Tobacco product use and mental health status among young adults. (February 2018)

• Record Type: Journal Article
• Authors: King, Jessica L.; Reboussin, Beth A.; Spangler, John; Cornacchione Ross, Jennifer; Sutfin, Erin L.
• Is Part Of: Addictive behaviors. Volume 77(2018)
• Page Start: 67
• Page End: 72
• Publication Date: 2018-02
• Subjects: Tobacco use -- Smoking -- Mental health -- College students; ADHD Attention Deficit Hyperactive Disorder -- ADD Attention Deficit Disorder; Substance abuse -- Periodicals; Alcoholism -- Periodicals; Drug addiction -- Periodicals; Nicotine addiction -- Periodicals; Smoking -- Periodicals; Gambling -- Psychological aspects -- Periodicals; Electronic journals; 362.29
• DOI: 10.1016/j.addbeh.2017.09.012
• Languages: English
• ISSNs: 0306-4603

Abstract

Abstract: Background: Individuals with mental health conditions represent a priority population for tobacco control. This population smokes cigarettes at disproportionately higher rates than the general population, but less is known about the relationship between non-cigarette tobacco use and mental health status. Method: In 2013, 2370 young adults recruited from 11 colleges in North Carolina and Virginia completed an online survey on tobacco use. We compared past 6-month self-reported mental health diagnosis, past 30-day depression score, and past 7-day stress score to past 30-day cigarette, e-cigarette, waterpipe, cigar, and smokeless tobacco use. Models adjusted for age, gender, race, ethnicity, and mother's education. Non-cigarette products were also adjusted for past 30-day cigarette use. Results: Among participants, 249 (10.5%) reported a mental health diagnosis, most commonly depression (5.5%), ADHD/ADD (4.5%), and anxiety (0.8%). Those who reported a mental health diagnosis had greater odds of using cigarettes (AOR = 1.55; CI = 1.01, 2.27). Mean stress score was 16.0 (SD = 6.9) of possible 40. Higher stress scale score was associated with increased odds of e-cigarette (AOR = 1.03; CI = 1.01, 1.05), waterpipe (AOR = 1.04; CI = 1.01, 1.06), and cigarette (AOR = 1.02; CI = 1.00, 1.04) use. Mean depression score was 7.2 (SD = 5.6) of possible 33. Higher depression scale score was associated with increased odds for e-cigarette (AOR = 1.04; CI = 1.01, 1.08) and cigarette (AOR = 1.03; CI = 1.01, 1.06) use. Conclusion: Findings in this study provide further evidence of a potential relationship between non-cigarette tobacco products and mental health status. Tobacco control efforts aimed at reducing tobacco use disparities among mental health populations should focus on non-cigarette tobacco products in addition to cigarettes. Highlights: Cigarette use related to mental health diagnosis, depression score, and stress score E-cigarette use related to depression score and stress score Waterpipe use related to stress score among college students