Timing of ENDS Uptake by Sexual Orientation among Adolescents and Young Adults in Urban Texas.
Timing of ENDS Uptake by Sexual Orientation among Adolescents and Young Adults in Urban Texas.
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德克萨斯州城市青少年和年轻人按性取向吸食电子烟的时间。
DOI：
10.1093/ntr/ntab181
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发表时间：
2022-02-14
期刊：
影响因子：
--
通讯作者：
Harrell MB
中科院分区：
文献类型：
--
作者：
Tami-Maury I;Chen B;Sumbe A;Harrell MB
电子尼古丁输送系统 (ENDS) 的早期使用使使用者面临更高的风险，形成常规的 ENDS 使用模式和/或过渡到燃烧烟草产品。之前关于青少年使用电子烟的研究并未将性取向视为一种可以随时间改变的流动特征。我们的目标是评估德克萨斯州过渡到青年期的青少年纵向队列中的性取向是否因性取向而异。样本（n = 1712）取自德克萨斯州青少年烟草和营销监测系统（第 5-11 波），并分为三组，代表性取向：（1）在每波中报告自己是异性恋的受访者（异性恋），（2）始终自我认定为女同性恋、男同性恋或双性恋者（LGB）的受访者，以及（3）在各波中报告性取向流动性的受试者（移动）。使用区间删失数据的非参数模型来估计性取向组开始 ENDS 时年龄的累积分布。区间删失数据的 Cox 模型用于评估在调整出生时分配的性别、种族/民族、队列和社会经济地位后，ENDS 启动是否因性取向群体而异。与异性恋青少年相比，在调整社会人口学危险因素后，流动人群（HR = 1.43，95% CI：1.12 至 1.83）和 LGB 人群（HR = 1.49，95% CI：1.13 至 1.98）较早开始使用 ENDS 的风险较高。随着年龄的增长，异性恋青少年和 LGB/流动个体之间的差异变得更加明显。分析超时的性流动对于了解与青少年开始和随后使用电子尼古丁传送系统相关的风险是必要的。未来的研究应该使用更准确的性取向评估来进一步探讨性取向流动性与早发性电子尼古丁输送系统（ENDS）使用之间的关系。了解性取向流动性对 ENDS 启动的影响对于制定旨在预防或延迟 ENDS 使用的包容性公共卫生计划以及在州和地方各级提供实用建议至关重要。
Early-onset of Electronic Nicotine Delivering Systems (ENDS) use puts users at higher risk of developing a regular ENDS use pattern and/or transitioning to combusted tobacco products. Previous studies on ENDS use among adolescents have not considered sexual orientation as a fluid trait that can change over time. Our objective was to evaluate whether ENDS initiation differed by sexual orientation in a longitudinal, population-based cohort of adolescents transitioning into young adulthood in Texas. Sample (n = 1712) was drawn from the Texas Adolescent Tobacco and Marketing Surveillance System (waves 5–11) and stratified into three groups, representing sexual orientation: (1) respondents who reported being heterosexuals at each wave (straight), (2) those who consistently self-identified as lesbian, gay or bisexual individuals (LGB), and (3) subjects who reported sexual orientation mobility across waves (mobile). Nonparametric models for interval-censored data were used to estimate the cumulative distribution of age at ENDS initiation by sexual orientation group. Cox models for interval-censored data were used to evaluate whether ENDS initiation varied by sexual orientation group after adjusting for sex assigned at birth, race/ethnicity, cohort, and socioeconomic status. Compared to Straight adolescents, the risk of earlier-onset of ENDS use was higher among mobile individuals (HR = 1.43, 95% CI: 1.12 to 1.83) and LGB individuals (HR = 1.49, 95% CI: 1.13 to 1.98), respectively, after adjusting for sociodemographic risk factors. Differences between Straight adolescents and LGB/mobile individuals became more pronounced with increasing age. Analyzing sexual mobility overtime is necessary for understanding the risk associated with youth ENDS initiation and subsequent use. Future research should use more accurate sexual orientation assessments to explore further the relationship between sexual orientation mobility and early-onset Electronic Nicotine Delivering Systems (ENDS) use. Understanding the implications of sexual orientation mobility on ENDS initiation will be critical for developing inclusive public health programs aimed at preventing or delaying ENDS use and for providing practical recommendations at state and local levels.
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