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

    Fingerprint

    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

    Park, S. H., Lee, L., Shearston, J. A., & Weitzman, M. (2017). Patterns of electronic cigarette use and level of psychological distress. PLoS One, 12(3), [e0173625]. https://doi.org/10.1371/journal.pone.0173625

    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, SH, Lee, L, Shearston, JA & Weitzman, M 2017, 'Patterns of electronic cigarette use and level of psychological distress', PLoS One, vol. 12, no. 3, e0173625. https://doi.org/10.1371/journal.pone.0173625
    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.
    @article{74fbaee2db4b4ff1881b3917fdd107bf,
    title = "Patterns of electronic cigarette use and level of psychological distress",
    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.",
    author = "Park, {Su Hyun} and Lily Lee and Shearston, {Jenni A.} and Michael Weitzman",
    year = "2017",
    month = "3",
    day = "1",
    doi = "10.1371/journal.pone.0173625",
    language = "English (US)",
    volume = "12",
    journal = "PLoS One",
    issn = "1932-6203",
    publisher = "Public Library of Science",
    number = "3",

    }

    TY - JOUR

    T1 - Patterns of electronic cigarette use and level of psychological distress

    AU - Park, Su Hyun

    AU - Lee, Lily

    AU - Shearston, Jenni A.

    AU - Weitzman, Michael

    PY - 2017/3/1

    Y1 - 2017/3/1

    N2 - 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.

    AB - 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.

    UR - http://www.scopus.com/inward/record.url?scp=85014845438&partnerID=8YFLogxK

    UR - http://www.scopus.com/inward/citedby.url?scp=85014845438&partnerID=8YFLogxK

    U2 - 10.1371/journal.pone.0173625

    DO - 10.1371/journal.pone.0173625

    M3 - Article

    VL - 12

    JO - PLoS One

    JF - PLoS One

    SN - 1932-6203

    IS - 3

    M1 - e0173625

    ER -