TY - JOUR
T1 - Characterizing e-cigarette use in veteran smokers with mental health conditions
AU - Wang, John
AU - Rogers, Erin
AU - Fu, Steven
AU - Gravely, Amy
AU - Noorbaloochi, Siamak
AU - Sherman, Scott
N1 - Publisher Copyright:
Copyright © The Author(s) 2019 Published by Cambridge University Press.
PY - 2019/12/1
Y1 - 2019/12/1
N2 - Introduction. The use of electronic cigarettes (e-cigarettes) in smokers with mental health conditions (MHC) is not well understood. Aims. This study aims to compare e-cigarette users and non-users among veteran smokers with MHC to characterize differences in smoking behavior, motivation to quit, psychological distress, primary psychiatric diagnosis, and other factors. Methods. Baseline survey data were used from a randomized smoking cessation trial enrolling smokers with MHC from four Veterans Health Administration hospitals. Participants were categorized as current, former (having ever tried an e-cigarette), or never e-cigarette users. Pearson’s χ2 and ANOVA Type-3 F-tests were used to test the bivariate associations between e-cigarette use and variables measured. Results. Among 1,836 participants, mean age was 58 years (STD ± 12.5), 87% were male, 15% were current e-cigarette users (n = 275), and 27% were former users (n = 503). Sixty-five percent of e-cigarette users reported ‘wanting to quit smoking’ as a primary reason. Mean readiness to quit smoking (1–10) was 7.2, 6.8, and 6.4 for current, former, and never e-cigarette users, respectively (P = 0.0002). Sixty-three percent of current and former users and 55% of never-users reported some mental distress on Kessler-6 scale (P = 0.0003, OR = 1.4, 95% CI 1.1–1.7). A primary psychiatric diagnosis of alcohol or substance use disorder was recorded for 50% of current or former users and 60% of never-users (P = 0.0003, OR = 0.69, 95% CI 0.56–0.84). Conclusions. E-cigarette users were more ready to quit and most often reported using e-cigarettes to assist with quitting. E-cigarette users had more psychological distress and were less likely to have substance use disorders as their primary psychiatric diagnosis.
AB - Introduction. The use of electronic cigarettes (e-cigarettes) in smokers with mental health conditions (MHC) is not well understood. Aims. This study aims to compare e-cigarette users and non-users among veteran smokers with MHC to characterize differences in smoking behavior, motivation to quit, psychological distress, primary psychiatric diagnosis, and other factors. Methods. Baseline survey data were used from a randomized smoking cessation trial enrolling smokers with MHC from four Veterans Health Administration hospitals. Participants were categorized as current, former (having ever tried an e-cigarette), or never e-cigarette users. Pearson’s χ2 and ANOVA Type-3 F-tests were used to test the bivariate associations between e-cigarette use and variables measured. Results. Among 1,836 participants, mean age was 58 years (STD ± 12.5), 87% were male, 15% were current e-cigarette users (n = 275), and 27% were former users (n = 503). Sixty-five percent of e-cigarette users reported ‘wanting to quit smoking’ as a primary reason. Mean readiness to quit smoking (1–10) was 7.2, 6.8, and 6.4 for current, former, and never e-cigarette users, respectively (P = 0.0002). Sixty-three percent of current and former users and 55% of never-users reported some mental distress on Kessler-6 scale (P = 0.0003, OR = 1.4, 95% CI 1.1–1.7). A primary psychiatric diagnosis of alcohol or substance use disorder was recorded for 50% of current or former users and 60% of never-users (P = 0.0003, OR = 0.69, 95% CI 0.56–0.84). Conclusions. E-cigarette users were more ready to quit and most often reported using e-cigarettes to assist with quitting. E-cigarette users had more psychological distress and were less likely to have substance use disorders as their primary psychiatric diagnosis.
KW - E-cigarette
KW - mental health
KW - veteran
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U2 - 10.1017/jsc.2019.16
DO - 10.1017/jsc.2019.16
M3 - Article
AN - SCOPUS:85070978335
SN - 1834-2612
VL - 14
SP - 239
EP - 244
JO - Journal of Smoking Cessation
JF - Journal of Smoking Cessation
IS - 4
ER -