June 2021
Volume 62, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2021
Association Between E-Cigarette Use and Visual Impairment
Author Affiliations & Notes
  • Abhinav Golla
    Ophthalmology, University of California Los Angeles, Los Angeles, California, United States
  • Angela Chen
    Ophthalmology, University of California Los Angeles, Los Angeles, California, United States
  • Victoria L Tseng
    Ophthalmology, University of California Los Angeles, Los Angeles, California, United States
  • Samuel Ye Chan Lee
    Ophthalmology, University of California Los Angeles, Los Angeles, California, United States
  • Deyu Pan
    Ophthalmology, University of California Los Angeles, Los Angeles, California, United States
  • Fei Yu
    Ophthalmology, University of California Los Angeles, Los Angeles, California, United States
  • Anne L Coleman
    Ophthalmology, University of California Los Angeles, Los Angeles, California, United States
  • Footnotes
    Commercial Relationships   Abhinav Golla, None; Angela Chen, None; Victoria Tseng, None; Samuel Lee, None; Deyu Pan, None; Fei Yu, None; Anne Coleman, None
  • Footnotes
    Support  Stein Eye Institute Center for Community Outreach and an Unrestricted Grant to the Stein Eye Institute from Research to Prevent Blindness
Investigative Ophthalmology & Visual Science June 2021, Vol.62, 3520. doi:
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    • Get Citation

      Abhinav Golla, Angela Chen, Victoria L Tseng, Samuel Ye Chan Lee, Deyu Pan, Fei Yu, Anne L Coleman; Association Between E-Cigarette Use and Visual Impairment. Invest. Ophthalmol. Vis. Sci. 2021;62(8):3520.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : Smoking tobacco is a known risk factor for many eye diseases. However, the association between electronic cigarettes (e-cigarettes), which contain nicotine (a by-product of tobacco), and eye diseases is not fully known. The purpose of this study was to use the Behavioral Risk Factor Surveillance System (BRFSS) to study the association between e-cigarette smoking and visual impairment.

Methods : A population-based, cross-sectional study was performed using data from 2016-2018 BRFSS surveys. BRFSS is a nationwide telephone survey that interviews U.S. adults ages 18+ about health behaviors. E-cigarette use for tobacco was assessed by the questions: “Have you ever used an e-cigarette or other electronic vaping product, even just one time, in your entire life?” and “Do you now use e-cigarettes or other electronic vaping products every day, some days, or not at all?”. Visual impairment was defined as: “Are you blind or do you have serious difficulty seeing, even when wearing glasses?”. Logistic regression was performed to assess the association between e-cigarette use and visual impairment, while controlling for the covariates of age, sex, race/ethnicity, marital status, education, employment status, family income, heavy alcohol use, BMI, physical activity, and mental health. Cigarette smoking was not included because it was highly correlated with e-cigarette use. All analyses were performed by incorporating sampling design and weights according to the BRFSS analytic guidelines.

Results : The study included 1,173,646 total individuals. 6.2% of current e-cigarette smokers and 5.8% of former e-cigarette smokers stated they were visually impaired, as opposed to only 4.7% of never e-cigarette smokers. These are weighted percentages which BRFSS uses to more accurately represent the total population from the survey. The odds ratio of visual impairment in current e-Cigarette smokers compared to never smokers was 1.37 (95% CI, 1.14-1.64) adjusted, and 1.36 (95% CI, 1.15-1.61) unadjusted. The odds ratio of visual impairment in former e-Cigarette smokers compared to never smokers was 1.21 (95% CI, 1.09-1.35) adjusted, and 1.20 (95% CI, 1.09-1.31) unadjusted.

Conclusions : E-cigarette smoking was associated with visual impairment in the BRFSS survey. Given the strong association between tobacco smoking and other behaviors like alcohol use, a future study is needed to determine the independent risk of e-cigarette smoking on visual impairment.

This is a 2021 ARVO Annual Meeting abstract.

 

 

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