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Göğüs Hastalıkları Polikliniğine Başvuran Hastaların Elektronik Sigara Kullanımı ile İlgili Tutum ve Davranışları

Yıl 2022, Cilt: 11 Sayı: 2, 242 - 247, 14.07.2022
https://doi.org/10.53424/balikesirsbd.978358

Öz

Amaç: Elektronik sigara (e-sigara), elektrik gücü ile çalışan içinde çeşitli maddeler, aroma vericiler ile birlikte nikotinin kullanıcı tarafından inhale edilmesini sağlayan cihazlardır. Popülerliği gün geçtikçe artmaktadır. Biz bu çalışmada hastanemiz Göğüs hastalıkları kliniğine başvuran hastaların, hem e-sigara hem de geleneksel sigara içme alışkanlıklarını, e-sigaraya bakış açılarını ve demografik özelliklerinin e-sigara ile ilgili düşüncelerine nasıl yansıdığını değerlendirmeyi amaçladık.
Gereç ve Yöntem: Kliniğimize başvuran 150 erkek hasta çalışmaya alındı. Grup I, kontrol grubu olup, sigara içmeyen sağlıklı bireyler (n:50); Grup II, kronik bronşitli (n:50) ve Grup III, KOAH (Kronik obstruktif akciğer hastalığı) olan (n:50) hastalardan oluşturuldu. Hastaların demografik verileri ve solunum fonksiyon testi değerleri ile sigara içme alışkanlıkları kayıt altına alındı.
Bulgular: Grup III’ de e-sigara kullanma oranı Grup II’ deki 17 hastaya göre daha yüksekti (p<0.05). Üç grupta e-sigarayı ağırlıklı olarak medya aracılığı ile öğrendiğini ifade etti ve geleneksel sigaranın daha zararlı olduğunu düşünmekteydi. Grup II ve III hastalar ev içi ortamında e-sigarayı daha zararsız gördükleri için rahatça içtiklerini belirtti.
Sonuç: Çalışmamız e-sigaranın geleneksel sigaraya göre daha masum olduğu görüşü nedeniyle satış, sunum ve reklamları konusunda daha sıkı tedbirler alınması gerçeğini göstermektedir.

Kaynakça

  • Abrams, D. B. (2014). Promise and peril of e-cigarettes: can disruptive technology make cigarettes obsolete? Jama, 311(2), 135-136. doi:10.1001/jama.2013.285347 Breland, A., Soule, E., Lopez, A., Ramoa, C., El-Hellani, A., & Eissenberg, T. (2017). Electronic cigarettes: what are they and what do they do? Ann N Y Acad Sci, 1394(1), 5-30. doi:10.1111/nyas.12977
  • Bullen, C., Howe, C., Laugesen, M., McRobbie, H., Parag, V., Williman, J., & Walker, N. (2013). Electronic cigarettes for smoking cessation: a randomised controlled trial. Lancet, 382(9905), 1629-1637. doi:10.1016/s0140-6736(13)61842-5
  • Caponnetto, P., Campagna, D., Papale, G., Russo, C., & Polosa, R. (2012). The emerging phenomenon of electronic cigarettes. Expert Rev Respir Med, 6(1), 63-74. doi:10.1586/ers.11.92
  • Cheng, T. (2014). Chemical evaluation of electronic cigarettes. Tob Control, 23 Suppl 2, ii11-17. doi:10.1136/tobaccocontrol-2013-051482
  • Cullen, K. A., Gentzke, A. S., Sawdey, M. D., Chang, J. T., Anic, G. M., Wang, T. W., . . . King, B. A. (2019). e-Cigarette Use Among Youth in the United States, 2019. Jama. doi:10.1001/jama.2019.18387
  • Drummond, M. B., & Upson, D. (2014). Electronic cigarettes. Potential harms and benefits. Ann Am Thorac Soc, 11(2), 236-242. doi:10.1513/AnnalsATS.201311-391FR
  • Etter, J. F., Bullen, C., Flouris, A. D., Laugesen, M., & Eissenberg, T. (2011). Electronic nicotine delivery systems: a research agenda. Tob Control, 20(3), 243-248. doi:10.1136/tc.2010.042168
  • Farsalinos, K. E., Romagna, G., Tsiapras, D., Kyrzopoulos, S., & Voudris, V. (2014). Characteristics, perceived side effects and benefits of electronic cigarette use: a worldwide survey of more than 19,000 consumers. Int J Environ Res Public Health, 11(4), 4356-4373. doi:10.3390/ijerph110404356
  • Flouris, A. D., Chorti, M. S., Poulianiti, K. P., Jamurtas, A. Z., Kostikas, K., Tzatzarakis, M. N., . . . Koutedakis, Y. (2013). Acute impact of active and passive electronic cigarette smoking on serum cotinine and lung function. Inhal Toxicol, 25(2), 91-101. doi:10.3109/08958378.2012.758197
  • Goniewicz, M. L., Gupta, R., Lee, Y. H., Reinhardt, S., Kim, S., Kim, B., . . . Sobczak, A. (2015). Nicotine levels in electronic cigarette refill solutions: A comparative analysis of products from the U.S., Korea, and Poland. Int J Drug Policy, 26(6), 583-588. doi:10.1016/j.drugpo.2015.01.020
  • Goniewicz, M. L., Knysak, J., Gawron, M., Kosmider, L., Sobczak, A., Kurek, J., . . . Benowitz, N. (2014). Levels of selected carcinogens and toxicants in vapour from electronic cigarettes. Tob Control, 23(2), 133-139. doi:10.1136/tobaccocontrol-2012-050859
  • Grana, R., Benowitz, N., & Glantz, S. A. (2014). E-cigarettes: a scientific review. Circulation, 129(19), 1972-1986. doi:10.1161/circulationaha.114.007667
  • Harrell, P. T., Simmons, V. N., Correa, J. B., Padhya, T. A., & Brandon, T. H. (2014). Electronic nicotine delivery systems ("e-cigarettes"): review of safety and smoking cessation efficacy. Otolaryngol Head Neck Surg, 151(3), 381-393. doi:10.1177/0194599814536847
  • Hitchman, S. C., Brose, L. S., Brown, J., Robson, D., & McNeill, A. (2015). Associations Between E-Cigarette Type, Frequency of Use, and Quitting Smoking: Findings From a Longitudinal Online Panel Survey in Great Britain. Nicotine Tob Res, 17(10), 1187-1194. doi:10.1093/ntr/ntv078
  • Javed, F., Kellesarian, S. V., Sundar, I. K., Romanos, G. E., & Rahman, I. (2017). Recent updates on electronic cigarette aerosol and inhaled nicotine effects on periodontal and pulmonary tissues. Oral Dis, 23(8), 1052-1057. doi:10.1111/odi.12652
  • Lee, S., Kimm, H., Yun, J. E., & Jee, S. H. (2011). Public health challenges of electronic cigarettes in South Korea. J Prev Med Public Health, 44(6), 235-241. doi:10.3961/jpmph.2011.44.6.235
  • Lerner, C. A., Sundar, I. K., Yao, H., Gerloff, J., Ossip, D. J., McIntosh, S., . . . Rahman, I. (2015). Vapors produced by electronic cigarettes and e-juices with flavorings induce toxicity, oxidative stress, and inflammatory response in lung epithelial cells and in mouse lung. PLoS One, 10(2), e0116732. doi:10.1371/journal.pone.0116732
  • Lim, H. B., & Kim, S. H. (2014). Inhallation of e-Cigarette Cartridge Solution Aggravates Allergen-induced Airway Inflammation and Hyper-responsiveness in Mice. Toxicol Res, 30(1), 13-18. doi:10.5487/tr.2014.30.1.013
  • Pellegrino, R. M., Tinghino, B., Mangiaracina, G., Marani, A., Vitali, M., Protano, C., . . . Cattaruzza, M. S. (2012). Electronic cigarettes: an evaluation of exposure to chemicals and fine particulate matter (PM). Ann Ig, 24(4), 279-288.
  • Singh, D., Agusti, A., Anzueto, A., Barnes, P. J., Bourbeau, J., Celli, B. R., . . . Vogelmeier, C. (2019). Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease: the GOLD science committee report 2019. Eur Respir J, 53(5). doi:10.1183/13993003.00164-2019
  • Wu, Q., Jiang, D., Minor, M., & Chu, H. W. (2014). Electronic cigarette liquid increases inflammation and virus infection in primary human airway epithelial cells. PLoS One, 9(9), e108342. doi:10.1371/journal.pone.0108342

Electronic Cigarette-Related Attitudes and Behaviors of Patients Presenting to the Pulmonology Clinic

Yıl 2022, Cilt: 11 Sayı: 2, 242 - 247, 14.07.2022
https://doi.org/10.53424/balikesirsbd.978358

Öz

Aim: Electronic cigarettes (e-cigs) are electric-powered devices that deliver nicotine with flavors and other additives. The popularity of e-cig is increasing gradually. In this study, we aimed to evaluate patients that presented to our clinic in terms of their smoking and vaping habits, views on e-cigs, and how demographic features influenced their views on e-cigs.
Materials and Methods: The study included 150 male patients that were divided into three groups: Group I (control group) comprised 50 healthy participants, Group II consisted of 50 patients with chronic bronchitis, and Group III contained 50 patients with chronic obstructive pulmonary disease. We recorded the patients’ demographic features, pulmonary function test results and smoking and/or vaping habits.
Results: Among the patients that had previously attempted to quit smoking, the vaping rate was higher in Group III (n=19), compared to Group II (n=17) (p<0.05). In all three groups, the patients had mostly heard about e-cig mainly through media and considered conventional cigarettes to be more dangerous than e-cig.
Conclusion: Our study showed that strict cautions must be taken against the sale, promotion and advertisement of e-cig because there is a common belief that e-cig is less harmful than conventional cigarettes.

Kaynakça

  • Abrams, D. B. (2014). Promise and peril of e-cigarettes: can disruptive technology make cigarettes obsolete? Jama, 311(2), 135-136. doi:10.1001/jama.2013.285347 Breland, A., Soule, E., Lopez, A., Ramoa, C., El-Hellani, A., & Eissenberg, T. (2017). Electronic cigarettes: what are they and what do they do? Ann N Y Acad Sci, 1394(1), 5-30. doi:10.1111/nyas.12977
  • Bullen, C., Howe, C., Laugesen, M., McRobbie, H., Parag, V., Williman, J., & Walker, N. (2013). Electronic cigarettes for smoking cessation: a randomised controlled trial. Lancet, 382(9905), 1629-1637. doi:10.1016/s0140-6736(13)61842-5
  • Caponnetto, P., Campagna, D., Papale, G., Russo, C., & Polosa, R. (2012). The emerging phenomenon of electronic cigarettes. Expert Rev Respir Med, 6(1), 63-74. doi:10.1586/ers.11.92
  • Cheng, T. (2014). Chemical evaluation of electronic cigarettes. Tob Control, 23 Suppl 2, ii11-17. doi:10.1136/tobaccocontrol-2013-051482
  • Cullen, K. A., Gentzke, A. S., Sawdey, M. D., Chang, J. T., Anic, G. M., Wang, T. W., . . . King, B. A. (2019). e-Cigarette Use Among Youth in the United States, 2019. Jama. doi:10.1001/jama.2019.18387
  • Drummond, M. B., & Upson, D. (2014). Electronic cigarettes. Potential harms and benefits. Ann Am Thorac Soc, 11(2), 236-242. doi:10.1513/AnnalsATS.201311-391FR
  • Etter, J. F., Bullen, C., Flouris, A. D., Laugesen, M., & Eissenberg, T. (2011). Electronic nicotine delivery systems: a research agenda. Tob Control, 20(3), 243-248. doi:10.1136/tc.2010.042168
  • Farsalinos, K. E., Romagna, G., Tsiapras, D., Kyrzopoulos, S., & Voudris, V. (2014). Characteristics, perceived side effects and benefits of electronic cigarette use: a worldwide survey of more than 19,000 consumers. Int J Environ Res Public Health, 11(4), 4356-4373. doi:10.3390/ijerph110404356
  • Flouris, A. D., Chorti, M. S., Poulianiti, K. P., Jamurtas, A. Z., Kostikas, K., Tzatzarakis, M. N., . . . Koutedakis, Y. (2013). Acute impact of active and passive electronic cigarette smoking on serum cotinine and lung function. Inhal Toxicol, 25(2), 91-101. doi:10.3109/08958378.2012.758197
  • Goniewicz, M. L., Gupta, R., Lee, Y. H., Reinhardt, S., Kim, S., Kim, B., . . . Sobczak, A. (2015). Nicotine levels in electronic cigarette refill solutions: A comparative analysis of products from the U.S., Korea, and Poland. Int J Drug Policy, 26(6), 583-588. doi:10.1016/j.drugpo.2015.01.020
  • Goniewicz, M. L., Knysak, J., Gawron, M., Kosmider, L., Sobczak, A., Kurek, J., . . . Benowitz, N. (2014). Levels of selected carcinogens and toxicants in vapour from electronic cigarettes. Tob Control, 23(2), 133-139. doi:10.1136/tobaccocontrol-2012-050859
  • Grana, R., Benowitz, N., & Glantz, S. A. (2014). E-cigarettes: a scientific review. Circulation, 129(19), 1972-1986. doi:10.1161/circulationaha.114.007667
  • Harrell, P. T., Simmons, V. N., Correa, J. B., Padhya, T. A., & Brandon, T. H. (2014). Electronic nicotine delivery systems ("e-cigarettes"): review of safety and smoking cessation efficacy. Otolaryngol Head Neck Surg, 151(3), 381-393. doi:10.1177/0194599814536847
  • Hitchman, S. C., Brose, L. S., Brown, J., Robson, D., & McNeill, A. (2015). Associations Between E-Cigarette Type, Frequency of Use, and Quitting Smoking: Findings From a Longitudinal Online Panel Survey in Great Britain. Nicotine Tob Res, 17(10), 1187-1194. doi:10.1093/ntr/ntv078
  • Javed, F., Kellesarian, S. V., Sundar, I. K., Romanos, G. E., & Rahman, I. (2017). Recent updates on electronic cigarette aerosol and inhaled nicotine effects on periodontal and pulmonary tissues. Oral Dis, 23(8), 1052-1057. doi:10.1111/odi.12652
  • Lee, S., Kimm, H., Yun, J. E., & Jee, S. H. (2011). Public health challenges of electronic cigarettes in South Korea. J Prev Med Public Health, 44(6), 235-241. doi:10.3961/jpmph.2011.44.6.235
  • Lerner, C. A., Sundar, I. K., Yao, H., Gerloff, J., Ossip, D. J., McIntosh, S., . . . Rahman, I. (2015). Vapors produced by electronic cigarettes and e-juices with flavorings induce toxicity, oxidative stress, and inflammatory response in lung epithelial cells and in mouse lung. PLoS One, 10(2), e0116732. doi:10.1371/journal.pone.0116732
  • Lim, H. B., & Kim, S. H. (2014). Inhallation of e-Cigarette Cartridge Solution Aggravates Allergen-induced Airway Inflammation and Hyper-responsiveness in Mice. Toxicol Res, 30(1), 13-18. doi:10.5487/tr.2014.30.1.013
  • Pellegrino, R. M., Tinghino, B., Mangiaracina, G., Marani, A., Vitali, M., Protano, C., . . . Cattaruzza, M. S. (2012). Electronic cigarettes: an evaluation of exposure to chemicals and fine particulate matter (PM). Ann Ig, 24(4), 279-288.
  • Singh, D., Agusti, A., Anzueto, A., Barnes, P. J., Bourbeau, J., Celli, B. R., . . . Vogelmeier, C. (2019). Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Lung Disease: the GOLD science committee report 2019. Eur Respir J, 53(5). doi:10.1183/13993003.00164-2019
  • Wu, Q., Jiang, D., Minor, M., & Chu, H. W. (2014). Electronic cigarette liquid increases inflammation and virus infection in primary human airway epithelial cells. PLoS One, 9(9), e108342. doi:10.1371/journal.pone.0108342
Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Merve Yumrukuz Şenel 0000-0003-0205-5075

Serap Duru 0000-0001-5030-5695

Bahar Kurt 0000-0002-3495-2339

Yayımlanma Tarihi 14 Temmuz 2022
Gönderilme Tarihi 3 Ağustos 2021
Yayımlandığı Sayı Yıl 2022 Cilt: 11 Sayı: 2

Kaynak Göster

APA Yumrukuz Şenel, M., Duru, S., & Kurt, B. (2022). Electronic Cigarette-Related Attitudes and Behaviors of Patients Presenting to the Pulmonology Clinic. Balıkesir Sağlık Bilimleri Dergisi, 11(2), 242-247. https://doi.org/10.53424/balikesirsbd.978358

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