Association between e-cigarette use and depression in US cancer survivors: a cross-sectional study
Association between e-cigarette use and depression in US cancer survivors: a cross-sectional study
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DOI：
10.1007/s11764-022-01176-1
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发表时间：
2022-02-15
影响因子：
3.7
通讯作者：
Rhodes, Darson L.
中科院分区：
文献类型：
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作者：
Antwi, Godfred O.;Rhodes, Darson L.
虽然先前的研究已经观察到电子烟使用与一般人群中的心理健康结果（包括抑郁症）之间存在显着关联，但电子烟使用与癌症幸存者亚群中的临床抑郁症之间的关系尚不清楚。这项研究的目的是检查电子烟使用与癌症幸存者自我报告的临床抑郁症之间的横截面关联。方法使用2017年和2018年行为危险因素监测调查的汇总数据。多变量logistic回归分析了7,498名癌症幸存者的电子烟使用与自我报告的临床抑郁症之间的独立关联。结果在本研究的癌症幸存者中，22.1%的人报告有抑郁症的临床诊断史。目前和以前使用电子烟的总体患病率分别为2.6%和10.5%。分析显示，51.3%的当前用户，40%的前用户和19.1%的从未使用过电子烟的人自我报告有临床抑郁症史。在多变量分析中，与从未使用过电子烟的人相比，当前使用者（OR = 2.85; 95%CI：1.38-5.90）和前使用者（OR = 1.63; 95%CI：1.05-2.55）的幸存者自我报告的临床抑郁症的几率显著更高。这项研究的结果表明，电子烟使用与癌症幸存者的抑郁症之间存在统计学显著相关。未来的研究应该集中在检查电子烟使用与癌症幸存者抑郁症之间的纵向关联。对癌症幸存者的影响研究结果再次强调了干预措施的必要性，以支持癌症幸存者进行基于证据的抑郁症治疗，以及临床医生需要筛查心理困扰和/或电子烟使用并提出适当的建议。
Purpose Though prior studies have observed significant association between e-cigarette use and mental health outcomes including depression in the general population, the relationship between e-cigarette use and clinical depression in the cancer survivor subpopulation is unknown. The purpose of this study was to examine the cross-sectional association between e-cigarette use and self-reported clinical depression among cancer survivors. Methods Pooled data from the 2017 and 2018 Behavioral Risk Factor Surveillance Survey were used. Multivariable logistic regression was used to analyze the independent association between e-cigarette use and self-reported clinical depression in a sample of 7,498 cancer survivors. Results Among cancer survivors in this study, 22.1% reported a history of clinical diagnosis of depression. The overall prevalence rates for current and former e-cigarette use were 2.6% and 10.5%, respectively. Analysis showed 51.3% of current users, 40% of former users, and 19.1% of those who had never used e-cigarettes self-reported a history of clinical depression. In the multivariable analysis, the odds of self-reported clinical depression were significantly higher for survivors who were current users (OR = 2.85; 95% CI: 1.38-5.90) and former users (OR = 1.63; 95% CI: 1.05-2.55) compared to never e-cigarette users. Conclusion Findings from this study suggest a statistically significant association between e-cigarette use and depression in cancer survivors. Future studies should focus on examining the longitudinal association between e-cigarette use and depression in cancer survivors. Implications for Cancer Survivors Study findings reemphasized the need for interventions to support cancer survivors with evidence-based treatments for depression as well as the need for clinicians to screen for psychological distress and/or e-cigarette use and make appropriate recommendations.