Spears Claire Adams, Jones Dina M, Weaver Scott R, Pechacek Terry F, Eriksen Michael P
Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA 30303, USA.
Division of Health Promotion and Behavior, School of Public Health, Georgia State University, Atlanta, GA 30303, USA.
Int J Environ Res Public Health. 2016 Dec 23;14(1):10. doi: 10.3390/ijerph14010010.
Adults with mental health conditions (MHC) are especially likely to smoke and experience tobacco-related health disparities. Individuals with MHC may also use electronic nicotine delivery devices (ENDS) at disproportionately high rates. However, there is a relative dearth of knowledge regarding ENDS use among individuals with MHC. In a large representative sample of U.S. adults ( = 6051), associations between self-reported MHC diagnoses and ENDS use and susceptibility were examined, stratified by smoking status. Participants with MHC were approximately 1.5 times more likely to have used ENDS in their lifetime and almost twice as likely to currently use ENDS as those without MHC. MHC status was most strongly linked to higher ENDS use among former smokers, and former smokers with MHC were more likely to report using ENDS during past smoking quit attempts than those without MHC. Among participants who had not tried ENDS, former smokers with MHC were especially susceptible to future ENDS use. The potential advantage of ENDS for cessation purposes should be balanced with the risk of attracting former smokers with MHC to ENDS.
患有精神健康疾病（MHC）的成年人尤其容易吸烟，并经历与烟草相关的健康差异。患有MHC的个体使用电子尼古丁传送装置（ENDS）的比例也相对较高。然而，关于患有MHC的个体使用ENDS的知识相对匮乏。在一个具有代表性的美国成年人大型样本（n = 6051）中，按吸烟状况分层，研究了自我报告的MHC诊断与ENDS使用及易感性之间的关联。患有MHC的参与者一生中使用ENDS的可能性约为未患MHC者的1.5倍，目前使用ENDS的可能性几乎是未患MHC者的两倍。MHC状况与 former smokers中更高的ENDS使用率联系最为紧密，患有MHC的former smokers比未患MHC的former smokers更有可能报告在过去戒烟尝试期间使用ENDS。在未尝试过ENDS的参与者中，患有MHC的former smokers尤其容易在未来使用ENDS。ENDS用于戒烟目的的潜在优势应与吸引患有MHC的former smokers使用ENDS的风险相权衡。
