唧唧堂编辑二朵2014-05-22 3:30 PM

个人电子香烟的使用与心理健康状况 Use of e-cigarettes by individuals with mental health conditions

Abstract 

研究背景 
有心理健康状况的个体(MHC)由于其高吸烟率,是具有与烟草有关的发病率和死亡率较高的群体。作为香烟的高消费者,MHC吸烟者可以考虑使用电子香烟作为一种替代尼古丁释放的形式。
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.

研究目标  
对具有MHC个体使用电子香烟敏感性的检查。 
Objective 
Examination of the susceptibility to use e-cigarettes by individuals with MHC.

研究方法 
具有国家概率样本(N = 10041)的美国人口调查被用来评估普通香烟,电子香烟的曾经使用与当前使用状况以及美国食品和药物管理局批准的来戒烟的药物治疗。调查的受访者提供了他们是否曾被诊断为焦虑症,抑郁症,或其他MHC的有关信息。 
Methods 
A US 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 US 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.

研究结果 
比起不具有MHC的个体(分别为6.6%和1.1%,P <0.01),具有MHC的个体更有可能尝试电子香烟(14.8%)并成为电子烟的当前用户(3.1%)。比起那些不患有MHC的个体,患有MHC的曾经吸烟者也曾更易尝试批准药物(52.2%比31.1%,P <0.01)并在当前继续使用这些产品(9.9%对3.5%,P <0.01)。此外,比起无MHC的吸烟者(60.5%比45.3%,P均<0.01)来说,患有MHC的当前吸烟者更可能在以后使用电子香烟。
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).

研究结论 
患有MHC的吸烟者都不同程度受电子香烟流行的影响。对电子香烟进行烟草控制的临床干预和政策应该考虑到可能结果及其对这类优先群体的影响。
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.

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