Cigarillo and multiple tobacco product use and nicotine dependence in adolescents and young adults
Cigarillo and multiple tobacco product use and nicotine dependence in adolescents and young adults
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DOI：
10.1016/j.addbeh.2020.106537
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发表时间：
2020-12-01
影响因子：
4.4
通讯作者：
Gunzler, Douglas
中科院分区：
文献类型：
--
作者：
Ishler, Karen J.;Flocke, Susan A.;Gunzler, Douglas
前言：多种烟草产品(MTP)的使用是一个日益严重的公共卫生问题，特别是在青少年和年轻人中。本研究确定了雪茄吸烟者的MTP使用亚组，并考察了与尼古丁依赖(ND)的关系。方法：1089名目前抽雪茄的青年(年龄14-28岁)完成了一项基于网络的调查，了解他们目前使用雪茄、小雪茄、传统雪茄、香烟、电子烟和水烟/水烟的情况。潜在类别分析(LCA)被用来按类型和数量识别产品使用模式。LCA还评估了潜在类别与38项ND测量之间的关系，并对相关人口统计学进行了控制。结果：大多数参与者(88.2%)报告在过去30天内使用了两种或两种以上烟草产品。最适合的LCA解决方案包括7类：(1)混合轻接雪茄和轻烟使用者，28.9%；(2)轻吸雪茄，15.8%；(3)轻未接雪茄，14.3%；(4)重吸雪茄，13.4%；(5)电子烟和水烟斗使用者，11.9%；(6)重吸和不吸雪茄和轻吸香烟，9.8%；(7)主要使用传统雪茄，但也可能使用多种其他产品的人，占6.1%。那些使用多种产品的人--尤其是那些包括香烟在内的人--的ND水平显著高于其他类别(Tukey的HSD P<；0.05)。结论：在年轻的雪茄吸烟者中，MTP的使用模式明显不同。与其他产品使用模式相比，吸烟多种产品，特别是吸烟雪茄和香烟，与更高的ND相关。
Introduction: Multiple tobacco product (MTP) use is a growing public health concern, particularly among adolescents and young adults. This study identifies subgroups of MTP use among cigarillo users and examines associations with nicotine dependence (ND).Methods: 1089 youth (ages 14-28) who currently smoke cigarillos completed a web-based survey regarding their current use of cigarillos, little cigars, traditional cigars, cigarettes, e-cigarettes, and waterpipe/hookah. Latent class analysis (LCA) was used to identify patterns of product use by type and amount. The LCA also assessed the relationship between the latent classes and a 38-item measure of ND, controlling for relevant demographics.Results: Most participants (88.2%) reported using two or more tobacco products in the past 30 days. The best-fitting LCA solution revealed 7 classes: (1) Mixed-Light tipped cigarillo and light cigarette users, 28.9%; (2) Light tipped cigarillo users, 15.8%; (3) Light untipped cigarillo users, 14.3%; (4) Heavy tipped cigarillo users, 13.4%; (5) E-cigarette and waterpipe users, 11.9%; (6) Heavy users of tipped and untipped cigarillos and light users of cigarettes, 9.8%; and (7) Dabblers who primarily used traditional cigars, but were also likely to use a variety of other products, 6.1%. Classes comprised of those using multiple products-particularly those that included cigarettes-had significantly higher levels of ND than other classes (Tukey's HSD P < .05).Conclusions: Distinct patterns of MTP use are evident among young cigarillo smokers. Smoking multiple products, particularly smoking cigarillos in combination with cigarettes, is associated with higher ND compared to other product use patterns.