Menthol cigarette use in young adult smokers with severe mental illnesses
Menthol cigarette use in young adult smokers with severe mental illnesses
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DOI：
10.1093/ntr/nty064
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发表时间：
2019-05-01
影响因子：
4.7
通讯作者：
Villanti, Andrea C.
中科院分区：
文献类型：
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作者：
Brunette, Mary F.;Ferron, Joelle C.;Villanti, Andrea C.
患有严重精神疾病（SMI）的吸烟者更有可能开始吸烟，戒烟的可能性更小。薄荷糖可以通过减少来自吸烟的刺激性和刺激性并在使用期间提供独特的感官体验来促进吸烟进展、依赖性和维持。高比率的薄荷醇使用已报告在吸烟者与SMI，但年轻人与SMI的信息尚未reported.Methods本研究提供了一个次要的分析，以评估薄荷醇的使用在一个试点试验中的影响，简短的烟草干预措施。参与者进行了评估，在基线，并再次在3个月的后续结构化访谈和呼吸一氧化碳，以确认自我报告的7天禁欲follow-up.Results参与者包括81名年轻的成年吸烟者与SMI，平均年龄为24.2岁（SD = 3.6;范围18-30）。总体而言，58%的人报告说他们最近使用了薄荷味产品。月经的使用与种族有关（非裔美国人[18/21，85.7%] vs.白色[24/53，45.3%]或其他种族[5/7，71.4%]; chi（2）= 10.7，p = 0.005）和更多的终生精神病住院治疗（t = 2.39，p = 0.02），但不是每天吸烟，尼古丁依赖，在随访期间戒烟尝试，在随访评估中也没有达到生物学证实的禁欲。在这个研究组中，香味香烟的使用与先前关于年轻人、黑人和中年SMI吸烟者中薄荷醇使用率高的报道一致。这项研究支持现有的证据表明，政策，限制薄荷香料在可燃烟草制品可以减少吸烟的年轻人与SMI.Implications高比率的薄荷醇使用已报告在中年吸烟者与SMI，但信息与SMI的年轻人尚未报道。在这项研究中，81名患有SMI的年轻成年吸烟者中有一半以上（58%）使用薄荷味产品。月经的使用与种族和精神病住院史有关。这项研究支持现有的证据，即限制可燃烟草产品中薄荷醇香料的政策可以减少患有SMI的年轻人的吸烟。
Introduction Smokers with severe mental illness (SMI) are more likely to start smoking and less likely to quit. Menthol may facilitate smoking progression, dependence, and maintenance by reducing harshness and irritation from smoking and providing a unique sensory experience during use. High rates of menthol use have been reported in smokers with SMI, but information on young adults with SMI has not been reported.Methods This study provides a secondary analysis to assess the impact of menthol use in a pilot trial of brief tobacco interventions. Participants were assessed at baseline and again at a 3-month follow-up with structured interviews and breath carbon monoxide to confirm self-reported 7-day abstinence at follow-up.Results Participants included 81 young adult smokers with SMI, mean age of 24.2 years (SD = 3.6; range 18-30). Overall, 58% of the group reported that they recently used a menthol-flavored product. Menthol use was correlated with race (African American [18/21, 85.7%] vs. White [24/53, 45.3%] or other race [5/7, 71.4%]; chi(2) = 10.7, p = .005) and more lifetime psychiatric hospitalizations (t = 2.39, p = .02), but not with cigarettes per day, nicotine dependence, quit attempts over the follow-up period, nor with achieving biologically confirmed abstinence at the follow-up assessment.Conclusions The high prevalence of menthol-flavored cigarette use in this study group is consistent with previous reports of high rates of menthol use among young adults, Blacks, and middle-aged SMI smokers. This study supports existing evidence that policies to restrict menthol flavoring in combustible tobacco products could reduce smoking in young adults with SMI.Implications High rates of menthol use have been reported in middle-aged smokers with SMI, but information on young adults with SMI has not been reported. In this study, more than half (58%) of 81 young adult smokers with SMI used a menthol-flavored product. Menthol use was associated with race and with history of psychiatric hospitalizations. The research supports existing evidence that policies to restrict menthol flavoring in combustible tobacco products could reduce smoking in young adults with SMI.