Electronic cigarette use among individuals with a self‐reported eating disorder diagnosis

Abstract

Objective: The primary study aim was to examine whether rates of using e-cigarettes ("vaping") to lose weight are elevated among American adults who self-report having an eating disorder (ED). Results: Relative to participants reporting no ED history, participants who reported currently having an ED were more likely to report vaping to lose/control weight, because it can be concealed from others, and due to the availability of sweet flavors. Participants reporting a current ED also were more likely to vape daily, to use higher nicotine concentrations, and to vape to relieve negative affect than were individuals without EDs. MethodDiscussion: Individuals who self-reported currently having an ED endorsed vaping motives that are consistent with eating pathology (e.g., substance-induced weight loss, hiding compensatory behaviors from others). They also were more likely to vape daily and to use higher nicotine concentrations, raising health concerns. The findings suggest that treatment providers should screen for e-cigarette use in clients seeking ED treatment. K E Y W O R D Sfeeding and eating disorders, electronic cigarettes, survey methods

Unhealthy eating and weight dissatisfaction in adolescents who never, occasionally, or regularly use smokeless tobacco (Swedish snus)

“…Akin to prior studies of cigarette smoking and vaping (Fairweather-Schmidt & Wade, 2015;Morean & L'Insalata, 2018;Solmi et al, 2016;White, 2012), the present study offers novel evidence of a link between smokeless tobacco, weight dissatisfaction, and unhealthy eating behavior. Akin to prior studies of cigarette smoking and vaping (Fairweather-Schmidt & Wade, 2015;Morean & L'Insalata, 2018;Solmi et al, 2016;White, 2012), the present study offers novel evidence of a link between smokeless tobacco, weight dissatisfaction, and unhealthy eating behavior.…”

“…In conclusion, adolescents aged 16-19 years who used snus reported significantly more unhealthy eating behaviors and weight dissatisfaction than nonusers. Akin to prior studies of cigarette smoking and vaping (Fairweather-Schmidt & Wade, 2015;Morean & L'Insalata, 2018;Solmi et al, 2016;White, 2012), the present study offers novel evidence of a link between smokeless tobacco, weight dissatisfaction, and unhealthy eating behavior. This knowledge provides a useful foundation and interpretive context for future research on smokeless tobacco products and associated health and mental health issues.…”

“…possibly as a substitute to preferred binge foods, and/or to suppress cravings and appetite (Morean & L'Insalata, 2018).…”

“…Smoking is also a significant health problem in clinical samples of eating disorders (EDs), particularly binge/purge presentations such as bulimia nervosa (Anzengruber et al, 2006;Krug et al, 2009;Solmi et al, 2016). A recent study, for example, found that individuals with a current self-reported ED were nearly four times more likely to vape daily, and to vape for weight loss, relative to individuals without an ED (Morean & L'Insalata, 2018). A recent study, for example, found that individuals with a current self-reported ED were nearly four times more likely to vape daily, and to vape for weight loss, relative to individuals without an ED (Morean & L'Insalata, 2018).…”

“…E-cigarette use, or vaping, has also been linked to EDs. A recent study, for example, found that individuals with a current self-reported ED were nearly four times more likely to vape daily, and to vape for weight loss, relative to individuals without an ED (Morean & L'Insalata, 2018).…”