Latent Classes of Young Adults Based on Use of Multiple Types of Tobacco and Nicotine Products

Latent Classes of Young Adults Based on Use of Multiple Types of Tobacco and Nicotine Products
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DOI:
10.1093/ntr/ntu024
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发表时间:
2014-08-01
影响因子:
4.7
通讯作者:
Forster, Jean L.
Forster, Jean L.
中科院分区:
医学2区
文献类型:
--
作者:
Erickson, Darin J.;Lenk, Kathleen M.;Forster, Jean L.

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简介:鼻烟、水烟、电子烟等新型烟草及尼古丁产品近年来越来越受欢迎。鉴于尝试新产品在年轻人中很常见,因此年轻人对这些产品的使用特别感兴趣。方法:我们在基于人群的年轻人样本中进行了潜在类别分析,以根据 6 种烟草或尼古丁产品的使用来识别不同的类别:鼻烟、水烟、电子烟、小雪茄、鼻烟和香烟。然后,我们研究了所确定的类别在人口特征以及大麻和酒精使用方面的差异。结果:我们确定了 5 个类别:最大组 (60%) 的特点是报告没有或有限使用任何产品,而最小组 (7%) 的特点是使用多种类型的产品(多用户)。在 3 个中产阶级中,有 2 个规模相同(10%),其特点是主要使用 2 种产品:一类使用鼻烟和鼻烟,另一类使用小雪茄和水烟;第三类(13%)的特点主要是吸烟。不同班级之间存在许多差异,包括多使用者不太可能是大学生/毕业生,而更有可能是男性并使用大麻和酒精。结论:我们发现,根据年轻人使用和不使用的烟草/尼古丁产品类型,可以将其分为 5 个亚组。使用所有类型烟草产品的多用途群体令人担忧,特别是考虑到该群体报告的大麻和酒精使用量较高。
Introduction: New tobacco and nicotine products such as snus, hookah, and electronic cigarettes have risen in popularity in recent years. Use of these products among young adults is of particular interest given that experimentation with new products is common in young adulthood.Methods: We conducted latent class analysis among a population-based sample of young adults to identify separate classes based on use of 6 types of tobacco or nicotine products: snus, hookah, electronic cigarettes, cigarillos, snuff, and cigarettes. We then examined how identified classes differed on demographic characteristics and marijuana and alcohol use.Results: We identified 5 classes: the largest group (60%) was characterized as reporting no or limited use of any of the products, while the smallest group (7%) was characterized by use of many types of products (poly-users). Of the 3 middle classes, 2 were the same size (10%) and were characterized by primarily using 2 of the products: one class used snus and snuff, and the other used cigarillos and hookah; the third class (13%) was characterized by primarily cigarette smoking. Numerous differences were seen across classes, including the poly-users being less likely to be college students/graduates and more likely to be male and use marijuana and alcohol.Conclusions: We found that young adults can be grouped into 5 subgroups based on types of tobacco/nicotine products they do and do not use. A poly-use group that uses all types of tobacco products is concerning, particularly given high levels of marijuana and alcohol use reported in this group.