PMID- 32968693 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220417 IS - 2333-9748 (Print) IS - 2333-9748 (Electronic) IS - 2333-9748 (Linking) VI - 4 IP - 4 DP - 2018 Jul TI - Self-perceived Mental Health and Population-level Tobacco Use Disparities. PG - 3-11 LID - 10.18001/trs.4.4.1 [doi] AB - 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. FAU - Miller, Mollie E AU - Miller ME AD - 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. FAU - Tidey, Jennifer W AU - Tidey JW AD - 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. FAU - Bunn, Janice Y AU - Bunn JY AD - 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. FAU - Gaalema, Diann E AU - Gaalema DE AD - 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. FAU - Scott-Sheldon, Lori A J AU - Scott-Sheldon LAJ AD - 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. FAU - Pericot-Valverde, Irene AU - Pericot-Valverde I AD - 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. FAU - Japuntich, Sandra J AU - Japuntich SJ AD - 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. LA - eng GR - P20 GM103644/GM/NIGMS NIH HHS/United States GR - P50 DA036114/DA/NIDA NIH HHS/United States GR - R01 CA078282/CA/NCI NIH HHS/United States GR - U54 DA031659/DA/NIDA NIH HHS/United States PT - Journal Article PL - United States TA - Tob Regul Sci JT - Tobacco regulatory science JID - 101655763 PMC - PMC7508223 MID - NIHMS1065208 OTO - NOTNLM OT - cigar OT - comorbidity OT - electronic cigarette OT - mental health OT - smokeless tobacco OT - smoking OT - tobacco use COIS- Conflict of Interest Statement All authors of this article declare they have no conflicts of interest. EDAT- 2018/07/01 00:00 MHDA- 2018/07/01 00:01 PMCR- 2020/09/22 CRDT- 2020/09/24 05:35 PHST- 2020/09/24 05:35 [entrez] PHST- 2018/07/01 00:00 [pubmed] PHST- 2018/07/01 00:01 [medline] PHST- 2020/09/22 00:00 [pmc-release] AID - 10.18001/trs.4.4.1 [doi] PST - ppublish SO - Tob Regul Sci. 2018 Jul;4(4):3-11. doi: 10.18001/trs.4.4.1.