How stress influences e-cigarette health message perceptions and intentions to abstain from vaping among young adults who vape

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2024-09-23 DOI:10.1016/j.addbeh.2024.108174

Donghee N. Lee , Hye Min Kim , Elise M. Stevens

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引用次数: 0

Abstract

Purpose

While most U.S. young adults attribute e-cigarette use (vaping) to stress coping, it is relatively unknown how young adults’ stress levels influence their e-cigarette health message responses and vaping abstinence intentions.

Methods

In an online crowdsourcing study, young adults who currently vape (N = 346, M_age = 25.24) were assessed for their past-30-day stress levels. Then, they saw a message about the health effects of vaping and were asked questions about the messages and their vaping abstinence intentions. We performed multiple regressions to examine the main effects of stress levels on message evaluation (message perceptions, effects perceptions) and intentions to abstain from vaping. We then examined the indirect effects of stress levels on abstinence intentions mediated by each message outcome, respectively. Models controlled for sociodemographic characteristics, mental health status, and past-30-day e-cigarette use and cigarette smoking.

Results

Participants with higher stress levels reported more negative message evaluation (ps < 0.05). Additionally, participants with higher stress levels reported lower abstinence intentions via more negative message perceptions (b = -0.02, SE = 0.01, 95 % CI = -0.041, −0.004). Likewise, participants with higher stress levels reported lower abstinence intentions via more negative effects perceptions (b = -0.03, SE = 0.01, 95 % CI = -0.046, −0.008).

Conclusions

Higher stress levels were associated with negative message evaluation among young adults who vape. Additionally, the association of stress levels and abstinence intentions was mediated by negative message evaluation. Public health officials may need to account for stress levels in young adults to increase the effects of e-cigarette health messages on their intentions to abstain from vaping.

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压力如何影响吸食电子烟的年轻人对电子烟健康信息的认知和戒烟意向

目的虽然大多数美国年轻人将使用电子烟（吸食）归因于应对压力，但年轻人的压力水平如何影响他们对电子烟健康信息的反应和戒烟意向却相对未知。方法在一项在线众包研究中，对目前吸食电子烟的年轻人（N = 346，Mage = 25.24）过去 30 天的压力水平进行了评估。然后，他们看到了一条关于吸烟对健康影响的信息，并被问到了关于这些信息和他们戒烟意向的问题。我们进行了多重回归，以检验压力水平对信息评价（信息感知、效果感知）和禁烟意愿的主要影响。然后，我们分别考察了压力水平对戒烟意向的间接影响，这些影响是由每个信息结果中介的。模型控制了社会人口学特征、心理健康状况以及过去 30 天内电子烟使用情况和吸烟情况。此外，压力水平越高的参与者对负面信息的感知越多，戒烟意愿越低（b = -0.02，SE = 0.01，95 % CI = -0.041，-0.004）。同样，压力水平较高的参与者通过更多的负面影响感知来降低戒烟意愿（b = -0.03，SE = 0.01，95 % CI = -0.046，-0.008）。此外，压力水平与戒烟意愿之间的关系受负面信息评价的影响。公共卫生官员可能需要考虑年轻人的压力水平，以提高电子烟健康信息对他们戒烟意愿的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.