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# Vapers who never smoked show no clear excess illness in an England survey
- URL: https://www.coios.me/vapers-who-never-smoked-show-no-clear-excess-illness-in-an/
- Published: 2026-09-24T08:38:35.000Z
- Updated: 2026-09-24T12:11:42.000Z
- Description: Among 7,625 adults in the 2022 Health Survey for England, adjusted odds of any long-standing condition were raised among exclusive smokers (1.87), former smokers (1.44), ever-smoking vapers (2.13) and dual users (2.35), but not among vapers who had never smoked (1.24, 95% CI 0.58-2.63).
- Author: Daniel Ryan
- Tags: Behavioural science, Smoking and vaping, Health funding and inequalities, United Kingdom, #peer-reviewed, #refines, #item, #source-2026-09

The study classified 7,625 adults in the 2022 Health Survey for England into six mutually exclusive nicotine-use groups and modelled seven self-reported condition groups and multimorbidity, adjusting for age, sex, ethnicity, deprivation, education, alcohol and physical activity. Odds of any condition were highest among dual users (aOR 2.35) and vapers with a smoking history (2.13), above exclusive smokers (1.87) and former smokers (1.44). Among current vapers who had never smoked the estimate was 1.24 (95% CI 0.58-2.63), and no disease-specific association in that group survived correction for multiple comparisons.

*Why it is interesting: It separates never-smoking vapers from ever-smoking vapers in a national sample, though a cross-section cannot say which came first, the nicotine or the illness.*

Source

[Journal of Epidemiology and Population Health, 22 September 2026](https://doi.org/10.1016/j.jeph.2026.203800?ref=coios.me)

DOI

10.1016/j.jeph.2026.203800

Type

Peer-reviewed article

Design

Cross-sectional analysis of the 2022 Health Survey for England, 7,625 adults aged 16+, survey-weighted ordered logistic regression

Verdict

Refines prior evidence

Driver

[Smoking and vaping](https://www.coios.me/d-smoking-vaping/)

Driver

[Health funding and inequalities](https://www.coios.me/d-health-inequality/)