Estey David, Wanye Geoffrey F, Sharp Amanda, Takalkar Rujuta, Progovac Ana, Cook Benjamin Lê
Cambridge Health Alliance, Cambridge, Massachusetts, United States.
Department of Psychiatry, Harvard Medical School, Cambridge, Massachusetts, United States.
Tob Prev Cessat. 2024 Jun 20;10. doi: 10.18332/tpc/189769. eCollection 2024.
Individuals with behavioral health conditions smoke at significantly higher rates and have been resistant to existing smoking cessation efforts. A clearer understanding of associations between vaping and daily cigarette consumption in this vulnerable population is warranted.
We analyzed data from the 2014-2018 National Health Interview Survey (NHIS) to examine whether vaping was associated with differences in number of cigarettes smoked per day (CPD) among adults who smoke daily and have varying levels of psychological distress.
After adjustment for sociodemographic covariates, individuals who vaped every day smoked on average 1.48 fewer cigarettes per day than individuals who never vaped (p<0.01), while individuals who vaped some days and individuals who ever but no longer vaped smoked 0.77 and 1.48 more CPD, respectively, than individuals who never vaped. Differences between those who vaped every day and those who never vaped were even greater among those with moderate psychological distress (-2.21 CPD, p<0.01).
Our findings suggest that use of vaping devices may be associated with lower daily cigarette use among individuals with psychological distress, potentially supporting smoking harm reduction efforts.
患有行为健康问题的人群吸烟率显著更高，并且对现有的戒烟措施有抵触情绪。有必要更清楚地了解在这一弱势群体中电子烟使用与每日香烟消费量之间的关联。
我们分析了2014 - 2018年美国国家健康访谈调查（NHIS）的数据，以研究在每天吸烟且心理困扰程度不同的成年人中，电子烟使用是否与每日吸烟量（CPD）的差异有关。
在对社会人口统计学协变量进行调整后，每天使用电子烟的人平均每天比从不使用电子烟的人少吸1.48支烟（p<0.01），而有时使用电子烟的人和曾经使用但现在不再使用电子烟的人分别比从不使用电子烟的人多吸0.77支和1.48支CPD。在中度心理困扰人群中，每天使用电子烟的人与从不使用电子烟的人之间的差异更大（-2.21支CPD，p<0.01）。
我们的研究结果表明，使用电子烟设备可能与心理困扰人群较低的每日吸烟量有关，这可能支持减少吸烟危害的努力。
