Electronic cigarettes: patterns of use, health effects, use in smoking cessation and regulatory issues

  title={Electronic cigarettes: patterns of use, health effects, use in smoking cessation and regulatory issues},
  author={Muhammad Aziz Rahman and Nicholas Hann and Andrew Wilson and Linda Worrall-Carter},
  journal={Tobacco Induced Diseases},
BackgroundElectronic cigarettes (e-cigarettes) are battery-powered devices that vaporize a liquid solution to deliver a dose of inhaled nicotine to the user. There is ongoing debate regarding their regulation.ObjectivesThis comprehensive narrative review aimed to discuss key issues including usage patterns, health effects, efficacy in smoking cessation and regulatory concerns with a view to informing future regulation and research agendas.MethodsPubMed, Scopus and Web of Science databases were… 
Health Risks and Emerging Trends with the Use of Electronic Cigarettes
E-cigarettes may not be as safe as users may perceive and should not be a preferred product for smoking cessation therapy until they are further studied and regulated.
Electronic cigarettes for smoking cessation.
The safety and effect of using ECs to help people who smoke achieve long-term smoking abstinence and the main outcome measure was abstinence from smoking after at least six months follow-up is evaluated.
Are electronic nicotine delivery systems (ENDs) helping cigarette smokers quit? - A current evidence.
  • S. Patil, G. Arakeri, P. Brennan
  • Medicine
    Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology
  • 2019
E-cigarette use was not significantly associated with increased smoking cessation among cigarette smokers, and it was found that pattern of e-cigarette may have significant effect on smoking cessation capability of E-cigarettes.
The Global Health Implications of e-Cigarettes.
This Viewpoint reports and highlights additional health considerations of e-cigarettes unique to the LMIC setting and proposes stronger control measures on the manufacture and sale of these products.
E-Cigarettes and Smoking Cessation: Evidence from a Systematic Review and Meta-Analysis
Use of e-cigarettes is associated with smoking cessation and reduction, and more randomised controlled trials are needed to assess effectiveness against other cessation methods.
The effect of e-cigarettes on smoking cessation and cigarette smoking initiation: An evidence-based rapid review and meta-analysis
Low certainty evidence suggests that e-cigarettes appear to be potentially effective for smoking cessation and the use of e-cigarette in adolescents may be associated with smoking initiation.
Electronic cigarettes for smoking cessation
Whether e-cigarettes help people who smoke to cut down and stop smoking, what are the health risks from e-cigarette use, and how these compare with smoking are looked at.
Electronic cigarette: A recent update of its toxic effects on humans
This review is sought for an attempt to throw light on several typical types of e‐cigarette components by revealing their possible impacts on human bodies through different action mechanisms characterized by alteration of specific biomarkers on cellular and molecular levels.


The regulatory challenge of electronic cigarettes.
E-cigarettes likely pose less direct hazard to the individual smoker than tobacco cigarettes and might help smokers quit smoking or reduce harm by smoking fewer tobacco cigarettes, but there are potential harms, including promoting continued smoking of cigarettes and renormalizing cigarette smoking behaviors.
E-cigarettes: promise or peril?
  • E. Russi
  • Medicine
    Swiss medical weekly
  • 2015
The motivation for e-cigarette use in smokers was the intention to reduce tobacco consumption in 43% and to quit smoking in 8%.
Electronic cigarette use by college students.
EffiCiency and Safety of an eLectronic cigAreTte (ECLAT) as Tobacco Cigarettes Substitute: A Prospective 12-Month Randomized Control Design Study
In smokers not intending to quit, the use of e-cigarettes, with or without nicotine, decreased cigarette consumption and elicited enduring tobacco abstinence without causing significant side effects.
Study protocol for a randomised controlled trial of electronic cigarettes versus nicotine patch for smoking cessation
This trial will inform international debate and policy on the regulation and availability of e-cigarettes if shown to be efficacious and safe, these devices could help many smokers as an alternative smoking cessation aid to standard nicotine products.
Comparison of the effects of e-cigarette vapor and cigarette smoke on indoor air quality
The study indicates no apparent risk to human health from e-cigarette emissions based on the compounds analyzed, and for all byproducts measured, electronic cigarettes produce very small exposures relative to tobacco cigarettes.
Electronic cigarettes for smoking cessation: a randomised controlled trial
Non-Cigarette Tobacco and the Lung
Though it is clear that cigar and waterpipe tobacco smoking are probably as dangerous to health as cigarette smoking, there is an opinion among users that the health risks are less compared to cigarettes, particularly true in younger age groups.
Electronic cigarette: users profile, utilization, satisfaction and perceived efficacy.
E-cigarettes were used much as people would use nicotine replacement medications: by former smokers to avoid relapse or as an aid to cut down or quit smoking, and for quitting and relapse prevention.