Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA, United States; Division of Health Promotion and Behavior, School of Public Health, Georgia State University, Atlanta, GA, United States.
Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA, United States.
Addict Behav. 2018 May;80:102-109. doi: 10.1016/j.addbeh.2018.01.014. Epub 2018 Jan 16.
Smoking rates are disproportionately high among adults with mental health conditions (MHC), and recent research suggests that among former smokers, those with MHC are more likely to use electronic nicotine delivery systems (ENDS). This study investigated reasons for ENDS use and related risk perceptions among individuals with versus without MHC.
Among adult current ENDS users (n=550), associations between self-reported MHC diagnoses and motives for ENDS use and ENDS risk perceptions were examined, stratified by smoking status.
There were no significant associations between MHC status and ENDS motives or perceptions in the overall sample. However, current smokers with MHC indicated thinking more about how ENDS might improve their health, and former smokers with MHC reported thinking less about how ENDS might harm their health, compared to their counterparts without MHC. Former smokers with MHC rated several reasons for ENDS use (e.g., less harmful than regular cigarettes; to quit smoking; appealing flavors) as more important than did those without MHC.
Current and former smokers with MHC may be especially optimistic about health benefits of ENDS. However, they might also be prone to health risks of continued ENDS use or concurrent use with traditional cigarettes. It will be important for public health messaging to provide this population with accurate information about benefits and risks of ENDS.
精神健康状况（MHC）成年人的吸烟率过高，最近的研究表明，在以前的吸烟者中，那些有 MHC 的人更有可能使用电子尼古丁传送系统（ENDS）。本研究调查了 MHC 个体与无 MHC 个体在使用 ENDS 的原因和相关风险认知方面的差异。
在成年当前使用 ENDS 的人群中（n=550），根据吸烟状况，对报告的 MHC 诊断与使用 ENDS 的动机和对 ENDS 的风险认知之间的关联进行了分析。
在整个样本中，MHC 状况与 ENDS 使用动机或认知之间没有显著关联。然而，与无 MHC 的患者相比，有 MHC 的当前吸烟者表示，他们更多地考虑了 ENDS 如何改善他们的健康，而有 MHC 的前吸烟者则表示，他们较少考虑了 ENDS 如何损害他们的健康。有 MHC 的前吸烟者认为，使用 ENDS 的一些原因（例如，比普通香烟危害小；戒烟；口味诱人）比无 MHC 的患者更重要。
有 MHC 的当前和前吸烟者可能对 ENDS 的健康益处特别乐观。然而，他们也可能容易受到持续使用 ENDS 或与传统香烟同时使用的健康风险的影响。为了向这一人群提供关于 ENDS 的益处和风险的准确信息，公共卫生信息传递将非常重要。
