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 |
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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 |
format | Article |
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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.
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.</description><identifier>ISSN: 0165-0327</identifier><identifier>EISSN: 1573-2517</identifier><identifier>DOI: 10.1016/j.jad.2019.09.026</identifier><identifier>PMID: 31542558</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>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</subject><ispartof>Journal of affective disorders, 2020-01, Vol.260, p.646-652</ispartof><rights>2019</rights><rights>Copyright © 2019. Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-261e6b637813532e14c7f1e831af05461f2e5e61b08dba36257571b382992fff3</citedby><cites>FETCH-LOGICAL-c353t-261e6b637813532e14c7f1e831af05461f2e5e61b08dba36257571b382992fff3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0165032719315824$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31542558$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pham, Tram</creatorcontrib><creatorcontrib>Williams, Jeanne V.A.</creatorcontrib><creatorcontrib>Bhattarai, Asmita</creatorcontrib><creatorcontrib>Dores, Ashley K.</creatorcontrib><creatorcontrib>Isherwood, Leah J.</creatorcontrib><creatorcontrib>Patten, Scott B.</creatorcontrib><title>Electronic cigarette use and mental health: A Canadian population-based study</title><title>Journal of affective disorders</title><addtitle>J Affect Disord</addtitle><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.</description><subject>Adult</subject><subject>Canada</subject><subject>Cross-Sectional Studies</subject><subject>e-cigarettes</subject><subject>Electronic cigarettes</subject><subject>Electronic Nicotine Delivery Systems - statistics & numerical data</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Male</subject><subject>Mental health</subject><subject>Mental Health - statistics & numerical data</subject><subject>Prevalence</subject><subject>Self Report</subject><subject>Smokers - psychology</subject><subject>Smoking</subject><subject>Surveys and Questionnaires</subject><subject>Tobacco alternatives</subject><subject>Young Adult</subject><issn>0165-0327</issn><issn>1573-2517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFqGzEQhkVIid0kD9BL0DGXdTWSJe22J2OStpDSS3IWWmm2llnvOpI2kLePjJ0cAwPDwPf_MB8h34AtgIH6vl1srV9wBs2CleHqjMxBalFxCfqczAsjKya4npGvKW0ZY6rR7ILMBMgll7Kek793PbocxyE46sJ_GzFnpFNCagdPdzhk29MN2j5vftAVXdvB-mAHuh_3U29zGIeqtQk9TXnyr1fkS2f7hNenfUme7u8e17-rh3-__qxXD5UTUuSKK0DVKqFrKDdHWDrdAdYCbMfkUkHHUaKCltW-tUJxqaWGVtS8aXjXdeKS3B5793F8njBlswvJYd_bAccpGc4bBUJzpgoKR9TFMaWIndnHsLPx1QAzB4tma4pFc7BoWBl-yNyc6qd2h_4j8a6tAD-PAJYnXwJGk1zAwaEPseg0fgyf1L8Bhg6A8A</recordid><startdate>20200101</startdate><enddate>20200101</enddate><creator>Pham, Tram</creator><creator>Williams, Jeanne V.A.</creator><creator>Bhattarai, Asmita</creator><creator>Dores, Ashley K.</creator><creator>Isherwood, Leah J.</creator><creator>Patten, Scott B.</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20200101</creationdate><title>Electronic cigarette use and mental health: A Canadian population-based study</title><author>Pham, Tram ; Williams, Jeanne V.A. ; Bhattarai, Asmita ; Dores, Ashley K. ; Isherwood, Leah J. ; Patten, Scott B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-261e6b637813532e14c7f1e831af05461f2e5e61b08dba36257571b382992fff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Canada</topic><topic>Cross-Sectional Studies</topic><topic>e-cigarettes</topic><topic>Electronic cigarettes</topic><topic>Electronic Nicotine Delivery Systems - statistics & numerical data</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Male</topic><topic>Mental health</topic><topic>Mental Health - statistics & numerical data</topic><topic>Prevalence</topic><topic>Self Report</topic><topic>Smokers - psychology</topic><topic>Smoking</topic><topic>Surveys and Questionnaires</topic><topic>Tobacco alternatives</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pham, Tram</creatorcontrib><creatorcontrib>Williams, Jeanne V.A.</creatorcontrib><creatorcontrib>Bhattarai, Asmita</creatorcontrib><creatorcontrib>Dores, Ashley K.</creatorcontrib><creatorcontrib>Isherwood, Leah J.</creatorcontrib><creatorcontrib>Patten, Scott B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of affective disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pham, Tram</au><au>Williams, Jeanne V.A.</au><au>Bhattarai, Asmita</au><au>Dores, Ashley K.</au><au>Isherwood, Leah J.</au><au>Patten, Scott B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Electronic cigarette use and mental health: A Canadian population-based study</atitle><jtitle>Journal of affective disorders</jtitle><addtitle>J Affect Disord</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>260</volume><spage>646</spage><epage>652</epage><pages>646-652</pages><issn>0165-0327</issn><eissn>1573-2517</eissn><abstract>•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.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>31542558</pmid><doi>10.1016/j.jad.2019.09.026</doi><tpages>7</tpages></addata></record> |
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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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