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KMID : 1120220210120010013
Osong Public Health and Research Perspectives
2021 Volume.12 No. 1 p.13 ~ p.19
Gender Difference in the Association Between E-Cigarette Use and Depression among US Adults
Sung Bak-Sun

Abstract
Objectives: The objective of this study was to determine the association between e-cigarette use and depression and examine how this association is different by gender among US adults.

Methods: Data from the 2017 Behavioral Risk Factor Surveillance System and Selected Metropolitan/Micropolitan Area Risk Trends was used, and included 174,351 of 230,875 US adults aged 18 years and older. Data were analyzed using the multivariate logistic regression models.

Results: After adjusting for age, race, education, income, marital status, employment status, smoking status, and physical activity, firstly, ¡°current daily e-cigarette users¡± (AOR = 2.487, p < 0.001), ¡°current non-daily e-cigarette users¡± (AOR = 1.623, p < 0.001), and ¡°former e-cigarette users¡± (AOR = 1.573, p < 0.001) were associated with increased odds of depression compared with ¡°never e-cigarette users.¡± Secondly, women were associated with increased odds of depression compared with men (AOR = 1.797, p < 0.001). Finally, male ¡°current daily e-cigarette users¡± (AOR = 1.366, p < 0.01) were associated with increased odds of depression compared with female ¡°never e-cigarette users.¡±

Conclusion: Thus, even though women tend to be more vulnerable to depression compared with men, e-cigarette use was positively associated with depression among both men and women.
KEYWORD
depression, e-cigarette, gender, mental illness
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