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Use of Electronic Nicotine Delivery Systems among Adults with Mental Health Conditions, 2015

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  • Claire Adams Spears

    (Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA 30303, USA
    Division of Health Promotion and Behavior, School of Public Health, Georgia State University, Atlanta, GA 30303, USA)

  • Dina M. Jones

    (Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA 30303, USA)

  • Scott R. Weaver

    (Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA 30303, USA
    Division of Epidemiology and Biostatistics, School of Public Health, Georgia State University, Atlanta, GA 30303, USA)

  • Terry F. Pechacek

    (Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA 30303, USA
    Division of Health Management and Policy, School of Public Health, Georgia State University, Atlanta, GA 30303, USA)

  • Michael P. Eriksen

    (Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA 30303, USA
    Division of Health Management and Policy, School of Public Health, Georgia State University, Atlanta, GA 30303, USA)

Abstract

Adults with mental health conditions (MHC) are especially likely to smoke and experience tobacco-related health disparities. Individuals with MHC may also use electronic nicotine delivery devices (ENDS) at disproportionately high rates. However, there is a relative dearth of knowledge regarding ENDS use among individuals with MHC. In a large representative sample of U.S. adults ( n = 6051), associations between self-reported MHC diagnoses and ENDS use and susceptibility were examined, stratified by smoking status. Participants with MHC were approximately 1.5 times more likely to have used ENDS in their lifetime and almost twice as likely to currently use ENDS as those without MHC. MHC status was most strongly linked to higher ENDS use among former smokers, and former smokers with MHC were more likely to report using ENDS during past smoking quit attempts than those without MHC. Among participants who had not tried ENDS, former smokers with MHC were especially susceptible to future ENDS use. The potential advantage of ENDS for cessation purposes should be balanced with the risk of attracting former smokers with MHC to ENDS.

Suggested Citation

  • Claire Adams Spears & Dina M. Jones & Scott R. Weaver & Terry F. Pechacek & Michael P. Eriksen, 2016. "Use of Electronic Nicotine Delivery Systems among Adults with Mental Health Conditions, 2015," IJERPH, MDPI, vol. 14(1), pages 1-14, December.
    • Handle: RePEc:gam:jijerp:v:14:y:2016:i:1:p:10-:d:86043
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    References listed on IDEAS

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    1. Pasquale Caponnetto & Roberta Auditore & Cristina Russo & Giorgio Carlo Cappello & Riccardo Polosa, 2013. "Impact of an Electronic Cigarette on Smoking Reduction and Cessation in Schizophrenic Smokers: A Prospective 12-Month Pilot Study," IJERPH, MDPI, vol. 10(2), pages 1-16, January.
    2. Jan Tempel & Aliya Noormohamed & Robert Schwartz & Cameron Norman & Muhannad Malas & Laurie Zawertailo, 2016. "Vape, quit, tweet? Electronic cigarettes and smoking cessation on Twitter," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(2), pages 249-256, March.
    3. Scott R. Weaver & Ban A. Majeed & Terry F. Pechacek & Amy L. Nyman & Kyle R. Gregory & Michael P. Eriksen, 2016. "Use of electronic nicotine delivery systems and other tobacco products among USA adults, 2014: results from a national survey," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(2), pages 177-188, March.
    4. Williams, J.M. & Steinberg, M.L. & Griffiths, K.G. & Cooperman, N., 2013. "Smokers with behavioral health comorbidity should be designated a tobacco use disparity group," American Journal of Public Health, American Public Health Association, vol. 103(9), pages 1549-1555.
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