title: Motivations and Limitations Associated with Vaping among People with Mental Illness: A Qualitative Analysis of Reddit Discussions.
abstract: This study aims to understand the nature and significance of online lay discussions about e-cigarettes and mental illness. We systematically searched the website Reddit.com using keywords related to e-cigarettes and mental illness. We coded relevant posts into themes under the framework of motivations for and limitations of vaping for people with mental illness. The thematic analysis included 3263 comments from 133 discussion threads. Six themes were classified as motivations to vape for people with mental illness: Self-medication; Quitting smoking; Freedom and control; Hobby; Social connectedness; and Motivation from caregivers and online communities. The limitations of vaping included: Unsatisfactory substitute for cigarettes and psychiatric medicines; Drug interactions; Nicotine addiction; Risks of e-liquid; Practical difficulties and Cost. People with mental illness; and their carers; use online discussion boards like Reddit to discuss the benefits and limitations of e-cigarettes for people with mental illness. Both positive and negative views exist. Media platforms like Reddit may shape the opinions of stakeholders and generate lay expertise about contentious health topics such as e-cigarettes. These findings have implications for policy and practice concerning assisting smokers with mental illness to reduce their health risk through switching to e-cigarettes.
authors.affiliation: School of Public Health, The University of Queensland, Herston, QLD 4006, Australia. r.ratika@uq.edu.au.
authors.forename: Ratika
authors.initials: R
authors.lastname: Sharma
authors.affiliation: School of Public Health, The University of Queensland, Herston, QLD 4006, Australia. b.wigginton@uq.edu.au.
authors.forename: Britta
authors.initials: B
authors.lastname: Wigginton
authors.affiliation: School of Public Health, The University of Queensland, Herston, QLD 4006, Australia. c.meurk@uq.edu.au.|Policy and Epidemiology Group, Queensland Centre for Mental Health Research, Locked Bag 500, Archerfield, QLD 4018, Australia. c.meurk@uq.edu.au.
authors.forename: Carla
authors.initials: C
authors.lastname: Meurk
authors.affiliation: School of Dentistry, The University of Queensland, Herston, QLD 4006, Australia. p.ford1@uq.edu.au.
authors.forename: Pauline
authors.initials: P
authors.lastname: Ford
authors.affiliation: School of Public Health, The University of Queensland, Herston, QLD 4006, Australia. c.gartner@uq.edu.au.
authors.forename: Coral E
authors.initials: CE
authors.lastname: Gartner
mesh_terms: D001290:Attitude; D066300:Electronic Nicotine Delivery Systems / Q000523:psychology*; D006801:Humans; D001523:Mental Disorders / Q000523:psychology*; D009042:Motivation; D016540:Smoking Cessation / Q000523:psychology*; D000072137:Vaping
keywords: Reddit; electronic cigarettes; harm reduction; mental disorders; qualitative research; smoking cessation; social media; vaping