Alyssa F. Harlow, Dae-Hee Han, Sandrah P. Eckel, Rob McConnell, Adam M. Leventhal, Jessica L. Barrington-Trimis
{"title":"电子烟使用和心理健康症状对美国年轻人吸烟风险的影响。","authors":"Alyssa F. Harlow, Dae-Hee Han, Sandrah P. Eckel, Rob McConnell, Adam M. Leventhal, Jessica L. Barrington-Trimis","doi":"10.1111/add.16319","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background and Aims</h3>\n \n <p>It is unknown whether young adults who vape nicotine and have poor mental health have greater risk of smoking initiation than expected based on individual risks of vaping and mental health alone. This study aimed to estimate the joint association of vaping and mental health symptoms with smoking initiation among young adults, and test for additive interaction between vaping and mental health in smoking initiation risk.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>Using five waves of the Population Assessment of Tobacco and Health (wave 1, 2013–2014; wave 2, 2014–2015; wave 3, 2015–2016; wave 4, 2016–2018; wave 5, 2018–2019), we estimated risk differences (RD) for the association of time-varying and time-lagged vaping and internalizing (e.g., anxiety, depressive) and externalizing (e.g., inattention/hyperactivity) mental health symptoms with cigarette smoking initiation at follow-up, over four 1-year intervals. We calculated interaction contrasts (IC) to estimate the excess risk of smoking initiation attributable to the interaction of vaping and mental health symptoms.</p>\n </section>\n \n <section>\n \n <h3> Setting</h3>\n \n <p>United States.</p>\n </section>\n \n <section>\n \n <h3> Participants</h3>\n \n <p>A total of 6908 cigarette-naïve individuals aged 18–24 years.</p>\n </section>\n \n <section>\n \n <h3> Measurements</h3>\n \n <p>Exposures included current (past-30 day) vaping and internalizing and externalizing mental health symptoms (high vs moderate/low symptoms). The outcome was smoking initiation (ever cigarette use) after 1 year.</p>\n </section>\n \n <section>\n \n <h3> Findings</h3>\n \n <p>The per-interval risk of smoking initiation was 7.6% (1039 cases/13 712 person-intervals). Compared with noncurrent vaping and moderate/low mental health symptoms, adjusted RDs for current vaping and high mental health symptoms were 17.2% (95% confidence interval [CI]: 7.2% to 27.3%) for internalizing and 18.7% (95%CI: 8.1% to 29.2%) for externalizing symptoms. The excess risk attributed to interaction of current vaping and high externalizing symptoms was IC = 11.3% (95%CI: 1.3% to 21.2%; <i>P</i> = 0.018), with inconclusive findings for internalizing symptoms (IC = 7.7% [95%CI: −2.2% to 17.7%; <i>P</i> = 0.097]).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>There is possible, but inconclusive, superadditivity between vaping and mental health in risk of smoking initiation among young adults in the United States.</p>\n </section>\n </div>","PeriodicalId":109,"journal":{"name":"Addiction","volume":"118 12","pages":"2317-2326"},"PeriodicalIF":5.2000,"publicationDate":"2023-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The interaction of e-cigarette use and mental health symptoms on risk of cigarette smoking initiation among young adults in the United States\",\"authors\":\"Alyssa F. Harlow, Dae-Hee Han, Sandrah P. Eckel, Rob McConnell, Adam M. Leventhal, Jessica L. Barrington-Trimis\",\"doi\":\"10.1111/add.16319\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background and Aims</h3>\\n \\n <p>It is unknown whether young adults who vape nicotine and have poor mental health have greater risk of smoking initiation than expected based on individual risks of vaping and mental health alone. This study aimed to estimate the joint association of vaping and mental health symptoms with smoking initiation among young adults, and test for additive interaction between vaping and mental health in smoking initiation risk.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>Using five waves of the Population Assessment of Tobacco and Health (wave 1, 2013–2014; wave 2, 2014–2015; wave 3, 2015–2016; wave 4, 2016–2018; wave 5, 2018–2019), we estimated risk differences (RD) for the association of time-varying and time-lagged vaping and internalizing (e.g., anxiety, depressive) and externalizing (e.g., inattention/hyperactivity) mental health symptoms with cigarette smoking initiation at follow-up, over four 1-year intervals. We calculated interaction contrasts (IC) to estimate the excess risk of smoking initiation attributable to the interaction of vaping and mental health symptoms.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Setting</h3>\\n \\n <p>United States.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Participants</h3>\\n \\n <p>A total of 6908 cigarette-naïve individuals aged 18–24 years.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Measurements</h3>\\n \\n <p>Exposures included current (past-30 day) vaping and internalizing and externalizing mental health symptoms (high vs moderate/low symptoms). The outcome was smoking initiation (ever cigarette use) after 1 year.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Findings</h3>\\n \\n <p>The per-interval risk of smoking initiation was 7.6% (1039 cases/13 712 person-intervals). Compared with noncurrent vaping and moderate/low mental health symptoms, adjusted RDs for current vaping and high mental health symptoms were 17.2% (95% confidence interval [CI]: 7.2% to 27.3%) for internalizing and 18.7% (95%CI: 8.1% to 29.2%) for externalizing symptoms. The excess risk attributed to interaction of current vaping and high externalizing symptoms was IC = 11.3% (95%CI: 1.3% to 21.2%; <i>P</i> = 0.018), with inconclusive findings for internalizing symptoms (IC = 7.7% [95%CI: −2.2% to 17.7%; <i>P</i> = 0.097]).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>There is possible, but inconclusive, superadditivity between vaping and mental health in risk of smoking initiation among young adults in the United States.</p>\\n </section>\\n </div>\",\"PeriodicalId\":109,\"journal\":{\"name\":\"Addiction\",\"volume\":\"118 12\",\"pages\":\"2317-2326\"},\"PeriodicalIF\":5.2000,\"publicationDate\":\"2023-08-24\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Addiction\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/add.16319\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Addiction","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/add.16319","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHIATRY","Score":null,"Total":0}
The interaction of e-cigarette use and mental health symptoms on risk of cigarette smoking initiation among young adults in the United States
Background and Aims
It is unknown whether young adults who vape nicotine and have poor mental health have greater risk of smoking initiation than expected based on individual risks of vaping and mental health alone. This study aimed to estimate the joint association of vaping and mental health symptoms with smoking initiation among young adults, and test for additive interaction between vaping and mental health in smoking initiation risk.
Design
Using five waves of the Population Assessment of Tobacco and Health (wave 1, 2013–2014; wave 2, 2014–2015; wave 3, 2015–2016; wave 4, 2016–2018; wave 5, 2018–2019), we estimated risk differences (RD) for the association of time-varying and time-lagged vaping and internalizing (e.g., anxiety, depressive) and externalizing (e.g., inattention/hyperactivity) mental health symptoms with cigarette smoking initiation at follow-up, over four 1-year intervals. We calculated interaction contrasts (IC) to estimate the excess risk of smoking initiation attributable to the interaction of vaping and mental health symptoms.
Setting
United States.
Participants
A total of 6908 cigarette-naïve individuals aged 18–24 years.
Measurements
Exposures included current (past-30 day) vaping and internalizing and externalizing mental health symptoms (high vs moderate/low symptoms). The outcome was smoking initiation (ever cigarette use) after 1 year.
Findings
The per-interval risk of smoking initiation was 7.6% (1039 cases/13 712 person-intervals). Compared with noncurrent vaping and moderate/low mental health symptoms, adjusted RDs for current vaping and high mental health symptoms were 17.2% (95% confidence interval [CI]: 7.2% to 27.3%) for internalizing and 18.7% (95%CI: 8.1% to 29.2%) for externalizing symptoms. The excess risk attributed to interaction of current vaping and high externalizing symptoms was IC = 11.3% (95%CI: 1.3% to 21.2%; P = 0.018), with inconclusive findings for internalizing symptoms (IC = 7.7% [95%CI: −2.2% to 17.7%; P = 0.097]).
Conclusions
There is possible, but inconclusive, superadditivity between vaping and mental health in risk of smoking initiation among young adults in the United States.
期刊介绍：
Addiction publishes peer-reviewed research reports on pharmacological and behavioural addictions, bringing together research conducted within many different disciplines.
Its goal is to serve international and interdisciplinary scientific and clinical communication, to strengthen links between science and policy, and to stimulate and enhance the quality of debate. We seek submissions that are not only technically competent but are also original and contain information or ideas of fresh interest to our international readership. We seek to serve low- and middle-income (LAMI) countries as well as more economically developed countries.
Addiction’s scope spans human experimental, epidemiological, social science, historical, clinical and policy research relating to addiction, primarily but not exclusively in the areas of psychoactive substance use and/or gambling. In addition to original research, the journal features editorials, commentaries, reviews, letters, and book reviews.
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