Al Rifai Mahmoud, Mirbolouk Mohammadhassan, Obisesan Olufunmilayo H, Jia Xiaoming, Nasir Khurram, Merchant Anwara T, Blaha Michael, Virani Salim
Cardiology, Baylor College of Medicine, Houston, USA.
Internal Medicine, Yale School of Medicine, New Haven, USA.
Cureus. 2020 Feb 24;12(2):e7088. doi: 10.7759/cureus.7088.
Introduction Individuals who use electronic cigarettes (e-cigarettes) may have a poor perception of physical and mental health. We, therefore, studied the association of e-cigarettes with subjectively reported health domains. Methods We utilized cross-sectional data from the 2016 and 2017 Behavioral Risk Factor Surveillance System (BRFSS), a nationally representative U.S. telephone-based survey. All variables were self-reported. E-cigarette use was characterized as never, former, or current. Health domains included overall health, physical health, and mental health, which was assessed as the frequency of emotional support, life satisfaction, and feeling stressed. Weighted multivariable-adjusted logistic regression models were used to examine the association between e-cigarette use and these health domains. Results Our study population consisted of 755,355 (79%) never e-cigarette users, 111,940 (16%) former users, and 28,917 (5%) current users. There was a significant association between e-cigarette use and the less favorable perceived state of overall health, physical health, or mental health. For example, the OR (95% CI) for the association of current e-cigarette use with health domains was as follows: good perception of overall health: 0.78 (0.74,0.83), physical health: 0.69 (0.66,0.73), adequate emotional support: 0.89 (0.79,0.99), feeling satisfied: 0.83 (0.71,0.96), or being free of stress: 0.64 (0.53,0.76). Similar results were obtained in younger individuals (aged 18-34 years). Conclusions E-cigarette use is associated with a less favorable perception of physical and mental health as compared to never use, particularly among younger adults. These results have important implications for clinicians for patient counseling and regulatory agencies to regulate e-cigarette sales.
引言 使用电子烟的个体可能对身心健康的认知较差。因此，我们研究了电子烟与主观报告的健康领域之间的关联。方法 我们利用了2016年和2017年行为危险因素监测系统（BRFSS）的横断面数据，这是一项具有全国代表性的基于美国电话的调查。所有变量均为自我报告。电子烟使用情况分为从不使用、曾经使用或当前使用。健康领域包括总体健康、身体健康和心理健康，心理健康通过情感支持频率、生活满意度和压力感受来评估。使用加权多变量调整逻辑回归模型来检验电子烟使用与这些健康领域之间的关联。结果 我们的研究人群包括755,355名（79%）从不使用电子烟的人、111,940名（16%）曾经使用过的人以及28,917名（5%）当前使用者。电子烟使用与总体健康、身体健康或心理健康的较差感知状态之间存在显著关联。例如，当前使用电子烟与健康领域关联的OR（95%CI）如下：对总体健康的良好认知：0.78（0.74,0.83），身体健康：0.69（0.66,0.73），充足的情感支持：0.89（0.79,0.99），感到满意：0.83（0.71,0.96），或没有压力：0.64（0.53,0.76）。在较年轻个体（18 - 34岁）中也获得了类似结果。结论 与从不使用相比，使用电子烟与对身心健康的较差认知相关，尤其是在年轻成年人中。这些结果对临床医生进行患者咨询以及监管机构规范电子烟销售具有重要意义。
