Electronic cigarette use and mental health: A Canadian population-based study.
Electronic cigarettes
Mental health
Smoking
Tobacco alternatives
e-cigarettes
Journal
Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073
Informations de publication
Date de publication:
01 01 2020
01 01 2020
Historique:
received:
16
06
2019
revised:
29
08
2019
accepted:
03
09
2019
pubmed:
23
9
2019
medline:
15
12
2020
entrez:
23
9
2019
Statut:
ppublish
Résumé
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.
Sections du résumé
BACKGROUND
To examine the association between electronic cigarette (e-cigarette) use and adverse mental health status.
METHODS
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.
RESULTS
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.
CONCLUSIONS
These results indicate that e-cigarette use is associated with adverse mental health status, particularly among the non-smoking general population and women.
LIMITATIONS
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.
Identifiants
pubmed: 31542558
pii: S0165-0327(19)31582-4
doi: 10.1016/j.jad.2019.09.026
pii:
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
646-652Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2019. Published by Elsevier B.V.