Mollie E Miller1, Jennifer W Tidey1, Janice Y Bunn1, Diann E Gaalema1, Lori A J Scott-Sheldon1, Irene Pericot-Valverde1, Sandra J Japuntich1. 1. Mollie E. Miller, Postdoctoral Research Associate, Brown University, Center for Alcohol and Addiction Studies, Providence, RI. Jennifer W. Tidey, Professor, Brown University, Center for Alcohol and Addiction Studies, Providence, RI. Janice Y. Bunn, Research Associate Professor, University of Vermont, Medical Biostatistics, Burlington, VT. Diann E. Gaalema, Assistant Professor, University of Vermont, Departments of Psychiatry and Psychology, Burlington, VT. Lori A. J. Scott-Sheldon, Associate Professor, The Miriam Hospital, Centers for Behavioral and Preventive Medicine, Providence, RI. Irene Pericot-Valverde, Postdoctoral Trainee, University of Vermont, Vermont Center on Behavior and Health, Burlington, VT. Sandra J. Japuntich, Research Scientist, The Miriam Hospital, Centers for Behavioral and Preventive Medicine, Providence, RI.
Abstract
OBJECTIVES: Poor mental health is associated with increased cigarette smoking, yet whether this extends to alternative tobacco product use remains unknown. METHODS: Wave 1 data from the Population Assessment of Tobacco and Health study assessed relationships between self-perceived mental health (SPMH) and prevalence of and motives for tobacco use among US adults (N = 32,320). RESULTS: Fair/poor SPMH, as compared to good/excellent SPMH, was associated with increased current cigarette (AOR = 2.91, 95% CI = 2.64, 3.20), e-cigarette (AOR = 1.35, 95% CI = 1.20, 1.53), cigarillo (AOR = 1.38, 95% CI = 1.22, 1.56), filtered cigar (AOR = 1.43, 95% CI = 1.21, 1.70), and smokeless tobacco (AOR = 1.17, 95% CI = 1.01, 1.36), but not traditional cigar use (AOR = 1.04, 95% CI = 0.90, 1.20). Whereas most motives for tobacco use were similar across SPMH rating, those with fair/poor SPMH, as compared to good/excellent SPMH, were more likely to report using traditional cigars due to affordability (AOR = 1.56, 95% CI = 1.23, 1.98) and e-cigarettes (AOR = 1.43, 95% CI = 1.15, 1.79) and smokeless tobacco (AOR = 1.84, 95% CI = 1.19, 2.83) due to appealing advertising. CONCLUSIONS: Although individuals with poor SPMH are more likely to use alternative tobacco products than those with better SPMH, most motives for use are strikingly similar. These findings highlight the importance of continual monitoring of tobacco use trends among vulnerable populations.
OBJECTIVES: Poor mental health is associated with increased cigarette smoking, yet whether this extends to alternative tobacco product use remains unknown. METHODS: Wave 1 data from the Population Assessment of Tobacco and Health study assessed relationships between self-perceived mental health (SPMH) and prevalence of and motives for tobacco use among US adults (N = 32,320). RESULTS: Fair/poor SPMH, as compared to good/excellent SPMH, was associated with increased current cigarette (AOR = 2.91, 95% CI = 2.64, 3.20), e-cigarette (AOR = 1.35, 95% CI = 1.20, 1.53), cigarillo (AOR = 1.38, 95% CI = 1.22, 1.56), filtered cigar (AOR = 1.43, 95% CI = 1.21, 1.70), and smokeless tobacco (AOR = 1.17, 95% CI = 1.01, 1.36), but not traditional cigar use (AOR = 1.04, 95% CI = 0.90, 1.20). Whereas most motives for tobacco use were similar across SPMH rating, those with fair/poor SPMH, as compared to good/excellent SPMH, were more likely to report using traditional cigars due to affordability (AOR = 1.56, 95% CI = 1.23, 1.98) and e-cigarettes (AOR = 1.43, 95% CI = 1.15, 1.79) and smokeless tobacco (AOR = 1.84, 95% CI = 1.19, 2.83) due to appealing advertising. CONCLUSIONS: Although individuals with poor SPMH are more likely to use alternative tobacco products than those with better SPMH, most motives for use are strikingly similar. These findings highlight the importance of continual monitoring of tobacco use trends among vulnerable populations.
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