Patterns of e-cigarette use and self-reported health outcomes among smokers and non-smokers in the United States: a preliminary assessment.

Introduction:
This article is a preliminary assessment of the patterns of e-cigarette use and self-reported health outcomes in the United States. The study used data from the Population assessment of Tobacco and health (PaTh) study to examine the relationship between e-cigarette use and health outcomes in both smoking and non-smoking populations. The study focused on self-reported health measures, including overall, physical, and mental health, and quality of life.

Key Points:

* The study found that among non-cigarette smokers, e-cigarette users had a lower chance of reporting good mental health compared to non-users.
* among cigarette smokers, more use of e-cigarette cartridges was associated with a higher risk of poor mental health.
* Poor quality of life was associated with regular e-cigarette use.
* higher concentration of nicotine in e-cigarette cartridges was associated with higher risks of poor physical and overall health, and with lower chances of excellent mental health.
* The study found that people with mental health problems have higher odds of attempting e-cigarette use.
* The use of e-cigarettes does not exacerbate any psychiatric issues or nicotine addictions.
* The study found that the long-term health impact of e-cigarette products should continue to be studied, especially the findings regarding quality of life and mental health issues.
* Researchers should be aware of the potential effect of the paradox that people with poorer health condition may use substances to cope with stress or depression.

Main Message:
The study highlights the need for policymakers and public health practitioners to evaluate whether e-cigarettes should be promoted as a smoking cessation aid, given the limited research on the long-term health impact of e-cigarette products. The study also emphasizes the need for further research on the relationship between e-cigarette use and health outcomes, especially among vulnerable populations such as those with mental health problems. Overall, the study suggests that while e-cigarettes may have potential benefits as a smoking cessation tool, their long-term health impact and effectiveness as a cessation aid require further investigation.

Chang YC, Lee Yh, Liu CT, Shelley M. Patterns of e-cigarette use and self-reported health outcomes among smokers and non-smokers in the United States: a preliminary assessment. Journal of Substance Use. 2019;24(1):79-87. doi:10.1080/14659891.2018.1510053