抑郁症状有望增加新发烟草和ENDS依赖症状的风险
Jacob E Thomas1, Keryn E Pasch1, C Nathan Marti1
1Department of Kinesiology and Health Education, The University of Texas at Austin, 2109 San Jacinto Blvd D3700, Austin, TX 78712, USA.
Addictive behaviors
|September 30, 2023
概括
年轻成年人表现出类似的新香烟和电子尼古丁输送系统 (ENDS) 依赖率. 抑郁症状显著增加了发展这些尼古丁依赖症状的风险.
科学领域:
- 公共卫生 公共卫生
- 药物成科学 药物成科学
- 心理健康 心理健康
背景情况:
- 关于年轻成年人开始吸烟和电子尼古丁输送系统 (ENDS) 依赖症状的研究有限.
- 了解这些模式对于制定有针对性的公共卫生干预措施至关重要.
- 尼古丁依赖和抑郁症状的同时出现需要进一步调查.
研究的目的:
- 在年轻成年人中,在4.5年的时间内检查吸烟和ENDS依赖症状的新发作.
- 调查抑郁症症状对新发烟和ENDS依赖症状的发展的影响.
- 在年轻成年人尼古丁使用的背景下,提供支持自我治疗假设的证据.
主要方法:
- 纵向队列研究涉及4536名来自德克萨斯州24所大学的18-25岁的年轻人 (2014-2019).
- 参与者在第1波中没有报告最初的香烟或ENDS依赖症状.
- 考克斯回归模型被用来评估新出现的依赖症状的危险性,控制社会人口学因素和其他烟草使用.
主要成果:
- 14.4%的参与者在4.5年内出现了新的烟草依赖症状,14.6%的参与者在4.5年内出现了新的ENDS依赖症状.
- 抑郁症状显著预测了新发烟草依赖 (HR=1.30) 和ENDS依赖 (HR=1.20) 的风险增加.
- 在研究期间,年轻成年人中,烟草和ENDS成症状的出现率与年轻成年人相似.
结论:
- 年轻人以相似的速度开始吸烟和ENDS成.
- 高度抑郁症状是发展香烟和ENDS依赖的重要危险因素,支持自我治疗假设.
- 针对性烟草和尼古丁预防和戒烟计划对于年轻人至关重要,特别是那些有抑郁症状的人.
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