A Risk-Continuum Categorization of Product Use Among US Youth Tobacco Users
A Risk-Continuum Categorization of Product Use Among US Youth Tobacco Users
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DOI：
10.1093/ntr/ntw008
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发表时间：
2016-07-01
影响因子：
4.7
通讯作者：
Choi, Kelvin
中科院分区：
文献类型：
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作者：
El-Toukhy, Sherine;Choi, Kelvin
为研究美国青少年烟草使用者5种相互排斥的烟草使用模式的流行率及其相关性，将全国代表性的烟草使用者样本（N = 3202，9-17岁）分为5种产品使用模式。采用加权多项和多变量逻辑回归模型，通过性别、种族和民族以及年级水平来检查产品使用模式的患病率;以及产品使用模式与烟草产品的感知可及性、对亲烟草营销的接触和接受程度、吸烟的社会效益和烟草相关风险之间的关联。（即使用两种产品类别）是最普遍的模式（30.5%），其次为非香烟可燃物（26.7%），混合烟草（即使用三种产品类别; 17.5%），仅卷烟（14.9%）和仅不可燃物（10.4%）使用。产品使用模式因性别、种族和民族而异。与只吸烟者相比，双重烟草和多种烟草使用者更容易接触和接受亲烟草营销，不太可能承认烟草使用相关的风险（Ps < .05）.遏制烟草使用需要根据风险连续体分类对一种以上烟草产品类别的使用者进行研究。我们提出了一种产品的风险连续体分类，17岁以下烟草使用者的使用模式。我们将烟草使用者分为五种相互排斥的产品使用模式：只吸烟者，只使用非香烟可燃物的用户，只使用非可燃物的用户，双重使用和多种烟草使用。这种分类克服了目前关于烟草使用模式的文献中的局限性，包括排除某些产品（如电子烟）和产品使用模式（如非卷烟产品的独家使用者），以及烟草使用者的不一致分类。它是简约的，但足够复杂，以保留基于消费的烟草产品的数量（单一，双重，混合烟草）和类别（卷烟，非卷烟可燃物，非可燃物）的亚烟草使用者的差异特征。
To examine prevalence and correlates of five mutually exclusive tobacco-use patterns among US youth tobacco users.A nationally representative sample of tobacco users (N = 3202, 9-17 years) was classified into five product-use patterns. Weighted multinominal and multivariate logistic regression models were used to examine prevalence of product-use patterns by gender, race and ethnicity, and grade level; and associations between product-use patterns and perceived accessibility of tobacco products, exposure and receptivity to pro-tobacco marketing, social benefits of smoking, and tobacco-associated risks.Dual use (ie, use of two product categories) was the most prevalent pattern (30.5%), followed by non-cigarette combustible only (26.7%), polytobacco (ie, use of three product categories; 17.5%), cigarette only (14.9%), and noncombustible only (10.4%) use. Product-use patterns differed by gender, race, and ethnicity. Compared to cigarette only users, dual and polytobacco users were more likely to be exposed to and be receptive to pro-tobacco marketing, and were less likely to acknowledge tobacco-use related risks (Ps < .05).Curbing tobacco use warrants research on users of more than one tobacco-product categories according to the risk-continuum categorization.We present a risk-continuum categorization of product-use patterns among tobacco users not older than 17 years. We classify tobacco users into five mutually exclusive product-use patterns: cigarette only users, non-cigarette combustible only users, noncombustible only users, dual use, and polytobacco use. This categorization overcomes limitations in current literature on tobacco-use patterns, which include exclusion of certain products (eg, e-cigarettes) and product-use patterns (eg, exclusive users of non-cigarette products), and inconsistent classification of tobacco users. It is parsimonious yet complex enough to retain differential characteristics of sub-tobacco users based on number (single, dual, polytobacco) and categories (cigarettes, non-cigarette combustibles, noncombustibles) of tobacco products consumed.