Examining daily electronic cigarette puff topography among established and nonestablished cigarette smokers in their natural environment

Introduction: Understanding exposures and potential health effects of ecigarettes is complex. Users' puffing behavior, or topography, affects function of ecigarette devices (e.g., coil temperature) and composition of their emissions. Users with different topographies are likely exposed to different amounts of any harmful or potentially harmful constituents (HPHCs). In this study, we compare ecigarette topographies of established cigarette smokers and non-established cigarette smokers.

Methods: Data measuring e-cigarette topography were collected using a wireless hand-held monitoring device in users' everyday lives over 1 week. Young adult (aged 18-25) participants (N=20) used disposable e-cigarettes with the monitor as they normally would and responded to online surveys. Topography characteristics of established versus non-established cigarette smokers were compared.

Results: On average, established cigarette smokers in the sample had larger first puff volume (130.9ml vs. 56.0ml, p<.05) and larger puff volume per session (1,509.3ml vs. 651.7ml, p<.05) compared with non-established smokers. At marginal significance, they had longer sessions (566.3s vs. 279.7s, p=.06) and used e-cigarettes more sessions per day (5.3s vs. 3.5s, p=.14). Established cigarette smokers also used ecigarettes for longer puff durations (3.3s vs. 1.8s, p<.01) and had larger puff volume (110.3ml vs. 54.7ml, p<.05) compared with non-established smokers. At marginal significance, they had longer puff interval (38.1s vs. 21.7s, p=.05).

Conclusions: Our results demonstrate that topography characteristics differ by level of current cigarette smoking. This suggests that exposures to constituents of e-cigarettes depends on user characteristics and that specific topography parameters may be needed for different user populations when assessing ecigarette health effects.

Implications: A user's topography affects his or her exposure to HPHCs. As this study demonstrates, user characteristics, such as level of smoking, can influence topography. Thus, it is crucial to understand the topography profiles of different user types to assess the potential for population harm and to identify potentially vulnerable populations. This study only looked at topography of cigarette smokers using disposable e-cigarettes. Further research is needed to better understand potential variation in ecigarette topography and resulting exposures to HPHCs among users of different e-cigarette devices and liquids.

Lee, Y. O., Nonnemaker, J. M., Bradfield, B., Hensel, E. C., & Robinson, R. J. (2018). Examining daily electronic cigarette puff topography among established and nonestablished cigarette smokers in their natural environment. Nicotine and Tobacco Research, 20(10), 1283-1288. [ntx222]. https://doi.org/10.1093/ntr/ntx222