Passive exposure to e-cigarette emissions is associated with worsened mental health
Abstract Background Cigarette smoking, secondhand cigarette smoke (SHS) exposure, and e-cigarette use (“vaping”) are each associated with increased rates of depressive symptoms and other internalizing mental health disorders. The prevalence of vaping has increased greatly, yet the mental health corr...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-06-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-022-13470-9 |
| _version_ | 1811258050208595968 |
|---|---|
| author | Kayla Rae Farrell Michael Weitzman Emma Karey Teresa K. Y. Lai Terry Gordon Shu Xu |
| author_facet | Kayla Rae Farrell Michael Weitzman Emma Karey Teresa K. Y. Lai Terry Gordon Shu Xu |
| author_sort | Kayla Rae Farrell |
| collection | DOAJ |
| description | Abstract Background Cigarette smoking, secondhand cigarette smoke (SHS) exposure, and e-cigarette use (“vaping”) are each associated with increased rates of depressive symptoms and other internalizing mental health disorders. The prevalence of vaping has increased greatly, yet the mental health correlates of secondhand exposure to e-cigarette emissions are as yet to be investigated. This study examined the potential adverse mental health outcomes associated with different tobacco exposures (direct and passive), with a particular focus on the mental health correlates of secondhand exposure to e-cigarette emissions. Methods The Population Assessment of Tobacco and Health Study data collected from a sample of 16,173 Wave 4 adults were used to test the hypothesis that secondhand e-cigarette emissions exposure is associated with increased odds of internalizing mental health disorders. Individuals were categorized as exclusive cigarette smokers, exclusive e-cigarette users, cigarette and e-cigarette dual users, exclusive noncombustible tobacco users, secondhand smoke exposed non-users, secondhand e-cigarette emissions exposed non-users, and non-users with no current SHS/secondhand e-cigarette aerosol exposure. Adjusted weighted logistic regression analysis was used to investigate the association between exposure type and internalizing problems as assessed by scores on the Global Appraisal of Individual Needs-Short Screener (GAIN-SS), a widely used instrument for assessing mental health problems. Results Cigarette smokers (AOR = 2.53, 95% CI: 2.19–2.92), e-cigarette users (AOR = 3.14, 2.41–4.09), dual users (AOR = 3.37, 2.85–4.00), noncombustible tobacco users (AOR = 1.48, 1.01–2.17), SHS exposed non-users (AOR = 1.63, 1.37–1.94), and secondhand e-cigarette emissions exposed non-users (AOR = 1.43, 1.03–1.99) were each associated with increased odds of moderate to severe internalizing mental health problems as compared to unexposed non-users. Odds of internalizing problems among SHS and secondhand e-cigarette emissions exposed non-users did not differ (p = 0.46). Conclusions This is the first study, to our knowledge, to identify an association between recent secondhand exposure to e-cigarette emissions and mental health problems, and the risk is comparable to that of SHS. Corroboration of this relationship needs further research to explicate directionality and mechanisms underlying this association. |
| first_indexed | 2024-04-12T18:07:18Z |
| format | Article |
| id | doaj.art-661f1c986bd04626a2e711955da57eab |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-12T18:07:18Z |
| publishDate | 2022-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-661f1c986bd04626a2e711955da57eab2022-12-22T03:21:57ZengBMCBMC Public Health1471-24582022-06-0122111210.1186/s12889-022-13470-9Passive exposure to e-cigarette emissions is associated with worsened mental healthKayla Rae Farrell0Michael Weitzman1Emma Karey2Teresa K. Y. Lai3Terry Gordon4Shu Xu5Department of Environmental Medicine, New York University Grossman School of MedicineDepartment of Environmental Medicine, New York University Grossman School of MedicineDepartment of Environmental Medicine, New York University Grossman School of MedicineDepartment of Social and Behavioral Sciences, New York University School of Global Public HealthDepartment of Environmental Medicine, New York University Grossman School of MedicineDepartment of Biostatistics, New York University School of Global Public HealthAbstract Background Cigarette smoking, secondhand cigarette smoke (SHS) exposure, and e-cigarette use (“vaping”) are each associated with increased rates of depressive symptoms and other internalizing mental health disorders. The prevalence of vaping has increased greatly, yet the mental health correlates of secondhand exposure to e-cigarette emissions are as yet to be investigated. This study examined the potential adverse mental health outcomes associated with different tobacco exposures (direct and passive), with a particular focus on the mental health correlates of secondhand exposure to e-cigarette emissions. Methods The Population Assessment of Tobacco and Health Study data collected from a sample of 16,173 Wave 4 adults were used to test the hypothesis that secondhand e-cigarette emissions exposure is associated with increased odds of internalizing mental health disorders. Individuals were categorized as exclusive cigarette smokers, exclusive e-cigarette users, cigarette and e-cigarette dual users, exclusive noncombustible tobacco users, secondhand smoke exposed non-users, secondhand e-cigarette emissions exposed non-users, and non-users with no current SHS/secondhand e-cigarette aerosol exposure. Adjusted weighted logistic regression analysis was used to investigate the association between exposure type and internalizing problems as assessed by scores on the Global Appraisal of Individual Needs-Short Screener (GAIN-SS), a widely used instrument for assessing mental health problems. Results Cigarette smokers (AOR = 2.53, 95% CI: 2.19–2.92), e-cigarette users (AOR = 3.14, 2.41–4.09), dual users (AOR = 3.37, 2.85–4.00), noncombustible tobacco users (AOR = 1.48, 1.01–2.17), SHS exposed non-users (AOR = 1.63, 1.37–1.94), and secondhand e-cigarette emissions exposed non-users (AOR = 1.43, 1.03–1.99) were each associated with increased odds of moderate to severe internalizing mental health problems as compared to unexposed non-users. Odds of internalizing problems among SHS and secondhand e-cigarette emissions exposed non-users did not differ (p = 0.46). Conclusions This is the first study, to our knowledge, to identify an association between recent secondhand exposure to e-cigarette emissions and mental health problems, and the risk is comparable to that of SHS. Corroboration of this relationship needs further research to explicate directionality and mechanisms underlying this association.https://doi.org/10.1186/s12889-022-13470-9E-cigarette useSmokingE-cigarette emissionsSecondhand smokeInternalizing disordersMental health |
| spellingShingle | Kayla Rae Farrell Michael Weitzman Emma Karey Teresa K. Y. Lai Terry Gordon Shu Xu Passive exposure to e-cigarette emissions is associated with worsened mental health BMC Public Health E-cigarette use Smoking E-cigarette emissions Secondhand smoke Internalizing disorders Mental health |
| title | Passive exposure to e-cigarette emissions is associated with worsened mental health |
| title_full | Passive exposure to e-cigarette emissions is associated with worsened mental health |
| title_fullStr | Passive exposure to e-cigarette emissions is associated with worsened mental health |
| title_full_unstemmed | Passive exposure to e-cigarette emissions is associated with worsened mental health |
| title_short | Passive exposure to e-cigarette emissions is associated with worsened mental health |
| title_sort | passive exposure to e cigarette emissions is associated with worsened mental health |
| topic | E-cigarette use Smoking E-cigarette emissions Secondhand smoke Internalizing disorders Mental health |
| url | https://doi.org/10.1186/s12889-022-13470-9 |
| work_keys_str_mv | AT kaylaraefarrell passiveexposuretoecigaretteemissionsisassociatedwithworsenedmentalhealth AT michaelweitzman passiveexposuretoecigaretteemissionsisassociatedwithworsenedmentalhealth AT emmakarey passiveexposuretoecigaretteemissionsisassociatedwithworsenedmentalhealth AT teresakylai passiveexposuretoecigaretteemissionsisassociatedwithworsenedmentalhealth AT terrygordon passiveexposuretoecigaretteemissionsisassociatedwithworsenedmentalhealth AT shuxu passiveexposuretoecigaretteemissionsisassociatedwithworsenedmentalhealth |