Addictive behaviors最新文献

{"title":"Associations between social media engagement and young adults’ subsequent onset of ENDS dependence symptoms one year later","authors":"Qinghua Yang ,&nbsp;Stephanie L. Clendennen ,&nbsp;C. Nathan Marti ,&nbsp;Alexandra Loukas","doi":"10.1016/j.addbeh.2024.108096","DOIUrl":"https://doi.org/10.1016/j.addbeh.2024.108096","url":null,"abstract":"<div><h3>Background</h3><p>Young adults are more vulnerable than older adults to engagement with online tobacco marketing and to the use of electronic nicotine delivery systems (ENDS) products. Our study examined the longitudinal associations between engagement with pro- and anti-tobacco information on social media (SM) and young adults’ subsequent onset of symptoms of dependence on ENDS products one year later, which remain unclear.</p></div><div><h3>Methods</h3><p>Participants were college students in the Marketing and Promotions Across Colleges in Texas study. We analyzed data collected in spring 2018 (wave 8, baseline) and spring 2019 (wave 9), which involves 1,764 college students (Mean age = 24.48, 34.8% White) who reported having ever used any ENDS products but no ENDS dependence symptoms at baseline. Logistic regression analyses were conducted to examine the associations between pro- and anti-engagement with tobacco information at baseline and onset of ENDS dependence symptoms at one-year follow-up, controlling for baseline sociodemographic characteristics and tobacco smoking status. We also examined participant sex and depressive symptoms as moderators of the aforementioned associations.</p></div><div><h3>Results</h3><p>Engagement with both pro- (<em>Odds Ratio</em> = 1.73, <em>p</em> &lt; 0.05) and anti- (<em>Odds Ratio</em> = 1.36, <em>p</em> &lt; 0.05) tobacco information at baseline predicted the subsequent onset of symptoms of dependence on ENDS products one year later. The association between pro-engagement and subsequent onset of ENDS dependence symptoms was stronger among females than males (<span><math><mrow><mi>Exp</mi><mo>(</mo><mi>β</mi><mo>)</mo></mrow></math></span> = 3.21, <em>p</em> &lt; 0.05). Depressive symptomology did not moderate any of the associations.</p></div><div><h3>Conclusions</h3><p>Findings suggest that engaging with tobacco information on SM, regardless of its valence, serves as a risk factor for the development of subsequent dependence symptoms among young adult ever ENDS users. Considering the uncertainty of ENDS products’ health effects, regulation of SM is encouraged to reduce young adults’ (re)posting thoughts or comments about the advantages of ENDS products.</p></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"157 ","pages":"Article 108096"},"PeriodicalIF":3.7,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141438544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Problematic gaming, psychiatric comorbidities, and adolescence: A systematic review of the literature","authors":"Romain Coutelle ,&nbsp;Julie Balzer ,&nbsp;Julie Rolling ,&nbsp;Laurence Lalanne","doi":"10.1016/j.addbeh.2024.108091","DOIUrl":"https://doi.org/10.1016/j.addbeh.2024.108091","url":null,"abstract":"<div><p>Problematic gaming is particularly prevalent in adolescent and young adult populations. While numerous studies have investigated the psychiatric comorbidities of Internet Gaming Disorder in young adults, few have focused specifically on adolescents who might be especially at risk because developmental particularities related to this developmental period.</p><p>Here, we conducted a review of the literature, in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, in order to highlight the types of psychiatric comorbidities found in adolescents with problematic gaming.. We selected and analyzed 30 cross-sectional and longitudinal studies which correspond to 3683 adolescents (63,27% of boys) worldwide with problematic gaming.</p><p>Our results highlight the high prevalence of Attention Deficit Hyperactivity Disorder (ADHD) in adolescents with problematic gaming and the links between this addiction and inattention, anxiety, depression, behavioural and emotional problems. These psychiatric comorbidities interact with problematic gaming and predict it throughout the adolescent’s development. Moreover, this interaction involves personality profile and environment, including parental education. The complexity of this interaction argues in favor of the multi-level assessment that we are promoting.</p></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"157 ","pages":"Article 108091"},"PeriodicalIF":4.4,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141429591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of the psychoactive substance refusal Self-Efficacy Questionnaire (PSRSEQ) in adolescent case-clients of social workers in Hong Kong","authors":"He Wang ,&nbsp;Nick Tse ,&nbsp;Tsun Kwan Mary Ip ,&nbsp;Phoenix K.H. Mo ,&nbsp;Yanqiu Yu ,&nbsp;Joseph T.F. Lau","doi":"10.1016/j.addbeh.2024.108093","DOIUrl":"https://doi.org/10.1016/j.addbeh.2024.108093","url":null,"abstract":"<div><h3>Background</h3><p>Self-efficacy is a key concept in various behavioral theories. Refusal self-efficacy is important in understanding issues related to psychoactive substance use. To facilitate related research, this study translated and validated the Chinese version of the 14-item Psychoactive Substance Refusal Self-efficacy Questionnaire (PSRSEQ) among adolescents. There is a debate about whether such a refusal self-efficacy scale should be unidimensional or multidimensional.</p></div><div><h3>Methods</h3><p>A survey was conducted among 601 adolescent case-clients of social workers in Hong Kong from July 2021 to June 2022. Various psychometric properties were examined.</p></div><div><h3>Results</h3><p>The confirmatory factor analysis (CFA) supported the original 3-factor structure of the PSRSEQ (emotional relief, opportunistic, and social facilitation refusal self-efficacy), which showed satisfactory psychometric properties (internal consistency, convergent validity in terms of significant negative correlations with the intention of psychoactive substance use in the next year and psychoactive substance use behavior in the past six months, and the absence of floor effect) but ceiling effect was obvious. Notably, unacceptable discriminant validity of one subscale and strong correlations among the three subscales were observed. In another set of analyses using two split-half subsamples, the exploratory factor analysis identified a 1-factor 14-item structure, which was confirmed by CFA and showed satisfactory psychometric properties.</p></div><div><h3>Conclusions</h3><p>The 1-factor PSRSEQ, instead of the one having a 3-factor structure, was preferred and recommended to assess psychoactive substance refusal self-efficacy among Chinese adolescents. It is warranted to validate the scale in other adolescent and age groups in future studies.</p></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"157 ","pages":"Article 108093"},"PeriodicalIF":3.7,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141439072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of heavy smoking on retirement risk: A mendelian randomisation analysis","authors":"Alessio Gaggero ,&nbsp;Olesya Ajnakina ,&nbsp;Eugenio Zucchelli ,&nbsp;Ruth A. Hackett","doi":"10.1016/j.addbeh.2024.108078","DOIUrl":"10.1016/j.addbeh.2024.108078","url":null,"abstract":"<div><h3>Background and aims</h3><p>The extent to which heavy smoking and retirement risk are causally related remains to be determined. To overcome the endogeneity of heavy smoking behaviour, we employed a novel approach by exploiting the genetic predisposition to heavy smoking, as measured with a polygenic risk score (PGS), in a Mendelian Randomisation approach.</p></div><div><h3>Methods</h3><p>8164 participants (mean age 68.86 years) from the English Longitudinal Study of Ageing had complete data on smoking behaviour, employment and a heavy smoking PGS. Heavy smoking was indexed as smoking at least 20 cigarettes a day. A time-to-event Mendelian Randomization (MR) analysis, using a complementary log–log (cloglog) link function, was employed to model the retirement risk.</p></div><div><h3>Results</h3><p>Our results show that being a heavy smoker significantly increases the risk of retirement (β = 1.324, standard error = 0.622, <em>p</em> &lt; 0.05). Results were robust to a battery of checks and a placebo analysis considering the never-smokers.</p></div><div><h3>Conclusions</h3><p>Overall, our findings support a causal pathway from heavy smoking to earlier retirement.</p></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"157 ","pages":"Article 108078"},"PeriodicalIF":4.4,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0306460324001278/pdfft?md5=635aaca3fab8e11c95a3b4ee9331161d&pid=1-s2.0-S0306460324001278-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141422189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meta-analysis of structural and functional abnormalities in behavioral addictions","authors":"Bohui Mei ,&nbsp;Qiuying Tao ,&nbsp;Jinghan Dang ,&nbsp;Xiaoyu Niu ,&nbsp;Jieping Sun ,&nbsp;Mengzhe Zhang ,&nbsp;Weijian Wang ,&nbsp;Shaoqiang Han ,&nbsp;Yong Zhang ,&nbsp;Jingliang Cheng","doi":"10.1016/j.addbeh.2024.108088","DOIUrl":"10.1016/j.addbeh.2024.108088","url":null,"abstract":"<div><h3>Background</h3><p>The incidence of behavioral addictions (BAs) associated with scientific and technological advances has been increasing steadily. Unfortunately, a large number of studies on the structural and functional abnormalities have shown poor reproducibility, and it remains unclear whether different addictive behaviors share common underlying abnormalities. Therefore, our objective was to conduct a quantitative <em>meta</em>-analysis of different behavioral addictions to provide evidence-based evidence of common structural and functional changes.</p></div><div><h3>Methods:</h3><p>We conducted systematic searches in PubMed, Web of Science and Scopus from January 2010 to December 2023, supplementing reference lists of high-quality relevant <em>meta</em>-analyses and reviews, to identify eligible voxel-based morphometry (VBM) and functional magnetic resonance imaging (fMRI) studies. Using anisotropic seed-based D-Mapping (AES-SDM) <em>meta</em>-analysis methods, we compared brain abnormalities between BAs and healthy controls (HCs).</p></div><div><h3>Results</h3><p>There were 11 GMV studies (287 BAs and 292 HCs) and 26 fMRI studies (577 BAs and 545 HCs) that met inclusion criteria. Compared with HCs, BAs demonstrated significant reductions in gray matter volume (GMV) in (1) right anterior cingulate gyri extending into the adjacent superior frontal gyrus, as well as in the left inferior frontal gyrus and right striatum. (2) the bilateral precuneus, right supramarginal gyrus, and right fusiform gyrus were hyperfunction; (3) the left medial cingulate gyrus extended to the superior frontal gyrus, the left inferior frontal gyrus, and right middle temporal gyrus had hypofunction.</p></div><div><h3>Conclusions</h3><p>Our study identified structural and functional impairments in brain regions involved in executive control, cognitive function, visual memory, and reward-driven behavior in BAs. Notably, fronto-cingulate regions may serve as common biomarkers of BAs.</p></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"157 ","pages":"Article 108088"},"PeriodicalIF":3.7,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141461248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cluster analysis based on gambling variables and mental health in a clinical population of gamblers","authors":"G. Aonso-Diego,&nbsp;L. Macía,&nbsp;M. Montero,&nbsp;A. Estévez","doi":"10.1016/j.addbeh.2024.108092","DOIUrl":"10.1016/j.addbeh.2024.108092","url":null,"abstract":"<div><h3>Background</h3><p>Interest in characterizing individuals involved in addictive behaviors has been growing, which allows tailoring prevention and intervention strategies to the gambler’s needs. The study aimed to 1) identify clusters of gamblers according to gambling-related characteristics and mental health; and 2) analyze differences in psychological variables between the clusters. <strong>Methods</strong>. A total of 83 participants undergoing treatment for gambling disorder (<em>M</em>_age = 45.52, 51.8 % female) completed a set of questionnaires. Hierarchical cluster analysis was performed to classify gambling based on gambling variables (i.e., gambling severity and gambling motives) and mental health (i.e., depression, anxiety, and hostility). Several ANOVAs were conducted to illustrate the distinguishing features of each cluster, encompassing both the variables included in the cluster analysis and other relevant psychological variables. <strong>Results</strong>. Findings suggest that gamblers can be classified into three clusters based on these variables: 1) “high gambling severity and good mental health,” 2) “high gambling severity and poor mental health,” and 3) “low gambling severity and good mental health.” These clusters were differentiated as a function of psychological variables, such as emotional dependence, alexithymia, and stressful life events. <strong>Conclusions</strong>. Classifying gamblers according to their profile provides a better understanding of their needs and problems, allowing for a more tailored approach in terms of prevention and intervention strategies.</p></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"157 ","pages":"Article 108092"},"PeriodicalIF":3.7,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0306460324001412/pdfft?md5=22dbb2557aad5a3442bdcb032654ec1c&pid=1-s2.0-S0306460324001412-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141412971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between e-cigarette marketing exposure and vaping nicotine and cannabis among U.S. adults, 2021","authors":"Julia Chen-Sankey ,&nbsp;Kathryn La Capria ,&nbsp;Allison Glasser ,&nbsp;Alisa A. Padon ,&nbsp;Meghan B. Moran ,&nbsp;Kimberly G. Wagoner ,&nbsp;Kristina M. Jackson ,&nbsp;Carla J. Berg","doi":"10.1016/j.addbeh.2024.108090","DOIUrl":"https://doi.org/10.1016/j.addbeh.2024.108090","url":null,"abstract":"<div><h3>Introduction</h3><p>Little is known about the influence of e-cigarette marketing on cannabis vaping behaviors. This study examined the associations between e-cigarette marketing exposure and nicotine and cannabis vaping among adults.</p></div><div><h3>Methods</h3><p>This cross-sectional study included a U.S. nationally representative sample of adults from the Wave 6 survey of the Population Assessment of Tobacco and Health Study. We used multinomial logistic regressions to examine the associations between past 30-day e-cigarette marketing exposure and past 30-day vaping behavior (sole- and dual-vaping of nicotine and cannabis) overall and stratified by age.</p></div><div><h3>Results</h3><p>Overall, 52.0 % of respondents reported e-cigarette marketing exposure, and 89.8 %, 5.6 %, 3.2 %, and 1.4 % reported no vaping, sole-nicotine vaping, sole-cannabis vaping, and dual-vaping, respectively. E-cigarette marketing exposure was associated with increased odds of reporting sole-cannabis vaping versus no vaping (adjusted risk ratio [aRR], 1.31; 95 % confidence interval [CI], 1.09–1.57) and dual-vaping versus no vaping (aRR, 1.26; 95 % CI, 1.01–1.57). This association was found among those aged 18–24 and 25–34 years. It was also associated with increased odds of reporting sole-cannabis vaping versus sole-nicotine vaping (aRR, 1.28; 95 % CI, 1.04–1.58). This association was found among those aged 18–24 years.</p></div><div><h3>Discussion</h3><p>E-cigarette marketing exposure was associated with sole-cannabis vaping and dual-vaping, not sole-nicotine vaping among U.S. adults. Such associations were mainly driven by young adults aged 18–24 and 25–34 years. Greater restrictions on tobacco marketing may have reduced the influence of e-cigarette marketing on nicotine vaping, while gaps in marketing restrictions for cannabis may contribute to e-cigarette marketing influence on cannabis vaping.</p></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"157 ","pages":"Article 108090"},"PeriodicalIF":4.4,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0306460324001394/pdfft?md5=e0493031430d6fe4363527bf058304ea&pid=1-s2.0-S0306460324001394-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141323849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impacts of the Massachusetts 2019 An Act Modernizing Tobacco Control on tobacco retailer settings: A multi-methods study","authors":"Jessica Liu ,&nbsp;Jane Roberts ,&nbsp;Elaine Hanby ,&nbsp;Oulaya Louaddi ,&nbsp;Jonathan P. Winickoff ,&nbsp;Matthew J. Reynolds ,&nbsp;Daniel A. Gundersen ,&nbsp;Mark A. Gottlieb ,&nbsp;Karen M. Emmons ,&nbsp;Andy S.L. Tan","doi":"10.1016/j.addbeh.2024.108089","DOIUrl":"10.1016/j.addbeh.2024.108089","url":null,"abstract":"<div><h3>Background</h3><p>In November 2019, the Massachusetts legislature passed <em>An Act Modernizing Tobacco Control</em> and became the first state to restrict retail sales of all flavored (including menthol) cigarettes, e-cigarettes, and other tobacco products. Our study aims to provide the retailer experience of the new law from the perspectives of multiple stakeholders, including tobacco retailers themselves, public health officials, and Massachusetts residents.</p></div><div><h3>Methods</h3><p>We conducted in-depth interviews with seven tobacco retailers and ten public health officials from March 2021 to April 2022. Monthly repeated cross-sectional surveys were administered through the online survey panel Prodege from April 2021 to August 2022 (adult sample: N = 765; adolescent sample: N = 900). Themes from interviews were identified by drawing on deductive codes informed by the interview guide, followed by inductive coding of data. Survey data were descriptively analyzed in R.</p></div><div><h3>Results</h3><p>Key themes included retailer frustration over loss of sales to neighboring states, factors associated with retailer compliance, and the need for increased education regarding the law. Survey results showed that a minority of adolescents (13.3%) and adults (26.1%) who vaped in the past 30-days were traveling to border states to purchase vape products. Less than one-quarter of adolescent participants and less than half of adult participants could correctly identify which products Massachusetts did not sell.</p></div><div><h3>Conclusions</h3><p>Evidence from the retailer, public health, and end-user perspectives support mutual benefits of adjacent states enacting flavored tobacco sales restrictions, improved policy education for retailers and the public, and improved retailer enforcement.</p></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"157 ","pages":"Article 108089"},"PeriodicalIF":3.7,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141409139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“I knew the effects the whole time.” Examination of facilitators and barriers to quit vaping among adolescents","authors":"Daniel Weinstein ,&nbsp;Emily Jones ,&nbsp;Romano Endrighi ,&nbsp;Joy L. Hart ,&nbsp;Kandi L. Walker ,&nbsp;Belinda Borrelli ,&nbsp;Lisa M. Quintiliani","doi":"10.1016/j.addbeh.2024.108087","DOIUrl":"https://doi.org/10.1016/j.addbeh.2024.108087","url":null,"abstract":"<div><p>Despite declines in adolescent nicotine vaping during the COVID-19 pandemic, vaping continues to be a public health issue for many adolescents. Most studies on teen reasons for vaping and on barriers and facilitators of vaping were conducted prior to the pandemic. Because teen culture changes so rapidly, and because the pandemic had wide-reaching effects on teens and mental health, it is critical to have a current understanding what helps adolescents to quit vaping (facilitators), as well as what prevents them from quitting (barriers) in order to design effective and engaging interventions. The objective of this qualitative study was to examine reasons for vaping, and barriers and facilitators to quitting vaping among high school age (14–18 years old) students. Students (n = 28; 60.7 % female; 50 % White, 10.7 % Black or African American, 25 % Asian or Asian American, 3.6 % other non-Hispanic; 7.2 % Hispanic; 21.4 % former vapers, 78.6 % current vapers) were recruited online from four regions in the US and participated in one of five online focus groups. We conducted a content analysis of the focus groups using a team-based coding approach. The most frequently cited reasons for vaping were mood, peer influence, and boredom. Results also showed that the stigma of seeking treatment acted as a barrier to quitting vaping, while self-reflection acted as a facilitator. In addition, two factors, peer influence and health effects, served as both barriers and facilitators, depending on the context. Program developers can use this information to design engaging vaping cessation programs intended for adolescents.</p></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"157 ","pages":"Article 108087"},"PeriodicalIF":4.4,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141308283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the association between e-cigarette use and cardiovascular disease: A meta-analysis of exclusive and dual use with combustible cigarettes","authors":"Chen Chen ,&nbsp;Cuiqiong Huo ,&nbsp;Paola P. Mattey-Mora ,&nbsp;Aurelian Bidulescu ,&nbsp;Maria A. Parker","doi":"10.1016/j.addbeh.2024.108086","DOIUrl":"10.1016/j.addbeh.2024.108086","url":null,"abstract":"<div><h3>Background</h3><p>Growing evidence highlights the impact of e-cigarette use on cardiovascular health, prompting a crucial examination of its association with cardiovascular disease (CVD) in both exclusive e-cigarette and dual use scenarios with combustible cigarettes. This <em>meta</em>-analysis assessed the association between e-cigarette use and CVD by synthesizing the existing literature.</p></div><div><h3>Methods</h3><p>Pertinent observational studies were identified using multiple electronic databases, from August 22nd, 2006, to April 10th, 2024. A <em>meta</em>-analysis was conducted using random-effect models. Risk of bias was assessed using the National Institutes of Health (NIH) Study Quality Assessment Tools.</p><p>Findings: A total of 20 observational studies involving 8,499,444 participants were included in the <em>meta</em>-analysis. Dual use (e-cigarettes and combustible cigarette) increased the odds of CVD by 2.56 times (95 % CI: 2.11, 3.11) compared to never use of both. Current e-cigarette use combined with former combustible cigarette increased the odds of CVD by 2.02 times (95 % CI: 1.58, 2.58) compared to never use of either. Exclusive current e-cigarette use did not show a statistically significant association with CVD odds compared to never use of either (OR = 1.24, 95 % CI: 0.93, 1.67).</p></div><div><h3>Conclusions</h3><p>Dual use of e-cigarettes and combustible cigarettes was significantly associated with CVD, but results failed to show a significant association between exclusive e-cigarette use and CVD. Robust and longitudinal studies are needed to understand the long-term implications of e-cigarette use and CVD. Public health efforts should focus on awareness, smoking cessation, and regulating both e-cigarettes and combustible cigarettes.</p></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"157 ","pages":"Article 108086"},"PeriodicalIF":3.7,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141389967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}