Electronic nicotine delivery system (ENDS) use in relation to mental health conditions, past‐month serious psychological distress and cigarette smoking status, 2017

Spears, Claire Adams; Jones, Dina M.; Weaver, Scott R.; Yang, Bo; Pechacek, Terry F.; Eriksen, Michael P.

doi:10.1111/add.14464

Cited by 26 publications

(26 citation statements)

References 74 publications

(80 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is a persistent issue which has not only been found in mental healthcare, but also among healthcare professionals who work with other socially disadvantaged groups experiencing high smoking prevalence, including those in addiction services and the homeless ( Cookson et al, 2014 ; Garner & Ratschen, 2013 ). Interestingly, these socially disadvantaged smokers are often just as motivated to quit compared to the general population, and interest in EC and experimentation are common among these smokers ( Dawkins et al, 2019 ; Hefner, Valentine, & Sofuoglu, 2017 ; Spears et al, 2018 ). However, smoking prevalence remains disproportionately higher in these groups, suggesting that these smokers are lacking the support required to convert exclusively to ECs.…”

Section: Discussionmentioning

confidence: 99%

Mental health professionals' perceptions, judgements and decision-making practices regarding the use of electronic cigarettes as a tobacco harm reduction intervention in mental healthcare: A qualitative focus group study

Smith

McNeill

Kock

et al. 2019

Addictive Behaviors Reports

View full text Add to dashboard Cite

Background Smoking prevalence remains significantly higher among individuals with mental health conditions compared with the general population. Tobacco harm reduction (THR) in the form of replacing cigarettes for electronic cigarettes (ECs) is an alternative approach which may prove useful for these smokers who find it difficult to quit. Exploring how mental health professionals' (MHPs) perceive ECs, and how these influence decision making regarding their use in clinical settings is essential to determine the feasibility of incorporating ECs into the treatment pathway. Methods We conducted six focus groups between March and August 2017. A total of 39 MHPs were recruited from mental healthcare services in England. Discussions were guided by a semi-structured guide, and responses were recorded, transcribed and coded using thematic framework analysis. Results MHPs generally adopt a risk-averse approach when judging the safety and suitability of ECs. Risk-aversion was influenced by perceived obscurity surrounding ECs and THR, as well as high exposure to adverse and unreliable information regarding ECs, and perceived analogies between ECs and conventional cigarettes. Some MHPs adopt a pragmatic approach when making decisions based on THR and EC use in daily practice by considering the context of treatment and patient circumstances. However, this is often accompanied by a high degree of caution and misconceptions which limits the potential benefit this intervention could have in mental healthcare settings. Conclusion Improved dissemination of national guidance and scientific literature regarding THR and ECs is essential in mental healthcare to eliminate misconceptions and better inform MHPs evidence-based decision-making practices.

show abstract

Section: Discussionmentioning

confidence: 99%

Mental health professionals' perceptions, judgements and decision-making practices regarding the use of electronic cigarettes as a tobacco harm reduction intervention in mental healthcare: A qualitative focus group study

Smith

McNeill

Kock

et al. 2019

Addictive Behaviors Reports

View full text Add to dashboard Cite

show abstract

“…Vaping is associated with blue-collar workers (Eichler et al, 2016). Research indicates those reliant on Medicaid, state assistance, or uninsured were more likely to vape (Spears et al, 2019). Vaping is predominately associated with Whites and Hispanics, while Blacks and Asians had lower rates (Bostean et al, 2015; Spears et al, 2019).…”

Section: Literature Reviewmentioning

confidence: 99%

“…Research indicates those reliant on Medicaid, state assistance, or uninsured were more likely to vape (Spears et al, 2019). Vaping is predominately associated with Whites and Hispanics, while Blacks and Asians had lower rates (Bostean et al, 2015; Spears et al, 2019). In addition, research has indicated that 40% of those who vape were not prior cigarette users (Cheney et al, 2018).…”

Section: Literature Reviewmentioning

confidence: 99%

See 1 more Smart Citation

Vaping in the Context of Delinquency Among Adolescents: A Cross-Sectional Comparison Among Alcohol and Cigarette Use

Maynard

2021

Journal of Drug Issues

View full text Add to dashboard Cite

Vaping has been increasing with Monitoring the Future, indicating nicotine vaping (2017–2018) having the largest single-year jump among any substance recorded in its 45-year history. Overall, research on vaping has been substantially limited, primarily in the context of vaping and delinquency. This study’s purpose is to examine how nicotine vaping compares with other common substances used by adolescents like alcohol and cigarettes within the context of delinquency. Using secondary data from Monitoring the Future: A Continuing Study of the Lifestyles and Values of Youth conducted in 2017, with a sample size of 8,467 participants, we find that ever-nicotine “vapers” were associated with less delinquency than ever-cigarette-using youth; however, these “vapers” were associated with more delinquency than ever-alcohol users. We interpret these results in the context of social bonding and social learning theory and policies to create awareness on the potential social implications of vaping.

show abstract

“…Particular aspects of THR in mental health patients include a high prevalence of smoking and use of ENDS, 75,76,77 preliminary evidence that ENDS are highly effective for smoking cessation in this group, 76 and that patients with mental health issues may be more prone to addiction 78,79 and struggle to quit nicotine in the longer term. 75 Furthermore, nicotine itself may have an impact on symptoms and progression of the mental health condition. 80 Seven studies investigating mental health outcomes were identified in this review, but there were others reporting on mental health disease as a predictor of ENDS use.…”

Section: Mental Healthmentioning

confidence: 99%

The Health Impact of Electronic Nicotine Delivery Systems: A Systematic Review

Hajat¹,

Stein²,

Shantikumar³

et al. 2020

Preprint

View full text Add to dashboard Cite

Introduction The objective of this systematic review was to identify, report and critically appraise studies that have reported health outcomes from use of ENDS. Methods We conducted a systematic review of all published literature on the health impact of ENDS products from 1st January 2015 until February 1, 2020, following the PRISMA protocol, including across the databases, PubMed, Embase, Scopus and Google Scholar. Medical subject headings were used in the execution of PubMed searches. A category for the level of evidence was assigned blindly using the Centres for Evidence Based Medicine framework. A similar approach was adopted to evaluate methodological quality of each study utilizing the National Institutes for Health (NIH) Quality Assessment Tools. Results The database search identified 755 studies and a further 265 were identified from other sources and reference reviews of which 37 studies met the eligibility criteria. The majority of studies were of low strength for levels of evidence including 24 (65%) cross-sectional, 1(2.7%) case-control and six (16%) case studies. There were four (11%) cohort studies and only one (2.7%) RCT. There was only one (2.7%) meta-analysis or pooled study of observational study designs; there were no pooled results of randomized controlled trials. Of 37 studies, eight (22%) studies reported on benefits, two (2%) studies were neutral, reporting on both harm and benefits, the remaining 27 (73%) reported only on harms. The quality ratings were poor (20, 54%), fair (9, 24%) and good (8, 22%). In our review ENDS use has not been shown to be causative for any CVD outcomes and has been shown to be beneficial for hypertensive patients. Switching from cigarettes to e-cigarettes resulted in reduced exacerbations of COPD, with no evidence of long-term deterioration in lung function. There was a suggestion of short-term reductions in respiratory function in asthmatics, but no increased risk of asthma in ENDS users who were never smokers. Mental Health, cancer and mortality have not been adequately studied to form any consensus with regards to health outcomes from ENDS use. Conclusion This review found numerous gaps in the evidence base for the harms from ENDS and benefits of switching from cigarettes to ENDS. Studies are skewed towards those reporting on negative health impacts from ENDS. The evidence of significant harms to health outcomes from ENDS is lacking. There is a failure of study designs to be able to rigorously establish causation. There is some evidence of positive health outcomes in those switching from cigarettes to e-cigarettes but further studies would need to replicate the findings. We lack the information required to accurately and correctly weigh the health impact of increased uptake of ENDS against the vast majority of users whose main reason for ENDS use is to quit smoking. Only with this full picture can we ensure that we are totally informed about the net impact on health outcomes from ENDS.

show abstract

Electronic nicotine delivery system (ENDS) use in relation to mental health conditions, past‐month serious psychological distress and cigarette smoking status, 2017

Cited by 26 publications

References 74 publications

Mental health professionals' perceptions, judgements and decision-making practices regarding the use of electronic cigarettes as a tobacco harm reduction intervention in mental healthcare: A qualitative focus group study

Mental health professionals' perceptions, judgements and decision-making practices regarding the use of electronic cigarettes as a tobacco harm reduction intervention in mental healthcare: A qualitative focus group study

Vaping in the Context of Delinquency Among Adolescents: A Cross-Sectional Comparison Among Alcohol and Cigarette Use

The Health Impact of Electronic Nicotine Delivery Systems: A Systematic Review

Contact Info

Product

Resources

About