH Whites (n=1062), after adjustment by wave, age, sex, education, exposure to the secondhand smoke, and the number of recent puffs. Compared to NH Whites, Hispanics (n=151) had lower concentrations of nicotine equivalents (0.5[0.2-1.7] vs. 15.5 [12.5-19.1] nmol/mg creatinine, p<.0001), cotinine (33.4[9.7-114.7] vs. 1008.3 [808.3-1257.9] ng/mg creatinine, p<.0001), and 4-(methylnitrosamino)-1-(3-pyridyl)-1-butanol (NNAL) (2.6[1.5-4.4] vs. 5.7 [4.9-6.6] pg/mg creatinine, p=.004), but similar concentrations of BOEs for heavy metals, polycyclic aromatic hydrocarbons, volatile organic compounds, and oxidative stress. Differences between Hispanics and NH Whites are expected, given different e-cigarette use profiles. Specifically, Hispanics were less likely to be daily vapers (49.4[35.1-63.8]% vs 81.3[77.7-84.5]%, p<.0001) and nicotine e-cigarette users (72.7 [64.0-79.9]% vs. 89.2 [86.4-91.5]%, p=.0002] and reported a lower number of recent puffs (mean[standard error]=16.7[3.6] vs. 28.6[2.0], p=.02] than their NH-White counterparts. Hispanic vapers were also less likely than NH Whites to have previously smoked cigarettes (49.7 [37.2-62.3]% vs. 88.5 [84.7-91.5]%, p<.0001]). CONCLUSIONS: Hispanic vapers exhibited lower exposure to nicotine metabolites and carcinogens than their non-Hispanic White counterparts. The harm reduction potential from e-cigarette use are likely to be realized across diverse racial and ethnic groups.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Productos de Tabaco / Sistemas Electrónicos de Liberación de Nicotina Límite: Adult / Humans Idioma: En Revista: Drug Alcohol Depend Año: 2023 Tipo del documento: Article Pais de publicación: Irlanda

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Productos de Tabaco / Sistemas Electrónicos de Liberación de Nicotina Límite: Adult / Humans Idioma: En Revista: Drug Alcohol Depend Año: 2023 Tipo del documento: Article Pais de publicación: Irlanda