Home > The inverse association of state cannabis vaping prevalence with the e-cigarette or vaping product-use associated lung injury.

Boakye, Ellen and El Shahawy, Omar and Obisesan, Olufunmilayo and Dzaye, Omar and Osei, Albert D and Erhabor, John and Uddin, S M Iftekhar and Blaha, Michael J (2022) The inverse association of state cannabis vaping prevalence with the e-cigarette or vaping product-use associated lung injury. PLoS ONE, 17, (10), e0276187. https://doi.org/10.1371/journal.pone.0276187.

External website: https://journals.plos.org/plosone/article?id=10.13...

The e-cigarette or vaping product-use-associated lung injury (EVALI) epidemic was primarily associated with the use of e-cigarettes containing tetrahydrocannabinol (THC)- the principal psychoactive substance in cannabis, and vitamin-E-acetate- an additive sometimes used in informally sourced THC-containing e-liquids. EVALI case burden varied across states, but it is unclear whether this was associated with state-level cannabis vaping prevalence. We, therefore, used linear regression models to assess the cross-sectional association between state-level cannabis vaping prevalence (obtained from the 2019 behavioral Risk Factor Surveillance System) and EVALI case burden (obtained from the Centers for Disease Control and Prevention) adjusted for state cannabis policies. Cannabis vaping prevalence ranged from 1.14%(95%CI, 0.61%-2.12%) in Wyoming to 3.11%(95%CI, 2.16%-4.44%) in New Hampshire. EVALI cases per million population ranged from 1.90(0.38-3.42) in Oklahoma to 59.10(19.70-96.53) in North Dakota. There was no significant positive association but an inverse association between state cannabis vaping prevalence and EVALI case burden (Coefficient, -18.6; 95%CI, -37.5-0.4; p-value, 0.05). Thus, state-level cannabis vaping prevalence was not positively associated with EVALI prevalence, suggesting that there may not be a simple direct link between state cannabis vaping prevalence and EVALI cases, but rather the relationship is likely more nuanced and possibly reflective of access to informal sources of THC-containing e-cigarettes.


Item Type
Article
Publication Type
International, Open Access, Article
Drug Type
Tobacco / Nicotine
Intervention Type
Prevention, Harm reduction
Date
2022
Identification #
https://doi.org/10.1371/journal.pone.0276187
Publisher
Public Library of Science
Volume
17
Number
10
EndNote

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