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Relationship between secondhand electronic cigarette aerosol exposure and mental health problems in adolescents
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Ying LI1, Furong BAI1, Wenwen WANG2, Liangpeng WU2, Zhouling MENG3, Sihui PENG2
Chinese Journal of Public Health | 2025, 41(5) : 526 - 531
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Chinese Journal of Public Health | 2025, 41(5): 526-531
• Special Report – Resist the Temptation: Say No to the First Cigarette •
Relationship between secondhand electronic cigarette aerosol exposure and mental health problems in adolescents
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Ying LI1, Furong BAI1, Wenwen WANG2, Liangpeng WU2, Zhouling MENG3, Sihui PENG2
Affiliations
  • 1School of Public Health, Xi’an Medical University, Xi'an 710021, China
  • 2Jinan University, Guangzhou 510632, China
  • 3Kunming Health Vocational College, Kunming 650607, China
Published: 2025-05-10 doi: 10.11847/zgggws1145632
Outline
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Objective

To investigate the relationship between secondhand e-cigarette aerosol exposure and mental health problems in adolescents, and to provide a reference for the formulation of smoke-free environment policies.

Methods

From March to June 2023, a multi-stage stratified cluster sampling method was used to conduct an online questionnaire survey of 2 112 full-time students aged ≤18 years nationwide. A χ2 test was used for univariate analysis of demographic information and mental health problems. Binary logistic regression was used to analyze the relationship between secondhand e-cigarette aerosol exposure and mental health problems in adolescents. Multiple linear regression was used to analyze the relationship between secondhand e-cigarette aerosol exposure and the three dimensions of mental health problems in adolescents: somatic symptoms, anxiety/worry, and family relationships.

Results

In this study the prevalence of mental health problems were 12.03% (254 adolescents) and 620 (29.36%) were exposed to secondhand e-cigarette aerosol. Binary logistic regression analysis showed that adolescents exposed to secondhand e-cigarette aerosol had a 1.500 times higher risk of developing mental health problems than those not exposed (OR = 1.500, 95%CI: 1.127 - 1.998). Multiple linear regression results showed that adolescents exposed to secondhand e-cigarette aerosol in the past 30 days had more severe somatic symptoms (b = 0.758, P < 0.001) and higher anxiety/worry (b = 0.691, P< 0.001).

Conclusions

Secondhand e-cigarette aerosol exposure in adolescents is positively correlated with the occurrence of mental health problems, and is related to the dimensions of somatic symptoms and anxiety/worry.

e-cigarettes  /  secondhand aerosol  /  adolescents  /  mental health problems
李瑛, 白芙蓉, 王雯雯, 吴良鹏, 孟州令, 彭嗣惠. 青少年电子烟二手气溶胶暴露与心理健康问题关系. 中国公共卫生, 2025 , 41 (5) : 526 -531 . DOI: 10.11847/zgggws1145632
Ying LI, Furong BAI, Wenwen WANG, Liangpeng WU, Zhouling MENG, Sihui PENG. Relationship between secondhand electronic cigarette aerosol exposure and mental health problems in adolescents[J]. Chinese Journal of Public Health, 2025 , 41 (5) : 526 -531 . DOI: 10.11847/zgggws1145632
Year 2025 volume 41 Issue 5
86
38
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Article Info
doi: 10.11847/zgggws1145632
  • Receive Date:2024-08-07
  • Online Date:2026-10-25
  • Published:2025-05-10
Article Data
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History
  • Received:2024-08-07
  • Revised:2025-02-10
  • Accepted:2025-04-11
Affiliations
    1School of Public Health, Xi’an Medical University, Xi'an 710021, China
    2Jinan University, Guangzhou 510632, China
    3Kunming Health Vocational College, Kunming 650607, China

Corresponding:

PENG Sihui, E-mail:
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表12种不同金属材料的力学参数
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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