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Published on: August 25, 2018
E-cigarette use among smokers with serious mental illness
Judith J Prochaska1, Rachel A Grana2
1Stanford Prevention Research Center, Department of Medicine, Stanford University, Stanford, California, United States of America.
Electronic cigarette (EC) use increased among smokers with serious mental illness, especially younger adults intending to quit. However, EC use did not impact smoking cessation or reduce daily cigarette consumption over 18 months.
Area of Science:
- Public Health
- Psychiatry
- Addiction Medicine
Background:
- Investigated electronic cigarette (EC) use patterns and their impact on smoking behaviors.
- Focused on a vulnerable population: smokers with serious mental illness (SMI).
Purpose of the Study:
- To examine the frequency and correlates of EC use in individuals with SMI.
- To assess the association between EC use and changes in smoking behavior over an 18-month period.
Main Methods:
- Recruited 956 adult smokers during psychiatric hospitalization (2009-2013).
- Collected data on EC use, smoking status, and cigarette consumption over 18 months.
- Utilized logistic regression to identify correlates of EC use.
Main Results:
- Overall EC use was 11%, increasing from 0% in 2009 to 25% in 2013.
- EC use was higher among younger adults (18-26) and those preparing to quit.
- EC use was not associated with changes in smoking cessation or reduced daily cigarette intake.
Conclusions:
- EC use is increasing among smokers with SMI, particularly younger individuals and those with quit intentions.
- Current findings suggest EC use is not linked to improved smoking cessation or reduced smoking intensity in this population.
- Further research is warranted to understand the clinical implications of EC use in individuals with SMI.
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