toxics Article Differences in Exposure to Nicotine, Tobacco-Specific Nitrosamines, and Volatile Organic Compounds among Electronic Cigarette Users, Tobacco Smokers, and Dual Users from Three Countries Danielle M. Smith 1 , Lion Shahab 2 , Benjamin C. Blount 3 , Michal Gawron 4, Leon Kosminder 4 , Andrzej Sobczak 4, Baoyun Xia 3, Connie S. Sosnoff 3 and Maciej L. Goniewicz 1,* 1 Department of Health Behavior, Roswell Park Comprehensive Cancer Center, Elm and Carlton Streets, Buffalo, NY 14263, USA;
[email protected] 2 Department of Epidemiology and Public Health, University College London, 1-19 Torrington Place, London WC1E 6BT, UK;
[email protected] 3 Tobacco and Volatiles Branch, Division of Laboratory Sciences, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA;
[email protected] (B.C.B.);
[email protected] (B.X.);
[email protected] (C.S.S.) 4 Department of General and Inorganic Chemistry, Katowice Faculty of Pharmaceutical Sciences in Sosnowiec, Medical University of Silesia, Jagiellonska 4, 41-200 Sosnowiec, Poland;
[email protected] (M.G.);
[email protected] (L.K.);
[email protected] (A.S.) * Correspondence:
[email protected]; Tel.: +1-716-845-8541; Fax: +1-716-845-1268 Received: 24 August 2020; Accepted: 12 October 2020; Published: 14 October 2020 Abstract: Country-level differences in nicotine vaping products used and biomarkers of exposure among long-term e-cigarette users and dual users remain understudied. This cross-sectional study was conducted in 2014 in the United States (n = 166), United Kingdom (n = 129), and Poland (n = 161). We compared patterns of tobacco product use and nicotine and toxicant exposure among cigarette-only smokers (n = 127); e-cigarette-only users (n = 124); dual users of tobacco cigarettes and e-cigarettes (n = 95); and non-users (control group, n = 110) across three countries using mixed-effects linear regression.