Use of electronic cigarettes among adolescents: focus on harms, risks, and protective factors

Authors

  • Jesia Lourenço de Oliveira Pio Pio Escola de Saúde Pública da Paraíba
  • Milena Nunes Alves de Sousa Centro Universitário de Patos https://orcid.org/0000-0001-8327-9147
  • Ilana Andrade Santos do Egypto Centro Universitário de Patos

DOI:

https://doi.org/10.18378/rebes.v14i3.10626

Abstract

Studies have shown a close relationship between e-cigarette use and increased nicotine dependence and tobacco habituation. However, this scenario doesn't seem to serve as a warning for adolescents. One study investigated the impacts of e-cigarette use among teenagers in an effort to understand associated health damages, as well as the involved risk and protective factors. The research adopted an integrative literature review, following rigorous methodological guidelines for the selection and analysis of relevant studies. Various academic databases were consulted, and specific inclusion criteria were established, resulting in the selection of 12 relevant studies. The findings revealed a range of health hazards linked to e-cigarette use among adolescents, including respiratory, cardiovascular, gastrointestinal, immunological, neurocognitive, psychological, and mental issues. Identified risk factors included easy accessibility, device flavor attractiveness, social influences from friends and family, and lack of education about risks in schools. Female gender and younger age were also associated with higher propensity for use. Conversely, protective factors included higher socioeconomic status, parental guidance against smoking, absence of cigarette exposure at home, and prior knowledge of e-cigarette harms. In conclusion, preventive and educational measures are essential to mitigate this growing problem. Implementation of school education programs, public awareness campaigns, and stricter regulatory policies are recommended to safeguard adolescent health. Collaboration among governments, educators, parents, and public health professionals is crucial to reverse the increasing trend in e-cigarette use and ensure a healthier future for generations to come.

Keywords: Electronic Nicotine Delivery Systems; Health Risk; Adolescent Health; Disease Prevention; Health Promotion

Downloads

Download data is not yet available.

References

AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA (ANVISA). Cigarro eletrônico. 2020. Disponível em: https://www.gov.br/anvisa/pt-br/assuntos/tabaco/cigarro-eletronico/cigarro-eletronico. Acesso em: 20 jun. 2024.

BARDIN, L. Análise de conteúdo. São Paulo: Edições 70, 2011.

BARRINGTON-TRIMIS, J. L.; URMAN, R.; BERHANE, K. E-Cigarettes and Future Cigarette Use. Pediatrics, v. 138, n. 1, p. e20160379, 2016.

BERTONI, N. et al. Prevalence of electronic nicotine delivery systems and waterpipe use in Brazil: where are we going? Revista Brasileira de Epidemiologia, v. 24, p. e210007, 2021.

BERTONI, N.; SZKLO, A. S. Dispositivos eletrônicos para fumar nas capitais brasileiras: prevalência, perfil de uso e implicações para a Política Nacional de Controle do Tabaco. Cadernos de Saúde Pública, v. 37, p. e00261920, 2021.

DA ROCHA, A. K. C. et al. Risco de exacerbação de asma em adolescentes usuários de dispositivos eletrônicos de liberação de nicotina: uma revisão sistemática e metanálise. Arq. Asma, Alerg. Imunol, p. 41-48, 2023.

DA SILVA, A. L. O.; MOREIRA, J. C. Por que os cigarros eletrônicos são uma ameaça à saúde pública? Cadernos de Saúde Pública, v. 35, p. e00246818, 2019.

DE SOUSA, M. N. A.; BEZERRA, A. L. D.; DO EGYPTO, I. A. S. Trilhando o caminho do conhecimento: o método de revisão integrativa para análise e síntese da literatura científica. Observatorio de la Economía Latinoamericana, v. 21, n. 10, p. 18448-18483, 2023.

DOS SANTOS, T. G. M. et al. Implicações do cigarro eletrônico e convencional a médio e longo prazo na população jovem. Revista Multidisciplinar em Saúde, v. 2, n. 4, p. 136-136, 2021.

GRANA, R.; BENOWITZ, N.; GLANTZ, S. A. E-cigarettes: a scientific review. Circulation, v. 129, n. 19, p. 1972-1986, 2014.

HUANG, J. et al. Vaping versus JUULing: how the extraordinary growth and marketing of JUUL transformed the US retail e-cigarette market. Tobacco Control, v. 28, n. 2, p. 146-151, 2019.

LAYDEN, J. E. et al. Pulmonary illness related to e-cigarette use in Illinois and Wisconsin. New England Journal of Medicine, v. 381, n. 10, p. 903-916, 2019.

LIQUETE ARAUZO, L. et al. Riesgo percibido sobre el consumo ocasional de tabaco tradicional y electrónico en adolescentes. Pediatría Atención Primaria, v. 19, n. 74, p. 127-136, 2017.

LOTREAN, L. M. et al. Opinions and practices regarding electronic cigarette use among Romanian high school students. Gaceta sanitaria, v. 30, n. 5, p. 366-369, 2016.

MAGALHÃES, M. B.; DE ANDRADE, L. G. Os possíveis riscos à saúde causados pelo uso de cigarros eletrônicos por jovens. Revista Ibero-Americana de Humanidades, Ciências e Educação, v. 9, n. 5, p. 3463-3480, 2023.

MENEZES, I. L. et al. Cigarro Eletrônico: Mocinho ou Vilão? Revista Estomatológica Herediana, v. 31, n. 1, p. 28-36, 2021.

MORENO REYES, S. P. et al. Prevalence and potential factors associated with tobacco consumption in schooled adolescents. Aquichan, v. 20, n. 1, 2020.

MONTENEGRO, L. R. et al. Relação entre o uso de cigarro eletrônico e convulsões. Cuadernos de Educación y Desarrollo, v. 16, n. 2, p. 1-4, 2024.

O’BRIEN, D. et al. Association between electronic cigarette use and tobacco cigarette smoking initiation in adolescents: a systematic review and meta-analysis. BMC Public Health, v. 21, n. 1, p. 954, 2021.

OLIVEIRA, A. T. et al. EVALI em adolescentes: alterações resultantes da utilização de cigarros eletrônicos nessa faixa etária. Research, Society and Development, v. 11, n. 13, p. e127111335250-e127111335250, 2022.

OLIVEIRA, V. H.; DO NASCIMENTO JÚNIOR, V. P.; DE ARAÚJO, B. C. O uso de cigarro eletrônico por jovens e efeitos adversos ao sistema cardiovascular. Research, Society and Development, v. 11, n. 4, p. e56811427886-e56811427886, 2022.

PAGE, M. J. et al. A declaração PRISMA 2020: diretriz atualizada para relatar revisões sistemáticas. Revista Panamericana de Salud Publica, v. 46, p. e112, 2022.

PESCE, P. et al. Evaluation of periodontal indices among non-smokers, tobacco, and e-cigarette smokers: A systematic review and network meta-analysis. Clinical oral investigations, v. 26, n. 7, p. 4701-4714, 2022.

PINA, G. C. et al. Uso do cigarro eletrônico pelos adolescentes-revisão da literatura. Brazilian Journal of Health Review, v. 6, n. 5, p. 25636-25653, 2023.

PLANCHET, J. A. Impacto de los cigarrillos electrónicos en la edad pediátrica y adolescentes. Revista Digital de Postgrado, v. 9, n. 1, p. e203-e203, 2020.

PRIMACK, B. A. et al. Association of ever use of electronic cigarettes with subsequent cigarette smoking among adolescents and young adults: a systematic review and meta-analysis. JAMA Pediatrics, v. 171, n. 8, p. 788-797, 2018.

SCHALING, L. M. et al. The youth vaping epidemic in context: tobacco harm reduction, product liability, and the Smoke-Free Alternatives Trade Association. Journal of Law and the Biosciences, v. 6, n. 1, p. 1-36, 2019.

SONEJI, S. et al. Association between initial use of e-cigarettes and subsequent cigarette smoking among adolescents and young adults: a systematic review and meta-analysis. JAMA pediatrics, v. 171, n. 8, p. 788-797, 2017.

TESCHIMA, A. C. E. et al. Danos pulmonares ocasionados pelo uso dos cigarros eletrônicos: uma revisão de literatura. COORTE-Revista Científica do Hospital Santa Rosa, n. 14, 2022.

THIRIÓN-ROMERO, I. et al. Respiratory impact of electronic cigarettes and “low-risk” tobacco. Revista de investigación clínica, v. 71, n. 1, p. 17-27, 2019.

URRUTIA-PEREIRA, M. et al. Prevalence and factors associated with smoking among adolescents. Jornal de pediatria, v. 93, p. 230-237, 2017.

URRUTIA-PEREIRA, M.; SOLÉ, D. Cigarros eletrônicos: esses ilustres desconhecidos. Arquivos de Asma, Alergia e Imunologia, v. 2, n. 3, p. 309-314, 2018.

WINNICKA, L.; SHENOY, M. A. EVALI and the pulmonary toxicityof electronic cigarettes: a review. Journal of General Internal Medicine, v. 35, n. 7, p. 2130-2135, 2020

Published

2024-07-18

How to Cite

Pio, J. L. de O. P., Sousa, M. N. A. de, & do Egypto, I. A. S. (2024). Use of electronic cigarettes among adolescents: focus on harms, risks, and protective factors. Revista Brasileira De Educação E Saúde, 14(3), 453–460. https://doi.org/10.18378/rebes.v14i3.10626

Issue

Section

ARTICLES

Most read articles by the same author(s)

1 2 3 4 5 > >>