Motives and perceptions regarding electronic nicotine delivery systems (ENDS) use among adults with mental health conditions

Motives and perceptions regarding electronic nicotine delivery systems (ENDS) use among adults with mental health conditions
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DOI:
10.1016/j.addbeh.2018.01.014
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发表时间:
2018-05-01
影响因子:
4.4
通讯作者:
Eriksen, Michael P.
Eriksen, Michael P.
中科院分区:
医学2区
文献类型:
--
作者:
Spears, Claire Adams;Jones, Dina M.;Eriksen, Michael P.

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背景资料:患有精神健康状况(MHC)的成年人的吸烟率不成比例地高,最近的研究表明,在以前的吸烟者中,患有MHC的人更有可能使用电子尼古丁输送系统(ENDS)。本研究调查的原因ENDS的使用和相关的风险认知与个人与没有MHC.Methods:在成年人目前ENDS用户(n = 550),自我报告的MHC诊断和动机ENDS使用和ENDS风险认知之间的关联进行了检查,分层吸烟status.Results:有没有显着的协会之间的MHC状态和ENDS的动机或整体样本的看法。然而,与没有MHC的吸烟者相比,目前患有MHC的吸烟者表示更多地考虑ENDS如何改善他们的健康,而患有MHC的前吸烟者报告较少考虑ENDS如何损害他们的健康。患有MHC的前吸烟者认为ENDS使用的几个原因(例如,比普通香烟危害更小;戒烟;吸引人的口味)比那些没有MHC.Conclusions:当前和以前的吸烟者与MHC可能是特别乐观的ENDS的健康益处。然而,他们也可能倾向于继续使用ENDS或与传统香烟同时使用的健康风险。这将是重要的公共卫生信息,为这一人群提供准确的信息的好处和风险的ENDS。
Background: Smoking rates are disproportionately high among adults with mental health conditions (MHC), and recent research suggests that among former smokers, those with MHC are more likely to use electronic nicotine delivery systems (ENDS). This study investigated reasons for ENDS use and related risk perceptions among individuals with versus without MHC.Methods: Among adult current ENDS users (n = 550), associations between self-reported MHC diagnoses and motives for ENDS use and ENDS risk perceptions were examined, stratified by smoking status.Results: There were no significant associations between MHC status and ENDS motives or perceptions in the overall sample. However, current smokers with MHC indicated thinking more about how ENDS might improve their health, and former smokers with MHC reported thinking less about how ENDS might harm their health, compared to their counterparts without MHC. Former smokers with MHC rated several reasons for ENDS use (e.g., less harmful than regular cigarettes; to quit smoking; appealing flavors) as more important than did those without MHC.Conclusions: Current and former smokers with MHC may be especially optimistic about health benefits of ENDS. However, they might also be prone to health risks of continued ENDS use or concurrent use with traditional cigarettes. It will be important for public health messaging to provide this population with accurate information about benefits and risks of ENDS.