E-cigarettes, alcohol use, and mental health: Use and perceptions of e-cigarettes among college students, by alcohol use and mental health status
E-cigarettes, alcohol use, and mental health: Use and perceptions of e-cigarettes among college students, by alcohol use and mental health status
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DOI：
10.1016/j.addbeh.2018.10.040
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发表时间：
2019-04-01
影响因子：
4.4
通讯作者：
Sofuoglu, Mehmet
中科院分区：
文献类型：
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作者：
Hefner, Kathryn R.;Sollazzo, Antonietta;Sofuoglu, Mehmet
电子烟在大学生中很受欢迎，他们表现出危险的酒精使用模式。然而，人们对电子烟和酒精的共同使用模式知之甚少。此外，电子烟使用与大学生精神疾病之间的关系尚不清楚。方法：美国东北部一所大学的大学生参与者（N = 631）通过电子邮件被邀请参加一项关于电子烟和酒精使用的调查。心理健康是自我报告的精神病（抑郁症、双相情感障碍、精神分裂症、创伤后应激障碍、焦虑症、人格障碍）和物质（酒精和其他药物）使用障碍的诊断。通过自我报告的过去30天使用频率评估了电子烟，可燃香烟和其他烟草产品的当前使用情况。通过在典型饮酒事件中自我报告的标准酒精饮料的数量来评估酒精摄入量。参与者还报告了同时使用酒精、电子烟和/或可燃香烟的情况。参与者被分类为非饮酒者，适度饮酒者或酗酒者，并检查电子烟使用，饮酒模式和心理健康诊断之间的关联。结果：电子烟使用与饮酒chi（2）= 18.62，p < .001，和酗酒（与适度饮酒）chi（2）= 12.20，p < .001相关。尝试过电子烟的学生报告每次饮酒更多（chi（2）= 15.94，p < .001）。电子烟使用在精神疾病和物质使用障碍人群中更为普遍chi（2）= 11.65，p <.001。结论：饮酒大学生（尤其是酗酒者）和精神疾病患者使用电子烟的风险可能更高。需要更多的研究来阐明危险的酒精和/或尼古丁使用与精神疾病之间的关系，并指导弱势大学生的适当预防和干预工作。
Introduction: Electronic cigarettes (e-cigarettes) are popular among college students, who display risky alcohol use patterns. However, little is known about patterns of co-use of e-cigarettes and alcohol. Further, relationships between e-cigarette use and mental illness among college students are unclear.Methods: College student participants (N = 631) at a northeastern U.S. university were invited via email to participate in a survey about e-cigarettes and alcohol use. Mental health was self-reported diagnosis of psychiatric (depression, bipolar disorder, schizophrenia, PTSD, anxiety disorder, personality disorder), and substance (alcohol and other drug) use disorders. Current use of e-cigarette, combustible cigarette, and other tobacco products were assessed via self-reported past 30-day use frequency. Alcohol consumption was assessed via number of self-reported standard alcoholic beverages consumed during a typical drinking episode. Participants also reported regarding co-use of alcohol, e-cigarettes and/or combustible cigarettes. Participants were categorized as non-drinkers, moderate drinkers or binge drinkers, and associations between e-cigarette use, drinking patterns and mental health diagnoses were examined.Results: E-cigarette use was associated with drinking alcohol chi(2) = 18.62, p < .001, and binge drinking (vs. moderate drinking) chi(2) = 12.20, p < .001. Students who had tried e-cigarettes reported drinking more alcohol per episode (chi(2) = 15.94, p < .001). E-cigarette use was more prevalent among those with psychiatric and substance use disorders chi(2) = 11.65, p < .001.Conclusions: Drinking college students (especially binge drinkers) and those with mental illness may have heightened risks for e-cigarette use. More research is needed to elucidate relationships between risky alcohol and/or nicotine use and mental illness, and to guide appropriate prevention and intervention efforts for vulnerable college students.