Electronic cigarette use and mental health: A Canadian population-based study

•Dual users had the highest prevalence of adverse mental health status.•The association of e-cigarette use and mental health was found to be modified by smoking status and sex.•E-cigarette use was consistently associated with poor mental health among non-smokers and women. To examine the association...

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Veröffentlicht in:Journal of affective disorders 2020-01, Vol.260, p.646-652
Hauptverfasser: Pham, Tram, Williams, Jeanne V.A., Bhattarai, Asmita, Dores, Ashley K., Isherwood, Leah J., Patten, Scott B.
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container_end_page 652
container_issue
container_start_page 646
container_title Journal of affective disorders
container_volume 260
creator Pham, Tram
Williams, Jeanne V.A.
Bhattarai, Asmita
Dores, Ashley K.
Isherwood, Leah J.
Patten, Scott B.
description •Dual users had the highest prevalence of adverse mental health status.•The association of e-cigarette use and mental health was found to be modified by smoking status and sex.•E-cigarette use was consistently associated with poor mental health among non-smokers and women. To examine the association between electronic cigarette (e-cigarette) use and adverse mental health status. A cross-sectional analysis was conducted using data from the 2015 and 2016 Canadian Community Health Survey (n = 53,050). Sampling weights and associated bootstrap procedures were used to account for survey design effects. Multivariable logistic regression was employed to examine the association between e-cigarette use and the following mental health outcomes: depressive symptom ratings (using the Patient Health Questionnaire 9), self-reported professionally diagnosed mood and anxiety disorders, perceived mental health, suicidal thoughts/attempts, and binge drinking. The overall prevalence of past 30-day e-cigarette use was 2.9% (95% CI: 2.6–3.1). 11.5% (95% CI: 10.4–12.7) of smokers reported also using e-cigarettes. Dual users had the highest prevalence of adverse mental health status. The association between e-cigarette use and mental health was found to be modified by smoking status and sex in most of the logistic models. E-cigarettes had less than multiplicative effects among smokers. Female e-cigarette users tended to have higher odds of adverse mental health than male users. Overall, in the multivariable modeling, e-cigarette use was consistently associated with poor mental health among non-smokers and women, a finding that persisted after adjustment for additional covariates. These results indicate that e-cigarette use is associated with adverse mental health status, particularly among the non-smoking general population and women. The study relied on respondent self-report, and the cross-sectional nature of the study does not allow us to clarify the direction of this association.
doi_str_mv 10.1016/j.jad.2019.09.026
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To examine the association between electronic cigarette (e-cigarette) use and adverse mental health status. A cross-sectional analysis was conducted using data from the 2015 and 2016 Canadian Community Health Survey (n = 53,050). Sampling weights and associated bootstrap procedures were used to account for survey design effects. Multivariable logistic regression was employed to examine the association between e-cigarette use and the following mental health outcomes: depressive symptom ratings (using the Patient Health Questionnaire 9), self-reported professionally diagnosed mood and anxiety disorders, perceived mental health, suicidal thoughts/attempts, and binge drinking. The overall prevalence of past 30-day e-cigarette use was 2.9% (95% CI: 2.6–3.1). 11.5% (95% CI: 10.4–12.7) of smokers reported also using e-cigarettes. Dual users had the highest prevalence of adverse mental health status. The association between e-cigarette use and mental health was found to be modified by smoking status and sex in most of the logistic models. E-cigarettes had less than multiplicative effects among smokers. Female e-cigarette users tended to have higher odds of adverse mental health than male users. Overall, in the multivariable modeling, e-cigarette use was consistently associated with poor mental health among non-smokers and women, a finding that persisted after adjustment for additional covariates. These results indicate that e-cigarette use is associated with adverse mental health status, particularly among the non-smoking general population and women. 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The association between e-cigarette use and mental health was found to be modified by smoking status and sex in most of the logistic models. E-cigarettes had less than multiplicative effects among smokers. Female e-cigarette users tended to have higher odds of adverse mental health than male users. Overall, in the multivariable modeling, e-cigarette use was consistently associated with poor mental health among non-smokers and women, a finding that persisted after adjustment for additional covariates. These results indicate that e-cigarette use is associated with adverse mental health status, particularly among the non-smoking general population and women. 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subjects Adult
Canada
Cross-Sectional Studies
e-cigarettes
Electronic cigarettes
Electronic Nicotine Delivery Systems - statistics & numerical data
Female
Health Surveys
Humans
Male
Mental health
Mental Health - statistics & numerical data
Prevalence
Self Report
Smokers - psychology
Smoking
Surveys and Questionnaires
Tobacco alternatives
Young Adult
title Electronic cigarette use and mental health: A Canadian population-based study
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