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KMID : 1147520230160020115
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Korean Academy of Basic Medicine & Health Science
2023 Volume.16 No. 2 p.115 ~ p.120
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The Association with Dual Use of Electronic and Conventional Cigarettes for Myocardial Infarction and Angina in General Population: A Cross-Sectional Study
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Kim Dae-Hyun
Jeon Joo-Eun
Kim Sung-Hee
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Abstract
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This a cross-sectional study aimed to investigate associations with dual use of electronic and conventional cigarettes for myocardial infarction and angina among Korean general population. The data of this study is from Korean National Health and Nutrition Examination Survey (2016-2021) pertaining to 26,143 participants aged 19 years or older. Of 26,143 participants, 3,075 (11.8%) was current conventional cigarettes smoker and 1,707 (6.5%) ever tried both e-cigarettes and conventional cigarettes (dual user). Among those dual user, 73.5% was current conventional cigarettes smoker, and they had 2-fold higher association for myocardial infarction and angina compared with non-smoker based on multivariable logistic regression model adjusted for covariates (OR=2.02, 95% CI: 2.01-2.03). The significant interaction effect was observed between smoking status and metabolic syndrome (MetS) prevalence (p<0.0001). Most e-cigarette users are dual users, and dual users have a higher association with myocardial infarction and angina than conventional cigarette-only smokers and non-smokers, and interaction with metabolic syndrome has also been confirmed in this relationship, so more active measures should be taken to target dual users. Smoking cessation education and intensive lifestyle intervention should be prioritized.
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KEYWORD
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Smoking, Electronic cigarettes, Cardiovascular disease, Metabolic syndrome
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