E-Cigarette Use and Depression Among American Indian Adults Who Smoke.

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Journal of Racial and Ethnic Health Disparities Pub Date : 2026-04-01 Epub Date: 2025-01-24 DOI:10.1007/s40615-025-02294-z

Brady A Garrett, Ashley L Comiford, Justin D Dvorak, Kai Ding, Dorothy A Rhoades, Theodore Wagener, Ashley B Cole, Paul G Spicer, Mark P Doescher

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Abstract

Objective: This study examined the association of e-cigarette use status and history of depression among American Indian (AI) adults who smoke.

Method: We conducted a secondary data analysis using survey data from 375 AI adult smokers collected in 2016 at a tribally operated healthcare facility in northeast Oklahoma. Multivariable logistic regression was used to estimate the association between e-cigarette use and self-reported history of depression while adjusting for potential confounders.

Results: In the adjusted analyses, compared to never users, current and former e-cigarette users had higher estimated odds of depression history (adj. OR 2.66; 95% CI 1.25-5.72 and adj. OR 2.38; 95% CI 1.36-4.26, respectively). Additional factors independently associated with a history of depression included having strong cravings to smoke (adj. OR 2.28; 95% CI 1.13-4.88) and having a history of chronic disease (adj. OR 2.09; 95% CI 1.20-3.70) after controlling for confounding variables.

Conclusions: E-cigarette use among AI adult smokers was independently associated with a history of depression. Whether e-cigarette use among people who smoke results from depression or whether depression results from the combined use of e-cigarettes and cigarettes requires future research using a prospective cohort design.

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吸烟的美国印第安成年人中电子烟的使用和抑郁。

目的：本研究调查了吸烟的美国印第安人（AI）成人中电子烟使用状况与抑郁史的关系。方法：我们利用2016年在俄克拉荷马州东北部一家部落经营的医疗机构收集的375名AI成年吸烟者的调查数据进行了二次数据分析。使用多变量逻辑回归来估计电子烟使用与自我报告的抑郁史之间的关联，同时调整潜在的混杂因素。结果：在调整后的分析中，与从未使用过电子烟的人相比，目前和曾经使用电子烟的人有更高的抑郁史的估计几率(adj. OR 2.66；95% CI 1.25 ~ 5.72, OR 2.38；95% CI分别为1.36-4.26)。与抑郁史独立相关的其他因素包括强烈的吸烟欲望(adj. OR 2.28；95% CI 1.13-4.88)，并有慢性疾病史(OR 2.09；在控制混杂变量后，95% CI 1.20-3.70)。结论：AI成年吸烟者使用电子烟与抑郁史独立相关。吸烟人群中使用电子烟是否导致抑郁，或者电子烟和香烟的联合使用是否导致抑郁，需要未来使用前瞻性队列设计进行研究。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.