Patterns of electronic cigarette use and level of psychological distress

Su Hyun Park, Lily Lee, Jenni A. Shearston, Michael Weitzman

Research output: Contribution to journalArticle

Abstract

Background Psychological distress has been correlated with higher levels of nicotine dependence. To date, the possible association between individuals' levels of psychological distress and ecigarette use has not been investigated, despite the dramatic growth of e-cigarette use in the US. We examined this possible association using a nationally representative sample of US adults. Methods A total of 36,697 adults from the 2014 National Health Interview Survey (NHIS) were included. The Kessler 6 scale was used to measure psychological distress. Multivariate logistic regression analysis was conducted to assess the association between level of psychological distress and e-cigarette use. Results Both e-cigarette and cigarette use varied according to level of psychological distress as well as multiple socio-demographic characteristics. In a multivariate model, psychological distress was significantly associated with the following groups: (a) exclusive e-cigarette everuse (aOR = 3.7; 95% CI = 1.6, 8.6), (b) current dual use of e-cigarettes and cigarettes (aOR = 4.6; 95% CI = 3.1, 6.7), (c) former cigarette use and ever use of e-cigarette (aOR = 3.2; 95% CI = 2.2, 4.8) and (d) current use of cigarettes only (aOR = 2.1; 95% CI = 1.7, 2.6). Conclusion These are the first data to demonstrate that, as is true for cigarettes, e-cigarette use is associated with increased levels of psychological distress. Further large-scale, longitudinal studies are needed to determine the direction of this relationship and to evaluate the long-Term positive and negative consequences of such use.

Original languageEnglish (US)
Article numbere0173625
JournalPLoS One
Volume12
Issue number3
DOIs
StatePublished - Mar 1 2017

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cigarettes
distress
Tobacco Products
electronics
Psychology
Electronic Cigarettes
Tobacco Use Disorder
sociodemographic characteristics
nicotine
longitudinal studies
Health Surveys
Nicotine
Regression analysis
Longitudinal Studies
Logistics
interviews
regression analysis
Logistic Models
Regression Analysis
Demography

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Patterns of electronic cigarette use and level of psychological distress. / Park, Su Hyun; Lee, Lily; Shearston, Jenni A.; Weitzman, Michael.

In: PLoS One, Vol. 12, No. 3, e0173625, 01.03.2017.

Research output: Contribution to journalArticle

Park, Su Hyun ; Lee, Lily ; Shearston, Jenni A. ; Weitzman, Michael. / Patterns of electronic cigarette use and level of psychological distress. In: PLoS One. 2017 ; Vol. 12, No. 3.
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abstract = "Background Psychological distress has been correlated with higher levels of nicotine dependence. To date, the possible association between individuals' levels of psychological distress and ecigarette use has not been investigated, despite the dramatic growth of e-cigarette use in the US. We examined this possible association using a nationally representative sample of US adults. Methods A total of 36,697 adults from the 2014 National Health Interview Survey (NHIS) were included. The Kessler 6 scale was used to measure psychological distress. Multivariate logistic regression analysis was conducted to assess the association between level of psychological distress and e-cigarette use. Results Both e-cigarette and cigarette use varied according to level of psychological distress as well as multiple socio-demographic characteristics. In a multivariate model, psychological distress was significantly associated with the following groups: (a) exclusive e-cigarette everuse (aOR = 3.7; 95{\%} CI = 1.6, 8.6), (b) current dual use of e-cigarettes and cigarettes (aOR = 4.6; 95{\%} CI = 3.1, 6.7), (c) former cigarette use and ever use of e-cigarette (aOR = 3.2; 95{\%} CI = 2.2, 4.8) and (d) current use of cigarettes only (aOR = 2.1; 95{\%} CI = 1.7, 2.6). Conclusion These are the first data to demonstrate that, as is true for cigarettes, e-cigarette use is associated with increased levels of psychological distress. Further large-scale, longitudinal studies are needed to determine the direction of this relationship and to evaluate the long-Term positive and negative consequences of such use.",
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