Amaç: Elektronik sigara (e-sigara), toksik kimyasallar ve karsinojen maddeler içermektedir. E-sigara aerosollerinde bulunan bazı kimyasal bileşenlerin hayvanlarda nazofarenks kanserlerine neden olduğu gösterilmiştir ve ''bilinen bir insan kanserojeni'' olarak kabul edilmektedir. Bu çalışmanın amacı, e-sigara kullanımının ağız kanserine etkisi konusunda bireylerin farkındalık ve bilgi düzeylerinin değerlendirilmesidir. Gereç ve Yöntemler: E-sigara hakkındaki bilgi ve tecrübeleri, e-sigaraya ilişkin ağız kanseri bilinci, bilgisi ve sosyodemografik profil üzerine sorular içeren bir anket hazırlandı. Süleyman Demirel Üniversitesi Ağız, Diş ve Çene Radyolojisi Kliniğine başvuran ve çevrim içi olarak ulaşılan 18-65 yaş arası bireyler anketi tamamladı. Veriler istatistiksel olarak analiz edildi. Bulgular: Ankete katılan toplam 583 (ortalama yaş±standart sapma; 34±10,9) hastanın 282'si (%48,4) erkektir. E-sigara, geleneksel tütün ürünü, geleneksel tütün ürünü ve esigarayı birlikte kullanan ve sigara kullanmayan bireylerin sayısı sırasıyla; 9 (%1,5), 172 (%29,5), 37 (%6,3), 365'tir (%62,7). ''E-sigara sağlığa zararlı mıdır?'' sorusuna %80,1 oranında ''evet'' cevabı alınmış; eğitim seviyesi artışı ile anlamlı bir ilişki olduğu görülmüştür (p=0,006). Bireylerin %28'i e-sigaranın ağız kanserine neden olduğunu düşünmektedir. Geleneksel tütün ürünlerinden e-sigaraya geçiş sırasında en sık görülen olumsuz ağız bulgusu ağız kuruluğudur (%30,6). Bireylerin %55,7'si diş hekimlerinin e-sigara konusunda gerekli bilgilendirmeyi yapmadığı görüşündedir. Sonuç: E-sigara kullanımının ağız kanseri riski oluşturması konusunda farkındalığın düşük olduğu belirlenmiştir. E-sigaranın potansiyel oral etkileri konusunda diş hekimleri bilgilendirme yapmalıdır.
Anahtar Kelimeler: Ağız kanseri; bilgi; e-sigara
Objective: Electronic cigarettes (e-cigarettes) contain toxic chemicals and carcinogens. Some chemical components in ecigarette aerosols have been shown to cause nasopharyngeal cancers in animals and are recognized as a ''known human carcinogen''. The aim of this study was to evaluate the awareness and knowledge of individuals about the effects of e-cigarette use on oral cancer. Material and Methods: A survey including questions on experiences about ecigarettes, oral cancer awareness and knowledge about e-cigarettes, and socio-demographic profile was prepared. Individuals aged 18-65 years who applied to Süleyman Demirel University, Department of Oral and Maxillofacial Radiology and were reached online completed the survey. The data were statistically analyzed. Results: 583 (mean age±standard deviation; 34±10.9) patients participated in the survey and 282 (48.4%) were male. The number of individuals who use e-cigarettes, traditional tobacco products, traditional tobacco products and ecigarettes together and non-smokers were 9 (1.5%), 172 (29.5%), 37 (6.3%), 365 (62.7%), respectively. The question ''Are e-cigarettes harmful to health?'' was answered ''yes'' by 80.1%, and a significant relationship was observed with increasing education level (p=0.006). 28% of the individuals think that e-cigarettes cause oral cancer. The most common negative oral finding during the transition from traditional tobacco products to e-cigarettes was dry mouth (30.6%). 55.7% of the individuals think that dentists do not provide the necessary information about e-cigarettes. Conclusion: It was determined that awareness about the risk of oral cancer caused by e-cigarette use was low. Dentists should provide information about the potential oral effects of e-cigarettes.
Keywords: Oral cancer; knowledge; e-cigarette
- Law M, DeGeeter Chaplin M. Unintended consequences of e-cigarette use: a public health epidemic. In: Covvey JR, Arya V, Mager ND, Gilman N, Herring M, Ochs L, et al.; eds. Public Health in Pharmacy Practice: A Casebook. Geneseo, NY: Milne Open Textbooks; 2018. p.464-71.
- Havaçeliği Atlam D, Şaşman Kaylı D, Yararbas G. Elektronik sigara kullanımına yönelik tutum ve kullanım özellikleri: İzmir örneklemi [Attitude towards the use of electronic cigarettes and usage characteristics: İzmir sample]. Journal of Dependence. 2020;21(4):297-307. [Link]
- Bekki K, Uchiyama S, Ohta K, Inaba Y, Nakagome H, Kunugita N. Carbonyl compounds generated from electronic cigarettes. Int J Environ Res Public Health. 2014;11(11):11192-200. [Crossref] [PubMed] [PMC]
- National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Population Health and Public Health Practice; Committee on the Review of the Health Effects of Electronic Nicotine Delivery Systems. Public Health Consequences of E-Cigarettes. Eaton DL, Kwan LY, Stratton K, editors. Washington (DC): National Academies Press (US); 2018. [PubMed]
- Aqeeli AA, Makeen AM, Al Bahhawi T, Ryani MA, Bahri AA, Alqassim AY, et al. Awareness, knowledge and perception of electronic cigarettes among undergraduate students in Jazan Region, Saudi Arabia. Health Soc Care Community. 2022;30(2):706-13. [Crossref] [PubMed]
- Rutherford BN, Lim CCW, Cheng B, Sun T, Vu GT, Johnson B, et al. Viral vaping: a systematic review and meta analysis of e-cigarette and Tobacco-Related social media content and its influence on youth behaviours and attitudes. Addict Behav. 2023;147:107828. [Crossref] [PubMed]
- Wang J, Xie CC, Jia XX, Xu K, Gong ZY, Sun YQ, et al. E-cigarette awareness and use, among adult residents in Shanghai, China. Tob Induc Dis. 2023;21:104. [Crossref] [PubMed] [PMC]
- Irusa KF, Vence B, Donovan T. Potential oral health effects of e-cigarettes and vaping: a review and case reports. J Esthet Restor Dent. 2020;32(3):260-4. [Crossref] [PubMed]
- Goniewicz ML, Kuma T, Gawron M, Knysak J, Kosmider L. Nicotine levels in electronic cigarettes. Nicotine Tob Res. 2013;15(1):158-66. [Crossref] [PubMed]
- Goldenson NI, Leventhal AM, Stone MD, McConnell RS, Barrington-Trimis JL. Associations of electronic cigarette nicotine concentration with subsequent cigarette smoking and vaping levels in adolescents. JAMA Pediatr. 2017;171(12):1192-9. [Crossref] [PubMed] [PMC]
- St Helen G, Dempsey DA, Havel CM, Jacob P 3rd, Benowitz NL. Impact of e-liquid flavors on nicotine intake and pharmacology of e-cigarettes. Drug Alcohol Depend. 2017;178:391-8. [Crossref] [PubMed] [PMC]
- Wagener TL, Floyd EL, Stepanov I, Driskill LM, Frank SG, Meier E, et al. Have combustible cigarettes met their match? The nicotine delivery profiles and harmful constituent exposures of second-generation and third-generation electronic cigarette users. Tob Control. 2017;26(e1):e23-e8. [Crossref] [PubMed] [PMC]
- Harvanko AM, McCubbin AK, Ashford KB, Kelly TH. Electronic cigarette liquid and device parameters and aerosol characteristics: a survey of regular users. Addict Behav. 2018;84:201-6. [Crossref] [PubMed] [PMC]
- Robinson RJ, Hensel EC, Morabito PN, Roundtree KA. Electronic cigarette topography in the natural environment. PLoS One. 2015;10(6):e0129296. [Crossref] [PubMed] [PMC]
- Etter JF. Electronic cigarettes: a survey of users. BMC Public Health. 2010;10:231. [Crossref] [PubMed] [PMC]
- Xiao L, Yin X, Di X, Nan Y, Lyu T, Wu Y, et al. Awareness and prevalence of e-cigarette use among Chinese adults: policy implications. Tob Control. 2022;31(4):498-504. [Crossref] [PubMed] [PMC]
- T.C. Sağlık Bakanlığı [İnternet] © 2023 Halk Sağlığı Genel Müdürlüğü [Erişim tarihi: 23 Eylül 2023]. Elektronik Sigara (E-Sigara). Erişim linki: [Link]
- World Health Organization [Internet] © 2024 WHO [Cited: September 24, 2023]. WHO report on the global tobacco epidemic 2019: offer help to quit tobacco use. Available from: [Link]
- Holliday R, Chaffee BW, Jakubovics NS, Kist R, Preshaw PM. Electronic cigarettes and oral health. J Dent Res. 2021;100(9):906-13. [PubMed] [PMC]
- FDA [Internet]. [Cited: September 23, 2023]. Facts about E-Cigarettes. Available from: [Link]
- Amrock SM, Zakhar J, Zhou S, Weitzman M. Perception of e-cigarette harm and its correlation with use among U.S. adolescents. Nicotine Tob Res. 2015;17(3):330-6. [Crossref] [PubMed] [PMC]
- Marques P, Piqueras L, Sanz MJ. An updated overview of e-cigarette impact on human health. Respir Res. 2021;22(1):151. [Crossref] [PubMed] [PMC]
- Farsalinos KE, Romagna G, Tsiapras D, Kyrzopoulos S, Voudris V. Characteristics, perceived side effects and benefits of electronic cigarette use: a worldwide survey of more than 19,000 consumers. Int J Environ Res Public Health. 2014;11(4):4356-73. [Crossref] [PubMed] [PMC]
- Baweja R, Curci KM, Yingst J, Veldheer S, Hrabovsky S, Wilson SJ, et al. Views of experienced electronic cigarette users. Addict Res Theory. 2016;24(1):80-8. [Crossref] [PubMed] [PMC]
- Gualano MR, Passi S, Bert F, La Torre G, Scaioli G, Siliquini R. Electronic cigarettes: assessing the efficacy and the adverse effects through a systematic review of published studies. J Public Health (Oxf). 2015;37(3):488-97. [Crossref] [PubMed]
- Vohra F, Bukhari IA, Sheikh SA, Albaijan R, Naseem M. Comparison of self-rated oral symptoms and periodontal status among cigarette smokers and individuals using electronic nicotine delivery systems. J Am Coll Health. 2020;68(7):788-93. [Crossref] [PubMed]
- Li D, Sundar IK, McIntosh S, Ossip DJ, Goniewicz ML, O'Connor RJ, Rahman I. Association of smoking and electronic cigarette use with wheezing and related respiratory symptoms in adults: cross-sectional results from the Population Assessment of Tobacco and Health (PATH) study, wave 2. Tob Control. 2020;29(2):140-7. [PubMed] [PMC]
- Gravely S, Cummings KM, Hammond D, Lindblom E, Smith DM, Martin N, et al. The association of e-cigarette flavors with satisfaction, enjoyment, and trying to quit or stay abstinent from smoking among regular adult vapers from canada and the united states: findings from the 2018 ITC four country smoking and vaping survey. Nicotine Tob Res. 2020;22(10):1831-41. Erratum in: Nicotine Tob Res. 2023;25(5):1062. [Crossref] [PubMed] [PMC]
- Dawkins L, Turner J, Roberts A, Soar K. 'Vaping' profiles and preferences: an online survey of electronic cigarette users. Addiction. 2013;108(6):1115-25. [Crossref] [PubMed]
- Sundar IK, Javed F, Romanos GE, Rahman I. E-cigarettes and flavorings induce inflammatory and pro-senescence responses in oral epithelial cells and periodontal fibroblasts. Oncotarget. 2016;7(47):77196-204. [Crossref] [PubMed] [PMC]
- Yang I, Sandeep S, Rodriguez J. The oral health impact of electronic cigarette use: a systematic review. Crit Rev Toxicol. 2020;50(2):97-127. Erratum in: Crit Rev Toxicol. 2020:1. [Crossref] [PubMed]
- Hong YR, Mainous AG 3rd. Electronic cigarette use and oral human papillomavirus infection among US Adult population: analysis of 2013-2016 NHANES. J Gen Intern Med. 2021;36(5):1454-6. [Crossref] [PubMed] [PMC]
- Cátala-Valentín AR, Almeda J, Bernard JN, Cole AM, Cole AL, Moore SD, Andl CD. E-cigarette aerosols promote Oral S. aureus colonization by delaying an immune response and bacterial clearing. Cells. 2022;11(5):773. [Crossref] [PubMed] [PMC]
- Herndon P, Jassal JS, Cramer JD. Association between E-cigarette use and oral HPV-16 infection. Oral Oncol. 2022;125:105676. [Crossref] [PubMed]
- Stephens WE. Comparing the cancer potencies of emissions from vapourised nicotine products including e-cigarettes with those of tobacco smoke. Tob Control. 2017:tobaccocontrol-2017-053808. [Crossref] [PubMed]
.: Process List