Miller Mollie E, Tidey Jennifer W, Bunn Janice Y, Gaalema Diann E, Scott-Sheldon Lori A J, Pericot-Valverde Irene, Japuntich Sandra J
Mollie E. Miller, Postdoctoral Research Associate, Brown University, Center for Alcohol and Addiction Studies, Providence, RI. Jennifer W. Tidey, Professor, Brown University, Center for Alcohol and Addiction Studies, Providence, RI. Janice Y. Bunn, Research Associate Professor, University of Vermont, Medical Biostatistics, Burlington, VT. Diann E. Gaalema, Assistant Professor, University of Vermont, Departments of Psychiatry and Psychology, Burlington, VT. Lori A. J. Scott-Sheldon, Associate Professor, The Miriam Hospital, Centers for Behavioral and Preventive Medicine, Providence, RI. Irene Pericot-Valverde, Postdoctoral Trainee, University of Vermont, Vermont Center on Behavior and Health, Burlington, VT. Sandra J. Japuntich, Research Scientist, The Miriam Hospital, Centers for Behavioral and Preventive Medicine, Providence, RI.
Tob Regul Sci. 2018 Jul;4(4):3-11. doi: 10.18001/trs.4.4.1.
Poor mental health is associated with increased cigarette smoking, yet whether this extends to alternative tobacco product use remains unknown.
Wave 1 data from the Population Assessment of Tobacco and Health study assessed relationships between self-perceived mental health (SPMH) and prevalence of and motives for tobacco use among US adults (N = 32,320).
Fair/poor SPMH, as compared to good/excellent SPMH, was associated with increased current cigarette (AOR = 2.91, 95% CI = 2.64, 3.20), e-cigarette (AOR = 1.35, 95% CI = 1.20, 1.53), cigarillo (AOR = 1.38, 95% CI = 1.22, 1.56), filtered cigar (AOR = 1.43, 95% CI = 1.21, 1.70), and smokeless tobacco (AOR = 1.17, 95% CI = 1.01, 1.36), but not traditional cigar use (AOR = 1.04, 95% CI = 0.90, 1.20). Whereas most motives for tobacco use were similar across SPMH rating, those with fair/poor SPMH, as compared to good/excellent SPMH, were more likely to report using traditional cigars due to affordability (AOR = 1.56, 95% CI = 1.23, 1.98) and e-cigarettes (AOR = 1.43, 95% CI = 1.15, 1.79) and smokeless tobacco (AOR = 1.84, 95% CI = 1.19, 2.83) due to appealing advertising.
Although individuals with poor SPMH are more likely to use alternative tobacco products than those with better SPMH, most motives for use are strikingly similar. These findings highlight the importance of continual monitoring of tobacco use trends among vulnerable populations.
心理健康状况不佳与吸烟率上升有关，但这是否也适用于其他烟草制品的使用尚不清楚。
烟草与健康人口评估研究的第一轮数据评估了美国成年人（N = 32320）自我感知的心理健康（SPMH）与烟草使用流行率及动机之间的关系。
与良好/优秀的SPMH相比，一般/较差的SPMH与当前吸烟率上升（优势比[AOR]=2.91，95%置信区间[CI]=2.64，3.20）、电子烟（AOR = 1.35，95% CI = 1.20，1.53）、小雪茄（AOR = 1.38，95% CI = 1.22，1.56）、过滤嘴雪茄（AOR = 1.43，95% CI = 1.21，1.70）和无烟烟草（AOR = 1.17，95% CI = 1.01，1.36）相关，但与传统雪茄使用无关（AOR = 1.04，95% CI = 0.90，1.20）。虽然不同SPMH评级下烟草使用的大多数动机相似，但与良好/优秀的SPMH相比，一般/较差的SPMH人群因价格可承受而使用传统雪茄的可能性更高（AOR = 1.56，95% CI = 1.23，1.98），因广告吸引人而使用电子烟（AOR = 1.43，95% CI = 1.15，1.79）和无烟烟草（AOR = 1.84，95% CI = 1.19，2.83）的可能性更高。
虽然SPMH较差的个体比SPMH较好的个体更有可能使用其他烟草制品，但大多数使用动机惊人地相似。这些发现凸显了持续监测弱势群体烟草使用趋势的重要性。
