Risco de iniciação ao tabagismo com o uso de cigarros eletrônicos: revisão sistemática e meta-análise

Ciencia e Saude Coletiva

article

Barufaldi, Laura Augusta¹  Guerra, Renata Leborato¹  Albuquerque, Rita de Cássia Ribeiro de¹  Nascimento, Aline do¹  Chança, Raphael Duarte¹  Souza, Mirian Carvalho de²  Almeida, Liz Maria de² 

[1] Instituto Nacional de Câncer José Alencar Gomes da Silva;INCA

关键词: Electronic Nicotine Delivery Systems;    Smoking habit;    Smoking Habit Prevention;    Systematic Review;    Meta-analysis;   

DOI  :  10.1590/1413-812320212612.35032020

学科分类：社会科学、人文和艺术（综合）

来源: Associacao Brasileira de Pos - Graduacao em Saude Coletiva

【 摘 要 】

This article aims to evaluate the association between the use of electronic cigarettes and initiation to smoking, through a systematic review with meta-analysis of longitudinal studies. A bibliographic search was performed on the MEDLINE, Embase, LILACS and PsycInfo databases. Reference selection, data extraction and risk of bias assessment of the studies were independently carried out in pairs, and the disagreements were discussed with a third researcher to reach a consensus. Meta-analysis was performed using the Mantel-Haenszel random effects model. Among the 25 studies included, 22 evaluated the outcome of conventional cigarette experimentation and nine assessed the outcome of current smoking (in the last 30 days). The meta-analysis showed that the use of electronic cigarettes increased the risk of conventional cigarette experimentation by almost three and a half times (RR=3.42; 95%CI 2.81-4.15), and by more than four times the risk of current smoking (RR=4.32; 95%CI 3.13-5.94). The risk of smoking initiation is significantly higher among electronic cigarette users. The marketing authorization of such devices may represent a threat to public health policies in Brazil.

【 授权许可】

CC BY