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Airagnes G, Sánchez-Rico M, Deguilhem A, Blanco C, Olfson M, Ouazana Vedrines C, Lemogne C, Limosin F, Hoertel N. Nicotine dependence and incident psychiatric disorders: prospective evidence from US national study. Mol Psychiatry 2024:10.1038/s41380-024-02748-6. [PMID: 39261672 DOI: 10.1038/s41380-024-02748-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Revised: 09/02/2024] [Accepted: 09/04/2024] [Indexed: 09/13/2024]
Abstract
We examined the prospective associations between nicotine dependence and the likelihood of psychiatric and substance use disorders in the general adult population. Participants came from a nationally representative sample of US adults aged 18 years or older, who were interviewed 3 years apart in the National Epidemiologic Survey on Alcohol and Related Conditions (Wave 1, 2001-2002; Wave 2, 2004-2005). The primary analyses were limited to 32,671 respondents (13,751 male (47.9% weighted); mean age of 45 years (SD = 0.18)) who were interviewed in both waves. We used multiple regression and propensity score matching (PSM) to estimate the strength of independent associations between nicotine dependence related to the use of tobacco products at Wave 1 and incident psychiatric disorders at Wave 2. Psychiatric disorders were measured with a structured interview (Alcohol Use Disorder and Associated Disabilities Interview Schedule-DSM-IV). All analyses adjusted for multiple potential confounders, including childhood (family history of substance use disorders, parental loss, vulnerable family environment), early-adolescence (self-esteem, social deviance, conduct disorder), late-adolescence (education, personality and psychiatric disorders), adulthood (divorce, stressful life events, social deviance, quality of life, history of alcohol or other substance use disorder), and sociodemographic factors. Multiple regression analysis and PSM converged in indicating that nicotine dependence was associated with significantly increased incidence of any psychiatric disorder (OR = 1.39(95%CI:1.20;1.60)), including substance use disorders (OR = 1.91(95%CI:1.47;2.47)), and anxiety disorders (OR = 1.31(95%CI:1.06;1.62)). Population Attributable Risk Proportions were substantial, ranging from 12.5%(95%CI:8.10;17.0) for any psychiatric disorder to 33.3%(95%CI:18.7;48.0) for any other drug use disorder. Supplementary analyses also indicated significant associations between nicotine dependence and persistence of psychiatric and substance use disorders among patients having a disorder at Wave 1. In the general adult population, nicotine dependence is associated with an increased likelihood for several psychiatric and substance use disorders. Given its high prevalence, these findings have important public health implications.
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Affiliation(s)
- Guillaume Airagnes
- Department of Psychiatry and Addictology, AP-HP.Centre-Université Paris Cité, Paris, France.
- Université Paris Cité, Faculté de Santé, UFR de Médecine, Paris, France.
- INSERM UMS011, Population-based Epidemiological Cohorts, Villejuif, France.
| | - Marina Sánchez-Rico
- Department of Psychiatry and Addictology, AP-HP.Centre-Université Paris Cité, Paris, France
| | - Amélia Deguilhem
- Department of Psychiatry and Addictology, AP-HP.Centre-Université Paris Cité, Paris, France
| | - Carlos Blanco
- Division of Epidemiology, Services, and Prevention Research, National Institute on Drug Abuse, Bethesda, MD, USA
| | - Mark Olfson
- Department of Psychiatry, Columbia University Irving Medical Center/New York State Psychiatric Institute, New York, NY, USA
| | - Charles Ouazana Vedrines
- Department of Psychiatry and Addictology, AP-HP.Centre-Université Paris Cité, Paris, France
- Université Paris Cité, Faculté de Santé, UFR de Médecine, Paris, France
- Université Paris Cité, and Université Sorbonne Paris Nord, INSERM, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Paris, France
| | - Cédric Lemogne
- Department of Psychiatry and Addictology, AP-HP.Centre-Université Paris Cité, Paris, France
- Université Paris Cité, Faculté de Santé, UFR de Médecine, Paris, France
- Université Paris Cité, and Université Sorbonne Paris Nord, INSERM, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Paris, France
| | - Frédéric Limosin
- Department of Psychiatry and Addictology, AP-HP.Centre-Université Paris Cité, Paris, France
- Université Paris Cité, Faculté de Santé, UFR de Médecine, Paris, France
- INSERM UMR_1266, Institut de Psychiatrie et Neuroscience de Paris, Paris, France
| | - Nicolas Hoertel
- Department of Psychiatry and Addictology, AP-HP.Centre-Université Paris Cité, Paris, France
- Université Paris Cité, Faculté de Santé, UFR de Médecine, Paris, France
- INSERM UMR_1266, Institut de Psychiatrie et Neuroscience de Paris, Paris, France
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Scott KA, Wingate KC, DuBose KN, Butler CR, Ramirez-Cardenas A, Hale CR. The wildland firefighter exposure and health effect (WFFEHE) study: cohort characteristics and health behavior changes in context. Ann Work Expo Health 2024; 68:122-135. [PMID: 38164597 PMCID: PMC10922597 DOI: 10.1093/annweh/wxad080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2023] [Accepted: 12/07/2023] [Indexed: 01/03/2024] Open
Abstract
OBJECTIVES Work is an under-recognized social determinant of health. There is limited research describing US wildland firefighter (WFF) workforce demographics or how to work associates with WFF health behaviors. In this study researchers characterized a WFF cohort and tested hypotheses that WFFs used tobacco, alcohol, and sugar-sweetened beverages (SSBs) differently over the course of the fire season and that different fire crews may exhibit different behavior patterns. METHODS Researchers collected data in the field with 6 WFF crews during 2 consecutive fire seasons (2018 and 2019). WFF crews completed questionnaires before and after each season. WFFs with an initial preseason questionnaire and at least 1 follow-up questionnaire were included (n = 138). Descriptive statistics summarized WFFs' baseline demographic, employment, and health characteristics. Linear mixed models were used to test for changes in WFFs' substance use over time and assess crew-level differences. A meta-analysis of WFF longitudinal studies' population characteristics was attempted to contextualize baseline findings. RESULTS WFFs were predominately male, less than 35 yr of age, non-Hispanic White, and had healthy weight. Smokeless tobacco use and binge drinking were prevalent in this cohort (52% and 78%, respectively, among respondents). Longitudinal analyses revealed that during the fire season WFFs' use of tobacco and SSBs increased and the number of days they consumed alcohol decreased. Crew-level associations varied by substance. The meta-analysis was not completed due to cross-study heterogeneity and inconsistent reporting. DISCUSSION WFF agencies can promote evidence-based substance use prevention and management programs and modify working conditions that may influence WFF stress or substance use.
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Affiliation(s)
- Kenneth A. Scott
- United States Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Western States Division, Denver, CO, USA
| | | | - Kathleen N. DuBose
- United States Department of the Interior, Office of Wildland Fire, Denver, CO, USA
| | - Corey R. Butler
- United States Department of the Interior, Office of Occupational Safety and Health, Denver, CO, USA
| | - Alejandra Ramirez-Cardenas
- United States Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Western States Division, Denver, CO, USA
| | - Christa R. Hale
- United States Department of Health and Human Services, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, Western States Division, Denver, CO, USA
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Czernichow S, Rassy N, Malaab J, Loussikian P, Mebarki A, Khadhar M, Poghosyan T, Fagherrazi G, Carette C, Schück S, Rives-Lange C. Patients' and caregivers' perceptions of bariatric surgery: A France and United States comparative infodemiology study using social media data mining. Front Digit Health 2023; 5:1136326. [PMID: 37143935 PMCID: PMC10151923 DOI: 10.3389/fdgth.2023.1136326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Accepted: 03/21/2023] [Indexed: 05/06/2023] Open
Abstract
Background People are conversing about bariatric surgery on social media, but little is known about the main themes being discussed. Objective To analyze discussions regarding bariatric surgery on social media platforms and to establish a cross-cultural comparison of posts geolocated in France and the United States. Methods Posts were retrieved between January 2015 and April 2021 from general, publicly accessed sites and health-related forums geolocated in both countries. After processing and cleaning the data, posts of patients and caregivers about bariatric surgery were identified using a supervised machine learning algorithm. Results The analysis dataset contained a total of 10,800 posts from 4,947 web users in France and 51,804 posts from 40,278 web users in the United States. In France, post-operative follow-up (n = 3,251, 30.1% of posts), healthcare pathways (n = 2,171, 20.1% of the posts), and complementary and alternative weight loss therapies (n = 1,652, 15.3% of the posts) were among the most discussed topics. In the United States, the experience with bariatric surgery (n = 11,138, 21.5% of the posts) and the role of physical activity and diet in weight-loss programs before surgery (n = 9,325, 18% of the posts) were among the most discussed topics. Conclusion Social media analysis provides a valuable toolset for clinicians to help them increase patient-centered care by integrating the patients' and caregivers' needs and concerns into the management of bariatric surgery.
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Affiliation(s)
- Sébastien Czernichow
- Assistance Publique-Hôpitaux de Paris (AP-HP), Service de Nutrition, Centre Spécialisé Obésité, Hôpital Européen Georges Pompidou, Paris, France
- Université Paris Cité, Paris, France
- INSERM, UMR1153, Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), METHODS Team, Paris, France
- Correspondence: Sébastien Czernichow
| | - Nathalie Rassy
- Assistance Publique-Hôpitaux de Paris (AP-HP), Service de Nutrition, Centre Spécialisé Obésité, Hôpital Européen Georges Pompidou, Paris, France
| | | | | | | | | | - Tigran Poghosyan
- Assistance Publique-Hôpitaux de Paris (AP-HP), Service de chirurgie digestive, Hôpital Bichat, Paris, France
| | - Guy Fagherrazi
- Deep Digital Phenotyping Research Unit, Department of Precision Health, Luxembourg Institute of Health, Strassen, Luxembourg
| | - Claire Carette
- Assistance Publique-Hôpitaux de Paris (AP-HP), Service de Nutrition, Centre Spécialisé Obésité, Hôpital Européen Georges Pompidou, Paris, France
- Université Paris Cité, Paris, France
- Assistance Publique-hôpitaux de Paris (AP-HP), Centre d’investigation clinique, Inserm 1418, Hôpital Européen Georges Pompidou, Paris, France
| | | | - Claire Rives-Lange
- Assistance Publique-Hôpitaux de Paris (AP-HP), Service de Nutrition, Centre Spécialisé Obésité, Hôpital Européen Georges Pompidou, Paris, France
- Université Paris Cité, Paris, France
- INSERM, UMR1153, Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), METHODS Team, Paris, France
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