Racial and Ethnic Disparities in Biomarkers of Exposure and Potential Harm Among U.S. Adult Exclusive e-Cigarette Users: 2013–2019

Document Type

Article

Publication Title

Drug and Alcohol Dependence

Abstract

Objective: Provide evidence on racial and ethnic differences in biomarkers of exposure from rising e-cigarette use among U.S. adults.

Methods: Data were drawn from Waves 1-5 of the Population Assessment of Tobacco and Health study (September 2013-November 2019). Differences in biomarkers of exposure and potential harm (BOE/BoPH) across non-Hispanic (NH)-Whites, NH Blacks, Hispanic/Latinos, and NH others were examined using generalized estimation equations.

Results: Among exclusive e-cigarette users, mean concentrations of BOEs/BoPHs were not significantly different across NH Blacks (n=97), NH others (n=122), and NH Whites (n=1062), after adjustment by wave, age, sex, education, exposure to the secondhand smoke, and the number of recent puffs. Compared to NH Whites, Hispanics (n=151) had lower concentrations of nicotine equivalents (0.5[0.2-1.7] vs. 15.5 [12.5-19.1] nmol/mg creatinine, p

Conclusions: Hispanic vapers exhibited lower exposure to nicotine metabolites and carcinogens than their non-Hispanic White counterparts. The harm reduction potential from e-cigarette use are likely to be realized across diverse racial and ethnic groups.

DOI

10.1016/j.drugalcdep.2023.110984

Publication Date

9-28-2023

ISSN

1879-0046

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