Youth perceptions of e-cigarette-related risk of lung issues and association with e-cigarette use.

Youth perceptions of e-cigarette-related risk of lung issues and association with e-cigarette use.
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DOI:
10.1037/hea0001146
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发表时间:
2022-06
期刊:
影响因子:
4.2
通讯作者:
Halpern-Felsher, Bonnie
Halpern-Felsher, Bonnie
中科院分区:
心理学2区
文献类型:
--
作者:
Gaiha, Shivani M.;Epperson, Anna E.;Halpern-Felsher, Bonnie

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电子烟的使用与负面健康结果的风险增加有关,包括呼吸系统问题,如2019冠状病毒病(COVID-19)。然而,青少年和年轻人(AYAs)继续以惊人的速度使用电子烟。我们研究了AYA对电子烟与呼吸问题相关的健康危害的看法,以及这些看法与电子烟使用之间的关联。2020年5月,我们对13至24岁的AYA(N = 4,315; 65%为女性; 50%为曾经使用者,50%为从未使用者)进行了一项在线全国横断面调查,以评估电子烟使用情况以及不同电子烟使用水平的AYA对呼吸系统问题、COVID-19和严重肺部疾病风险的看法。在具有不同电子烟使用水平的AYA之间的比较中,与从未使用过电子烟的人相比,曾经使用过电子烟的人以及在过去30天内使用过电子烟的人与过去30天内没有使用过电子烟的人相比,与电子烟相关的健康风险感知较低。在控制人口统计学因素后,如果AYA同意年轻人因使用电子烟而有呼吸系统问题的风险(调整后的比值比[aOR] = 0.68,95%置信区间[CI; 0.59,0.78]),并且电子烟对他们的健康有害(aOR = 0.52,95%CI [0.30,0.90]),则他们在过去30天内使用的可能性较小。如果AYA认为没有确凿证据表明使用尼古丁的电子烟会增加严重肺部疾病的风险(aOR = 1.61,95% CI [1.42,1.82]),并且使用电子烟比吸烟更安全(aOR = 1.26,95% CI [1.11,1.42]),则他们在过去30天内更有可能使用。在曾经使用过电子烟的AYA中,那些不相信使用电子烟会增加呼吸系统问题风险的人更有可能在过去一个月使用电子烟。为了弥合年轻人对电子烟相关健康风险的看法与新出现的科学证据之间的差距,预防信息应试图解释电子烟的使用如何与呼吸系统问题联系在一起,并可能影响COVID-19的结果。
E-cigarette use is associated with increased risk of negative health outcomes, including respiratory problems such as Coronavirus Disease 2019 (COVID-19). Nevertheless, adolescents and young adults (AYAs) continue to use e-cigarettes at alarming rates. We examined AYA’s perceptions of the health harms of e-cigarettes in relation to respiratory problems and the associations between these perceptions and e-cigarette use. In May 2020, we conducted an online, national cross-sectional survey of AYAs aged 13 to 24 years old (N = 4,315; 65% female; 50% ever-users, 50% never-users) to assess e-cigarette use and perceptions of the risk of respiratory problems, COVID-19, and severe lung disease for AYAs with different levels of e-cigarette use. In comparisons between AYAs with different levels of e-cigarette use, e-cigarette-related health risk perceptions were lower among ever-users compared to never-users and among ever-users who used e-cigarettes in the past 30 days compared to ever-users who did not use in the past 30 days. After controlling for demographics, AYAs were less likely to have used in the past 30 days if they agreed that young people are at risk of respiratory problems due to e-cigarette use (adjusted Odds Ratio [aOR] = .68, 95% confidence interval [CI; .59, .78]) and e-cigarettes are harmful for their health (aOR = .52, 95% CI [.30, .90]). AYAs were more likely to have used in the past 30 days if they believed that there is no hard evidence that e-cigarette use with nicotine increases risk of severe lung disease (aOR = 1.61, 95% CI [1.42, 1.82]) and that e-cigarette use is safer than smoking cigarettes (aOR = 1.26, 95% CI [1.11,1.42]). Among AYAs who had ever used e-cigarettes, those who did not believe that e-cigarette use increases the risks of respiratory problems were more likely to have used e-cigarettes in the past month. To bridge the gap between youth perceptions and emerging scientific evidence on e-cigarette-related health risks, prevention messaging should seek to explain how e-cigarette use is linked to respiratory problems and could affect COVID-19 outcomes.
DOI: 10.1016/0749-5978(91)90020-t
发表时间: 1991-12-01
影响因子: 4.6
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