Smoking Cessation and Mental Health According to Use of E-cigarettes and Heated Tobacco Products by Korean Adults

Han, Mi Ah

doi:10.1007/s11469-021-00698-6

Cited by 3 publications

(4 citation statements)

References 38 publications

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“…Figure 3 shows the 41 countries and areas from WPR ( n = 4) [56–60, 62–65, 68, 70, 71, 73, 74], EUR ( n = 35) [32–38, 40, 42–45] and AMR ( n = 2) [34, 47, 49–51, 53–55], for which prevalence of current HTP use in the general population was reported with ages 9 years and older included in the analyses. The pooled current use prevalence estimate across all available countries and areas was 1.53% (95% CI = 1.22, 1.87) ( I 2 = 99%).…”

Section: Resultsmentioning

confidence: 99%

“…Five additional studies that met inclusion criteria were identified from e-mail alerts and the grey literature search. A total of 45 included studies reported on 38 national surveys, covering four regions from 42 countries and areas: 15 studies from EUR [32][33][34][35][36][37][38][39][40][41][42][43][44][45] (Armenia, Austria, Belgium, Bulgaria, Croatia, Cyprus, Czechia, Denmark, Estonia, Finland, France, Georgia, Germany, the United Kingdom, Greece, Hungry, Ireland, Italy, Kosovo, Latvia, Lithuania, Luxembourg, Malta, Montenegro, the Netherlands, North Macedonia, Poland, Portugal, Romania, Serbia, Slovakia, Slovenia, Spain, Sweden and Ukraine), 11 studies from AMR [34,[46][47][48][49][50][51][52][53][54][55] (Canada and the US), 19 studies from the WPR [56][57][58][59][60][61][62][63][64][65][66][67][68][69][70][71][72][73][74] (Hong Kong, Japan, South Korea and Taiwan) and one study from AFR…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Figure 2 shows the 42 countries and areas from WPR (n = 4) [56,57,61,62,64,65,67,69,71,72], EUR (n = 37) [33,[35][36][37][38][39][40][42][43][44][45], AMR (n = 1) [46][47][48][49][50][51][52][53][54][55] and AFR (n = 1) [75] for which life-time HTP use in the general population was measured, with ages 9 years and older included in the studies. The pooled estimate across all the available countries and ages was 4.87% (95% CI = 4.16, 5.63; I 2 = 100%).…”

Section: Meta-analysismentioning

confidence: 99%

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Global prevalence of heated tobacco product use, 2015–22: A systematic review and meta‐analysis

et al. 2023

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Background and Aims: Heated tobacco products (HTPs) are electronic devices that heat process tobacco to release an aerosol containing nicotine and other chemicals. Limited data exist on world-wide HTP use prevalence. This meta-analytic review estimated the prevalence of HTP use by country, World Health Organization (WHO) region, year, sex/gender and age. Methods: Five databases (Web of Science, Scopus, Embase, PubMed and PsycINFO) were searched between January 2015 and May 2022. Included studies reported the prevalence of HTP use in nationally representative samples post-modern HTP device market entry (2015). A random-effects meta-analysis was used to estimate overall prevalence for life-time, current and daily HTP use. Results: Forty-five studies (n = 1 096 076) from 42 countries/areas from the European Region (EUR), Western Pacific Region (WPR), Region of the Americas (AMR) and African Region (AFR) met inclusion criteria. Estimated pooled prevalence for life-time, current and daily HTP use was 4.87% [95% confidence interval (CI) = 4.16, 5.

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Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Meta-analysismentioning

confidence: 99%

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Global prevalence of heated tobacco product use, 2015–22: A systematic review and meta‐analysis

et al. 2023

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“…In support of the potential role of nicotine exposure in mental illness, there is evidence from observational studies that e-cigarette (i.e., electronic devices which often contain nicotine) use is associated with increased risk of mood disorders [21][22][23]. Furthermore, the reported benefits of smoking cessation for mental health [15] appear to be reduced in former smokers that report recent (i.e., past month) e-cigarette use [24,25]. However, due to the inherent limitations of observational methods (e.g., reverse causation, residual confounding) inferring causality from these studies is difficult.…”

Section: (Which Was Not Certified By Peer Review)mentioning

confidence: 99%

Disentangling the effects of nicotine versus non-nicotine constituents of tobacco smoke on major depressive disorder: A multivariable Mendelian randomization study

Burke,

Taylor,

Freeman

et al. 2024

Preprint

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Background and aimsThere is growing evidence that tobacco smoking causes depression, but it is unclear which constituents of tobacco smoke (e.g., nicotine, carbon monoxide) may be responsible. We used Mendelian randomisation (MR) to examine the independent effect of nicotine on depression, by adjusting the effect of nicotine exposure (via nicotine metabolite ratio [NMR]) for the overall effect of smoking heaviness (via cigarettes per day [CPD]) to account for the non-nicotine constituents of tobacco smoke.DesignUnivariable MR and multivariable MR (MVMR) were used to explore the total and independent effects of genetic liability to NMR and CPD on major depressive disorder (MDD). Our primary method was inverse variance weighted (IVW) regression, with other methods as sensitivity analyses.Setting and participantsFor the exposures, we used genome-wide association study (GWAS) summary statistics among European ancestry individuals for CPD (n=143,210) and NMR (n=5,185). For the outcome, a GWAS of MDD stratified by smoking status was conducted using individual-level data from UK Biobank (n=35,871-194,881).MeasurementsGenetic variants robustly associated with NMR and CPD.FindingsUnivariable MR indicated a causal effect of CPD on MDD (odds ratio [OR]IVW=1.13, 95% confidence interval [CI]=1.04-1.23,P=0.003) but no clear evidence for an effect of NMR on MDD (ORIVW=0.98, 95% CI=0.97-1.00,P=0.134). MVMR indicated a causal effect of CPD on MDD when accounting for NMR (ORMVMR-IVW=1.19, 95% CI=1.03-1.37,P=0.017; ORMVMR-EGGER=1.13, 95% CI=0.89-1.43,P=0.300) and weak evidence of a small effect of NMR on MDD when accounting for CPD (ORMVMR-IVW=0.98, 95% CI=0.96-1.00,P=0.056; ORMVMR-EGGER=0.98, 95% CI=0.96-1.00,P=0.038).ConclusionsThe causal effect of tobacco smoking on depression appears to be largely independent of nicotine exposure, which implies the role of alternative causal pathways.

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Impact of electronic cigarette use on the increased risk of diabetes: the Korean Community Health Survey

Jeong,

Kim

2024

Epidemiol Health

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Objectives: Only a few studies have solely investigated the health impacts of electronic cigarettes on diabetes while considering the impact of conventional cigarettes. Therefore, this study aimed to examine the effect of electronic cigarette smoking on diabetes in South Korean dual-, electronic cigarette-, conventional cigarette-, and non-smokers.Methods: Data were obtained from the 2021 and 2022 Korean Community Health Surveys of 460,603 Korean adults. The main independent variable was smoking behavior. Participants were categorized according to their smoking behavior, as dual smokers, electronic cigarette smokers, conventional cigarette smokers, and non-smokers. The dependent variable, the presence of diabetes, was defined by a doctor's diagnosis. Multiple logistic regression analysis was performed to examine the association between smoking behavior and diabetes. Subgroup analyses were also performed to investigate the associations among different socio-economic groups.Results: Conventional cigarette smokers had a higher risk of diabetes than did non-smokers (odds ratio [OR] = 1.22, 95% confidence interval [CI] = 1.19-1.26). More importantly, those who only vaped electronic cigarettes were at high risk of diabetes (OR = 1.15, 95% CI = 1.01-1.32). Lastly, dual smokers had the highest OR for diabetes among other smoking behavior groups (OR = 1.39, 95% CI = 1.22-1.58). Dual smoking was associated with the highest risk of diabetes in most subgroups.Conclusions: This study suggests that conventional cigarette use and smoking electronic cigarettes negatively impact diabetes, and using both types leads to worse health outcomes. E p u ba h e a d o f p r i n tTherefore, cessation of all types of smoking is necessary for a healthy life.

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Smoking Cessation and Mental Health According to Use of E-cigarettes and Heated Tobacco Products by Korean Adults

Cited by 3 publications

References 38 publications

Global prevalence of heated tobacco product use, 2015–22: A systematic review and meta‐analysis

Global prevalence of heated tobacco product use, 2015–22: A systematic review and meta‐analysis

Disentangling the effects of nicotine versus non-nicotine constituents of tobacco smoke on major depressive disorder: A multivariable Mendelian randomization study

Impact of electronic cigarette use on the increased risk of diabetes: the Korean Community Health Survey

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