2017 年，电子尼古丁传送系统（ENDS）的使用与心理健康状况、过去一个月的严重心理困扰和吸烟状况的关系。
Electronic nicotine delivery system (ENDS) use in relation to mental health conditions, past-month serious psychological distress and cigarette smoking status, 2017.
机构信息
Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA, USA.
Division of Health Promotion and Behavior, School of Public Health, Georgia State University, Atlanta, GA, USA.
出版信息
Addiction. 2019 Feb;114(2):315-325. doi: 10.1111/add.14464. Epub 2018 Nov 5.
BACKGROUND AND AIMS
Adults with mental health conditions (MHC) exhibit disproportionately high smoking prevalence and experience profound tobacco-related disparities. US nationally representative surveys from 2012 to 2015 found relatively high usage of electronic nicotine delivery systems (ENDS; e.g. e-cigarettes) among adults with MHC. However, research has not examined these associations specifically among never smokers. Aims were to examine associations among MHC diagnosis, serious psychological distress (SPD) and ENDS use and to test whether associations varied by cigarette smoking status.
DESIGN
Cross-sectional US nationally representative survey.
SETTING
United States, 2017.
PARTICIPANTS
A total of 5762 adults (52.0% female; 64.8% non-Hispanic white, 11.4% non-Hispanic black, 15.9% Hispanic, 7.9% non-Hispanic other).
MEASUREMENTS
Outcomes were lifetime, current and current daily ENDS use. Predictors were lifetime MHC, past-month SPD and cigarette smoking status, and covariates were gender, age, race/ethnicity, education and annual household income.
FINDINGS
lifetime MHC and past-month SPD were each associated with higher likelihood of having ever used ENDS (P ≤ 0.001), currently using ENDS (P ≤ 0.001) and currently using ENDS daily (P < 0.05). There were interactions between MHC and smoking status in predicting ENDS use, such that MHC status predicted higher lifetime and current ENDS use specifically among never and current smokers. Never smokers with MHC had 2.62 higher odds [95% confidence interval, (CI) = 1.54, 4.45] of current ENDS use than those without MHC. Among never smokers, those with MHC indicated higher expectations that ENDS would improve relaxation and concentration (P < 0.05).
CONCLUSIONS
In 2017, US adults with versus without mental health conditions (MHC) were more likely to use electronic nicotine delivery systems (ENDS). In particular, both never and current smokers with MHC reported disproportionately high rates of current ENDS use.
背景和目的
患有心理健康状况 (MHC) 的成年人吸烟率异常高，并且经历了深刻的与烟草相关的差异。2012 年至 2015 年，来自美国的全国代表性调查发现，患有 MHC 的成年人中相对较高比例使用电子尼古丁输送系统 (ENDS; 例如电子烟)。然而，研究尚未专门检查这些关联在从未吸烟者中的情况。目的是检查 MHC 诊断、严重心理困扰 (SPD) 和 ENDS 使用之间的关联，并测试这些关联是否因吸烟状况而异。
设计
横断面美国全国代表性调查。
地点
美国，2017 年。
参与者
共有 5762 名成年人（52.0%女性；64.8%非西班牙裔白人，11.4%非西班牙裔黑人，15.9%西班牙裔，7.9%非西班牙裔其他）。
测量
结局为终生、当前和当前每日使用 ENDS。预测因子为终生 MHC、过去一个月的 SPD 和吸烟状况，协变量为性别、年龄、种族/民族、教育程度和年收入。
结果
终生 MHC 和过去一个月的 SPD 均与更高的可能性相关终生使用过 ENDS（P ≤ 0.001）、当前使用 ENDS（P ≤ 0.001）和当前每天使用 ENDS（P < 0.05）。在预测 ENDS 使用方面，MHC 和吸烟状况之间存在相互作用，例如 MHC 状况预测从未吸烟者和当前吸烟者的终生和当前 ENDS 使用更高。患有 MHC 的从未吸烟者当前使用 ENDS 的可能性比没有 MHC 的从未吸烟者高 2.62 倍[95%置信区间，（CI）= 1.54, 4.45]。在从未吸烟者中，患有 MHC 的人表示他们期望 ENDS 能改善放松和集中注意力（P < 0.05）。
结论
2017 年，与没有心理健康状况 (MHC) 的成年人相比，美国成年人更有可能使用电子尼古丁输送系统 (ENDS)。特别是，患有 MHC 的从未吸烟者和当前吸烟者报告的当前 ENDS 使用率异常高。
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