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Tob Control. 2014 Jul;23 Suppl 3:iii48-53. doi: 10.1136/tobaccocontrol-2013-051511. Epub 2014 May 12.

Use of e-cigarettes by individuals with mental health conditions.

Author information

1
Department of Family and Preventive Medicine, University of California, San Diego, La Jolla, California, USA.
2
Cancer Center, University of California, San Diego, La Jolla, California, USA.
3
Psychology Service, Veteran Affairs San Diego Healthcare System, Department of Psychiatry, University of California, San Diego, La Jolla, California, USA.

Abstract

BACKGROUND:

Individuals with mental health conditions (MHC) have disproportionately high tobacco-related morbidity and mortality due to high smoking prevalence rates. As high consumers of cigarettes, smokers with MHC may consider using e-cigarettes as an alternative form of nicotine delivery.

OBJECTIVE:

Examination of the susceptibility to use e-cigarettes by individuals with MHC.

METHODS:

A U.S. population survey with a national probability sample (n=10,041) was used to assess ever use and current use of regular cigarettes, e-cigarettes, and U.S. Food and Drug Administration-approved pharmacotherapy for smoking cessation. Survey respondents provided information about whether they had been diagnosed with an anxiety disorder, depression, or other MHC.

RESULTS:

Individuals with MHC were more likely to have tried e-cigarettes (14.8%) and to be current users of e-cigarettes (3.1%) than those without MHC (6.6% and 1.1%, respectively; p<0.01). Ever smokers with MHC were also more likely to have tried approved pharmacotherapy (52.2% vs. 31.1%, p<0.01) and to be currently using these products (9.9% vs. 3.5%, p<0.01) than those without MHC. Additionally, current smokers with MHC were more susceptible to future use of e-cigarettes than smokers without MHC (60.5% vs. 45.3%, respectively, p<0.01).

CONCLUSIONS:

Smokers with MHC are differentially affected by the rise in popularity of e-cigarettes. Clinical interventions and policies for tobacco control on e-cigarettes should take into account the possible outcomes and their implications for this priority population.

KEYWORDS:

Disparities; Electronic nicotine delivery devices; Harm Reduction; Nicotine; Priority/special populations

[Indexed for MEDLINE]
Free PMC Article

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