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Int. J. Environ. Res. Public Health 2017, 14(1), 10; doi:10.3390/ijerph14010010

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

1
Tobacco Center of Regulatory Science (TCORS), School of Public Health, Georgia State University, Atlanta, GA 30303, USA
2
Division of Health Promotion and Behavior, School of Public Health, Georgia State University, Atlanta, GA 30303, USA
3
Division of Epidemiology and Biostatistics, School of Public Health, Georgia State University, Atlanta, GA 30303, USA
4
Division of Health Management and Policy, School of Public Health, Georgia State University, Atlanta, GA 30303, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Mark Wolfson
Received: 31 October 2016 / Revised: 5 December 2016 / Accepted: 19 December 2016 / Published: 23 December 2016
(This article belongs to the Special Issue E-Cigarettes: Epidemiology, Policy and Public Health)
View Full-Text   |   Download PDF [308 KB, uploaded 23 December 2016]

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. View Full-Text
Keywords: mental health conditions; electronic nicotine delivery systems; electronic cigarettes mental health conditions; electronic nicotine delivery systems; electronic cigarettes
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Spears, C.A.; Jones, D.M.; Weaver, S.R.; Pechacek, T.F.; Eriksen, M.P. Use of Electronic Nicotine Delivery Systems among Adults with Mental Health Conditions, 2015. Int. J. Environ. Res. Public Health 2017, 14, 10.

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