Racial/Ethnic Differences in Associations of Non-cigarette Tobacco Product Use With Subsequent Initiation of Cigarettes in US Youths.
Racial/Ethnic Differences in Associations of Non-cigarette Tobacco Product Use With Subsequent Initiation of Cigarettes in US Youths.
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种族/种族差异在非二烟烟草产品的关联中存在，随后在美国青年中启动了香烟。
DOI：
10.1093/ntr/ntaa170
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发表时间：
2021-05-24
期刊：
影响因子：
--
通讯作者：
Robertson RM
中科院分区：
文献类型：
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作者：
Stokes AC;Wilson AE;Lundberg DJ;Xie W;Berry KM;Fetterman JL;Harlow AF;Cozier YC;Barrington-Trimis JL;Sterling KL;Benjamin EJ;Blaha MJ;Hamburg NM;Bhatnagar A;Robertson RM
了解不同种族/族裔群体中哪些非卷烟烟草产品先于青年吸烟，可以为考虑烟草相关健康差异的政策提供信息。我们使用了烟草与健康研究人群评估第1-4波的全国代表性纵向数据。样本是年龄在12-17岁的未接受过避孕药的青年的动态队列。使用混合效应模型来评估非香烟产品（电子烟、雪茄产品或其他产品）的使用与1年间隔内的香烟使用。在第1-4波汇总的28788个观察结果中，受访者为48.7%的非西班牙裔白色人，13.9%的非西班牙裔黑人和23.1%的西班牙裔。与从未使用者相比，既往使用过电子烟（比值比[OR]，2.76; 95%置信区间[CI]，2.21-3.45），雪茄（OR，2.00; 95% CI，1.42-2.80）或其他产品（OR，1.66; 95% CI，1.28-2.14）的年轻人在1年随访期间开始吸烟的几率更高。在人口水平上，白色青年和西班牙裔青年中20.6%的吸烟开始归因于电子烟使用，而黑人青年中只有3.5%的吸烟开始归因于电子烟使用。相比之下，9.1%的黑人青年开始吸烟是由于雪茄的使用，而白色和西班牙裔青年只有3.9%。之前使用电子烟，雪茄和其他非香烟产品都与随后的吸烟有关。然而，白色和西班牙裔青年更有可能通过使用电子烟（与雪茄或其他产品使用相比）开始吸烟，而黑人青年更有可能通过使用雪茄（与电子烟或其他产品使用相比）开始吸烟。我们的研究结果表明，以前关于非卷烟烟草产品影响的研究可能忽视了雪茄产品作为美国青年，特别是黑人青年吸烟途径的关键作用。虽然我们的数据支持电子烟使用作为吸烟途径的重要性，但仅针对青少年电子烟使用的监管行动可能会导致黑人与白色烟草使用的差异，并进一步加剧烟草相关疾病的不平等。因此，关于非卷烟烟草产品对卷烟引发的影响的当代政策制定和讨论应该考虑雪茄和其他非卷烟产品以及电子烟。
Understanding which non-cigarette tobacco products precede smoking in youth across different racial/ethnic groups can inform policies that consider tobacco-related health disparities. We used nationally representative, longitudinal data from the Population Assessment of Tobacco and Health Study waves 1–4. The sample was a dynamic cohort of cigarette-naïve youth aged 12–17 years. Mixed-effects models were used to assess non-cigarette product (e-cigarette, cigar product, or other product) use with cigarette use over 1-year intervals. Of the 28 788 observations pooled across waves 1–4, respondents were 48.7% non-Hispanic white, 13.9% non-Hispanic black, and 23.1% Hispanic. Odds of cigarette initiation over 1-year follow-up were higher among youth with prior use of e-cigarettes (odds ratio [OR], 2.76; 95% confidence interval [CI], 2.21–3.45), cigars (OR, 2.00; 95% CI, 1.42–2.80), or other products (OR, 1.66; 95% CI, 1.28–2.14) compared to never users. At the population level, 20.6% of cigarette initiation was attributable to e-cigarette use among white youth and 21.6% among Hispanic youth, while only 3.5% of cigarette initiation was attributable to e-cigarette use among black youth. In contrast, 9.1% of cigarette initiation for black youth was attributable to cigar use compared to only 3.9% for both white and Hispanic youth. Prior use of e-cigarettes, cigars, and other non-cigarette products were all associated with subsequent cigarette initiation. However, white and Hispanic youth were more likely to initiate cigarettes through e-cigarette use (vs. cigar or other product use), while black youth were more likely to initiate cigarettes through cigar use (vs. e-cigarette or other product use). Our findings suggest that previous studies on effects of non-cigarette tobacco products may overlook the critical role of cigar products as a pathway into cigarette smoking among US youth, particularly black youth. While our data support the importance of e-cigarette use as a pathway into smoking, regulatory actions aimed at addressing youth e-cigarette use alone may contribute to disparities in black versus white tobacco use and further exacerbate inequities in tobacco-related disease. Thus, contemporary policy development and discourse about the effects of non-cigarette tobacco products on cigarette initiation should consider cigar and other non-cigarette products as well as e-cigarettes.
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影响因子：
33.9
作者：
Gentzke, Andrea S.;Creamer, MeLisa;King, Brian A.
通讯作者：
King, Brian A.
影响因子：
13.8
作者：
Berry, Kaitlyn M.;Fetterman, Jessica L.;Stokes, Andrew
通讯作者：
Stokes, Andrew
电子烟的使用与青春期早期燃烧烟草产品吸烟的启动。
DOI：
10.1001/jama.2015.8950
发表时间：
2015-08-18
期刊：
JAMA
影响因子：
--
作者：
Leventhal AM;Strong DR;Kirkpatrick MG;Unger JB;Sussman S;Riggs NR;Stone MD;Khoddam R;Samet JM;Audrain-McGovern J
通讯作者：
Audrain-McGovern J
影响因子：
5.2
作者：
Hyland, Andrew;Ambrose, Bridget K.;Compton, Wilson M.
通讯作者：
Compton, Wilson M.
影响因子：
12.7
作者：
Cantrell, Jennifer;Kreslake, Jennifer M.;Kirchner, Thomas R.
通讯作者：
Kirchner, Thomas R.