Prevalence of electronic cigarette use among medical students in Colombia, 2023
DOI:
https://doi.org/10.17533/udea.rfnsp.e356148Keywords:
medical students, smoking, electronic cigarette, vapor electronic cigaretteAbstract
Objective: To determine the prevalence and factors associated with the use of electronic cigarettes in medical students in four Colombian cities.
Methods: Descriptive study of prevalence in 594 medical students in the cities of Medellin, Santa Marta, Villavicencio and Pasto, selected with a non-probabilistic sampling. The prevalence of lifetime, daily or almost daily use of electronic cigarettes was determined.
Results: The mean age was 21.9 ± 4.1 years; 68.5 % were women; the prevalence of lifetime use of electronic cigarettes was 18.5 % (n = 100) and the prevalence of daily or almost daily use was 7.7 % (n = 46). Prevalence was significantly higher in men (adjusted OR = 3.1, 95 % CI = 1.6-5.8) and in those reporting household incomes less than minimum wage (adjusted OR = 4.3, 95 % CI = 1.5-11.9).
Conclusion: A high prevalence of electronic cigarette use was found, consistent with what has been described in other studies worldwide. This finding highlights the need to implement actions to promote awareness of the risks associated with the use of electronic cigarettes. Furthermore, as future health professionals and those responsible for prevention and public health, physicians in training have a crucial model role to play in promoting healthy practices and supporting policies that regulate the sale and consumption of these products.
Downloads
References
1. Asma S, Mackay J, Yang-Song S, et al. The GATS Atlas: Global Adult Tobacco Survey. CDC Foundation [internet]; 2015 [citado 2023 dic. 27]. Disponible en: https://stacks.cdc.gov/view/cdc/51993
2. Organización Mundial de la Salud. Tabaco [internet]; 2023 jul. 31. [citado 2023 dic. 27]. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/tobacco
3. King AC, Smith LJ, et al. Second generation electronic nicotine delivery system vape pen exposure generalizes as a smoking cue. Nicotine Tob Res. 2018;20(2):246-52. DOI: https://doi.org/10.1093/ntr/ntw327
4. U.S. Food and Drug Administration. E-Cigarettes, vapes, and other electronic nicotine delivery systems (ENDS) [internet]; 2023 dic. 18 [citado 2023 dic. 27]. Disponible en: https://www.fda.gov/tobacco-products/products-ingredients-components/e-cigarettes-vapes-and-other-electronic-nicotine-delivery-systems-ends
5. Klein MD, Sokol NA, Stroud LR. Electronic cigarettes: Common questions and answers. Am Fam Physician. [internet]; 2019;100(4):227-35 [citado 2023 dic. 27]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6697047/
6. Cherian SV, Kumar A, Estrada-Y-Martin RM. E-cigarette or vaping product-associated lung injury: A review. Am J Med. 2020;133(6):657-63. DOI: https://doi.org/10.1016/j.amjmed.2020.02.004
7. Evans ME. Update: Interim guidance for health care professionals evaluating and caring for patients with suspected e-cigarette, or vaping, product use–Associated lung injury and for reducing the risk for rehospitalization and death following hospital discharge — United States, December 2019. MMWR Morb Mortal Wkly Rep. 2020;68(5152);1189-94. DOI: https://doi.org/10.15585/mmwr.mm685152e2
8. Christiani DC. Vaping-induced acute lung injury. N Engl J Med. 2020;382(10):960-2. DOI: https://doi.org/10.1056/NEJMe1912032
9. Tobore TO. On the potential harmful effects of E-Cigarettes (EC) on the developing brain: The relationship between vaping-induced oxidative stress and adolescent/young adults social maladjustment. J Adolesc. 2019;76(1):202-9. DOI: https://doi.org/10.1016/j.adolescence.2019.09.004
10. Levett JY, Filion KB, Reynier P, et al. Efficacy and safety of e-cigarette use for smoking cessation: a systematic review and meta-analysis of randomized controlled trials. Eur Heart J. 2021;42(Sup. 1):ehab724.2600. DOI: https://doi.org/10.1093/eurheartj/ehab724.2600
11. Miech R, Johnston L, O’Malley PM, et al. Adolescent vaping and nicotine use in 2017-2018 — U.S. national estimates [Correspondencia]. N Engl J Med. 2019;380(2):192-3. DOI: https://doi.org/10.1056/NEJMc1814130
12. Miech R, Johnston L, O’Malley PM, Bachman JG, Patrick ME. Trends in Adolescent Vaping, 2017-2019 [Correspondencia]. N Engl J Med. 2019;381(15):1490-1. DOI: https://doi.org/10.1056/NEJMc1910739
13. Departamento Administrativo Nacional de Estadística. Encuesta nacional de consumo de sustancias psicoactivas (ENCSPA). Estadísticas por tema [internet]; 2020 [citado 2023 dic. 28]. Disponible en: https://www.dane.gov.co/index.php/estadisticas-por-tema/salud/encuesta-nacional-de-consumo-de-sustancias-psicoactivas-encspa
14. Villarroel MA, Cha AE, Vahratian A. Electronic cigarette use among U.S. adults, 2018. National Center for Health Statistics. NCHS Data Brief No. 365 [internet]. 2020 abr. 28 [citado 2023 dic. 28]. Disponible en: https://www.cdc.gov/nchs/products/databriefs/db365.htm
15. Maldonado Viasús DC, Perdomo GA, García Duran MC, et al. ENDS consumption in students of higher education: Phenomenon on the rise during the COVID-19 pandemic. Tob Induc Dis. 2022;20:100. DOI: https://doi.org/10.18332/tid/154970
16. Qanash S, Alemam S, Mahdi E, et al. Electronic cigarette among health science students in Saudi Arabia. Ann Thorac Med. 2019;14(1):56-62. DOI: https://doi.org/10.4103/atm.ATM_76_18
17. Habib E, Helaly M, Elshaer A, et al. Prevalence and perceptions of e-cigarette use among medical students in a Saudi University. J Fam Med Prim Care. 2020;9(6):3070-5. DOI: https://doi.org/10.4103/jfmpc.jfmpc_235_20
18. Hinderaker K, Power DV, Allen S, et al. What do medical students know about e-cigarettes? A cross-sectional survey from one U.S. medical school. BMC Med Educ. 2018;18:32. DOI: https://doi.org/10.1186/s12909-018-1134-1
19. AlMuhaissen S, Mohammad H, Dabobash A, et al. Prevalence, knowledge, and attitudes among health professions students toward the use of electronic cigarettes. Healthcare. 2022;10(12):2420. DOI: https://doi.org/10.3390/healthcare10122420
20. Martínez NAB, Robayo-González CX, Ramírez DD la A, Sanchez M, Alba LH. Conocimientos, actitudes y prácticas sobre tabaquismo en un grupo de médicos en Bogotá, Colombia. Univ Medica. 2021;62(2). DOI: https://doi.org/10.11144/Javeriana.umed62-2.taba
21. Organización Panamericana de la Salud, Organización Mundial de la Salud. Informe sobre el control del tabaco en la Región de las Américas 2022 [internet]; 2023 mar. 6 [citado 2024 may. 10]. Disponible en: https://www.paho.org/es/documentos/informe-sobre-control-tabaco-region-americas-2022
22. Organización Panamericana de la Salud, Organización Mundial de La Salud. Ocho países de las Américas prohíben los cigarrillos electrónicos [internet]. 2023 ago. 25 [citado 2024 ene. 31]. Disponible en: https://www.paho.org/es/noticias/25-8-2023-ocho-paises-americas-prohiben-cigarrillos-electronicos
23. Elm E von, Altman DG, Egger M, et al. Strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ : British Medical Journal. 2007;335(7624):806. DOI: https://doi.org/10.1136/bmj.39335.541782.AD
24. Lima PV de M, Maia PB, Duarte J de JL. Prevalência do uso de cigarros eletrônicos e suas complicações respiratórias entre estudantes de medicina em uma universidade privada de Teresina-PI. Res Soc Dev. 2023;12(4):e9212440977-e9212440977. DOI: https://doi.org/10.33448/rsd-v12i4.40977
25. Brożek G, Jankowski M, Zejda J, et al. E-smoking among students of medicine - Frequency, pattern and motivations. Adv Respir Med. 2017;85(1):8-14. DOI: https://doi.org/10.5603/ARM.2017.0003
26. Aqeeli AA, Makeen AM, Al Bahhawi T, et al. Awareness, knowledge and perception of electronic cigarettes among undergraduate students in Jazan Region, Saudi Arabia. Health Soc Care Community. 2022;30(2):706-13. DOI: https://doi.org/10.1111/hsc.13184
27. Alshanberi AM, Baljoon T, Bokhari A, et al. The prevalence of E-cigarette uses among medical students at Umm Al-Qura University; a cross-sectional study 2020. J Fam Med Prim Care. 2021;10(9):3429-35. DOI: https://doi.org/10.4103/jfmpc.jfmpc_1496_20
28. Jaber ME, Nouri L, Hamed A, et al. The epidemiology of electronic cigarette smoking among university students in the West Bank: Practice, motivation, and dependence of a new emerging hazard. Popul Med. 2023;5:1-8. DOI: https://doi.org/10.18332/popmed/174287
29. Benjakul S, Nakju S, Termsirikulchai L. Use of e-cigarettes among public health students in Thailand: Embedded mixed-methods design. Tob Induc Dis. 2022;20:1-10. DOI: https://doi.org/10.18332/tid/152256
30. Franks AM, Hawes WA, et al. Electronic cigarette use, knowledge, and perceptions among health professional students. Curr Pharm Teach Learn. 2017;9(6):1003-9. DOI: https://doi.org/10.1016/j.cptl.2017.07.023
31. Iqbal N, Khan ZA, Anwar SMH, et al. Prevalence and knowledge of electronic cigarettes amongst medical students, A cross sectional survey from Karachi, Pakistan. Eur Respir J. 2017;50(Supl. 61). DOI: https://doi.org/10.1183/1393003.congress-2017.PA4487
32. Alzahrani SH, Alghamdi RA, Almutairi AM, et al. Knowledge and attitudes among medical students toward the clinical usage of e-cigarettes: A cross-sectional study in a university hospital in Saudi Arabia. Risk Manag Healthc Policy. 2021;14:1969-1984. DOI: https://doi.org/10.2147/RMHP.S302309
33. Iqbal N, Khan ZA, Anwar SMH, et al. Electronic cigarettes use and perception amongst medical students: A cross sectional survey from Sindh, Pakistan. BMC Res Notes. 2018;11(1):188. DOI: https://doi.org/10.1186/s13104-018-3303-z
34. Páez S, Orellana DI, Nazzal C, et al. Percepción y prevalencia del consumo de cigarrillos electrónicos en estudiantes de Medicina. Rev Chil Enfermedades Respir. 2021;37(4):275-84. DOI: https://doi.org/10.4067/s0717-73482021000300275
35. Rodríguez Orquiola LC, Cárdenas López AMJ, Cáceres Aguilar RC, et al. Frecuencia, actitud y conocimiento sobre el cigarrillo electrónico en estudiantes de Medicina. Rev Científica Cienc Salud. 2022;4(1):47-53. DOI: https://doi.org/10.53732/rccsalud/04.01.2022.47
36. Institute for Global Tobacco Control. Country laws regulating e-cigarettes. Global Tobacco Control [internet]. 2023 [citado 2024 may. 10]. Disponible en: https://www.globaltobaccocontrol.org/en/policy-scan/e-cigarettes/countries?country=263
37. Alzahrani T, Pena I, et al. Association Between Electronic Cigarette Use and Myocardial Infarction. Am J Prev Med. 2018;55(4):455-61. DOI: https://doi.org/10.1016/j.amepre.2018.05.004
38. Patil S, Fageeh HN, Mushtaq S, et al. Prevalence of electronic cigarette usage among medical students in Saudi Arabia – A Systematic Review. Niger J Clin Pract. 2022;25(6):765-72. DOI: https://doi.org/10.4103/njcp.njcp_2006_21
39. Simon P, Camenga DR, Kong G, et al. Youth e-cigarette, blunt, and other tobacco use profiles: Does SES matter? Tob Regul Sci. [internet]. 2017 [citado 2024 ene. 31]; 3(1):115-27. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5654631/
40. Barrington-Trimis JL, Berhane K, Unger JB, et al. Psychosocial factors associated with adolescent electronic cigarette and cigarette use. Pediatrics. 2015;136(2):308-17. DOI: https://doi.org/10.1542/peds.2015-0639
41. Moore G, Hewitt G, Evans J, et al. Electronic-cigarette use among young people in Wales: evidence from two cross-sectional surveys. BMJ Open. 2015;5(4):e007072. DOI: https://doi.org/10.1136/bmjopen-2014-007072
42. Brown J, West R, Beard E, et al. Prevalence and characteristics of e-cigarette users in Great Britain: Findings from a general population survey of smokers. Addict Behav. 2014;39(6):1120-5. DOI: https://doi.org/10.1016/j.addbeh.2014.03.009
43. Alsanea S, Alrabiah Z, Samreen S, et al. Prevalence, knowledge and attitude toward electronic cigarette use among male health colleges students in Saudi Arabia—A cross-sectional study. Front Public Health. 2022;10. DOI: https://doi.org/10.3389/fpubh.2022.827089
44. Bold KW, Kong G, Camenga DR, et al. Trajectories of e-cigarette and conventional cigarette use among youth. Pediatrics. 2018;141(1):e20171832. DOI: https://doi.org/10.1542/peds.2017-1832
45. Simon P, Camenga D, Morean M, et al. Socioeconomic status and adolescent e-cigarette use: The mediating role of e-cigarette advertisement exposure. Prev Med. 2018;112:193-8. DOI: https://doi.org/10.1016/j.ypmed.2018.04.019
46. Marques P, Piqueras L, Sanz MJ. An updated overview of e-cigarette impact on human health. Respir Res. 2021;22(1):151. DOI: https://doi.org/10.1186/s12931-021-01737-5
47. Vereen RN, Westmaas JL, Bontemps-Jones J, et al. Trust of information about tobacco and e-cigarettes from health professionals versus tobacco or electronic cigarette companies: Differences by subgroups and implications for tobacco messaging. Health Commun. 2020;35(1):89-95. DOI: https://doi.org/10.1080/10410236.2018.1544875
48. Malagon-Rojas J, Toloza YG, et al. First data on the disease associated with vaping in Colombia. SCielo Preprints., 2023 oct. 19. DOI: https://doi.org/10.1590/SciELOPreprints.7197
49. Congreso de la República de Colombia, Cámara de representantes. Oficina de Información y Prensa de la Cámara de Representantes. Cigarrillos electrónicos serán regulados en Colombia [internet]; 2024 mar. 6 [citado 2024 may. 10]. Disponible en: https://www.camara.gov.co/cigarrillos-electronicos-seran-regulados-en-colombia
50. Sociedades Científicas Neumológicas Ibero-Latinoamericanas. Declaración de las Sociedades Científicas Neumológicas Ibero-Latinoamericanas sobre los dispositivos electrónicos de liberación de nicotina. Rev Chil Enferm Respir. 2019;35(2):146-147. DOI: https://doi.org/10.4067/S0717-73482019000200146
51. Instituto Nacional de Cancerología, Universidad Nacional. Guía de práctica clínica para la cesación tabáquica [internet]. 2021 [citado 2024 may. 10]. Disponible en: https://www.cancer.gov.co/conozca-sobre-cancer-1/informacion-sobre-cancer-para-profesionales/guias-protocolos-1/guias-practica-clinica-informadas-evidencia/guias-practica-clinica-desarrollo/guia-practica-clinica-para-cesacion-tabaquica
Downloads
Published
How to Cite
License
Copyright (c) 2024 Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The contents of the articles are the responsibility of the authors
The editorial committee has editorial independence from the National School of Public Health "Héctor Abad Gómez" of the University of Antioquia.
The editorial committee is not responsible for aspects related to copying, plagiarism or fraud that may appear in the articles published in it.
When you are going to reproduce and disclose photographs or personal data in printed or digital format, informed consent is required. Therefore, this requirement is required of the author at the time of receipt of the manuscript.
Authors are responsible for obtaining the necessary permissions to reproduce any material protected by reproduction rights.
The authors preserve the moral rights and assign the economic rights that will correspond to the University of Antioquia, to publish it, distribute electronic copies, include them in indexing services, directories or national and international databases in Open Access, under the Creative Commons Attribution license -Not Commercial-Share Equal 4.0 International Commercial (CC BY-NC-SA) which allows others to distribute, remix, retouch, and create from the work in a non-commercial way, as long as the respective credit and license are granted. new creations under the same conditions.
The authors will sign the declaration of transfer of economic rights to the University of Antioquia, after the acceptance of the manuscript.
The editorial committee reserves the right to reject the articles whose authors do not offer satisfactory explanations about the contribution of each author, to meet the criteria of authorship in the submission letter. All authors must meet the four criteria of authorship according to ICMJE: "a) .- That there is a substantial contribution to the conception or design of the article or to the acquisition, analysis or interpretation of the data. b) That they have participated in the design of the research work or in the critical review of its intellectual content. c) .- That has been intervened in the approval of the final version that will be published.d). That they have the capacity to respond to all aspects of the article in order to ensure that issues related to the accuracy or integrity of any part of the work are adequately investigated and resolved. "
-- 
--
