Associations Between Risk Perceptions and Cigarette, E-cigarette, and Dual-Product Use Among Canadian Adolescents
Associations Between Risk Perceptions and Cigarette, E-cigarette, and Dual-Product Use Among Canadian Adolescents
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DOI：
10.1177/1179173x20903784
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发表时间：
2020-03-01
影响因子：
2.2
通讯作者：
Azagba, Sunday
中科院分区：
文献类型：
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作者：
Manzione, Lauren C.;Shan, Lingpeng;Azagba, Sunday
导读：近年来，电子烟的普及程度显著提高。电子烟被认为比香烟危害小，青少年中香烟和电子烟的双重使用都很常见。本研究评估了香烟和电子烟的风险认知和与加拿大青少年使用双重产品的关联。方法：我们使用了2016-2017年加拿大学生烟草，酒精和药物调查的数据。吸烟和电子烟使用的感知风险分为4类：“高风险感知”、“高电子烟风险和低香烟风险感知”、“低电子烟风险和高香烟风险感知”和“低风险感知”。结果：在人群中，92%的人认为香烟有高风险，65%的人认为电子烟有高风险。与低风险认知的学生相比，对两种产品都有高风险认知的学生两用的几率较低（aOR：0.21; 95%置信区间[CI]：0.15，0.28），单药使用（aOR：0.33; 95% CI：0.25，0.45），和电子烟（aOR：0.64; 95% CI：0.51，0.79）相对于非使用者。相对于非使用者，具有高电子烟和低香烟风险感知的青少年仅使用电子烟的几率更高。那些高风险的看法更有可能是电子烟的用户相对于香烟只有users.Conclusion：结果强调，高感知风险与较低的使用几率。然而，那些对这两种产品都有高风险认知的人，相对于只使用电子烟的人来说，使用电子烟的几率更高;相对于非使用者来说，那些对电子烟和香烟风险认知高的人也是如此。未来的研究应评估青少年烟草使用风险的沟通方式。
Introduction:The popularity of e-cigarettes has increased significantly in recent years. E-cigarettes are perceived as less harmful than cigarettes, and both dual-use of cigarette and e-cigarette use is common among adolescents. This study assessed cigarette and e-cigarette risk perception and associations with dual-product use among Canadian adolescents.Methods:We used data from the 2016-2017 Canadian Student Tobacco, Alcohol, and Drugs Survey. Perceived risks of cigarette and e-cigarette use were classified into 4 categories: "high-risk perception," "high-e-cigarette-risk and low-cigarette-risk perception," "low-e-cigarette-risk and high-cigarette-risk perception," and "low-risk perception." Adjusted odds ratios (aOR) were estimated from multinomial logistic regression.Results:Of the population, 92% perceived high risk from cigarettes, and 65% from e-cigarettes. Compared to students with low-risk perception, those with high-risk perception of both products had lower odds of dual-use (aOR: 0.21; 95% confidence interval [CI]: 0.15, 0.28), cigarette-only use (aOR: 0.33; 95% CI: 0.25, 0.45), and e-cigarette-only use (aOR: 0.64; 95% CI: 0.51, 0.79) relative to nonusers. Adolescents with high-e-cigarette and low-cigarette-risk perception had higher odds of e-cigarette-only use, relative to nonusers. Those with high-risk perception were more likely to be e-cigarette-only users relative to cigarette-only users.Conclusion:Results highlight that high perceived risk is associated with lower odds of use. However, those with a high-risk perception of both products had higher odds of e-cigarette use relative to cigarette-only users; as did those with high-e-cigarette and low-cigarette-risk perception, relative to nonusers. Future research should assess ways of communicating the risks of adolescent tobacco use.