Association between perceived health risks of e-cigarettes and actual e-cigarette use, based on cigarette smoking status and sexual and gender minority status among U.S. adults.
Association between perceived health risks of e-cigarettes and actual e-cigarette use, based on cigarette smoking status and sexual and gender minority status among U.S. adults.
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DOI：
10.1007/s10389-021-01674-z
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发表时间：
2022-01-11
期刊：
影响因子：
--
通讯作者：
Fujimoto K
中科院分区：
文献类型：
--
作者：
Adzrago D;Shi Y;Fujimoto K
在文献中，关于电子烟的感知健康风险与其实际使用之间的关联缺乏共识，这种关联可能基于吸烟状况或性和性别少数地位。这项研究考察了这些变量的调节作用，以及美国成年人在电子烟和吸烟的危害性之间和之内使用电子烟的差异。这些数据来自2020年和2019年健康信息全国趋势调查（HINTS 5），第4周期和第3周期，成人（N = 9303）。我们估计了加权多变量logistic回归模型，并根据电子烟的感知危害进行了边际分析。在研究人群中，30.75%的人目前每天或几天使用电子烟。在性少数群体和异性恋者之间，电子烟的使用没有显著差异，但性别认同和电子烟的危害性之间存在显著的相互作用。与不吸烟者相比，目前每天或几天吸烟者更有可能使用电子烟（AOR = 3.48，95% CI = 1.25，9.72）。那些认为电子烟和实际香烟一样有害的人（AOR = 0.13，95% CI = 0.06，0.27）或更有害（AOR = 0.03，95% CI = 0.01，0.10），或不确定（AOR = 0.18，95%CI = 0.08，0.45），与那些认为电子烟危害较小的人相比，使用电子烟的可能性较小。认为电子烟危害较小的以前和现在的吸烟者每天或几天使用电子烟的可能性高于非吸烟者。对于当前和以前的吸烟群体来说，那些认为电子烟危害较小的人当前使用电子烟的可能性最高，而那些不确定或认为电子烟同样有害的人，而对于那些认为电子烟危害更大的人来说，这种可能性并不显着。目前每天或几天使用电子烟与目前每天或几天吸烟有关，并降低了美国成年人对电子烟的感知危害。量身定制的健康促进和干预措施可以减少与使用烟草产品相关的潜在健康和行为/生活方式风险，特别是在以前和现在的吸烟者以及那些认为电子烟危害较小的人中每天使用电子烟。
There is a lack of consensus in the literature about the association between the perceived health risks of e-cigarettes and their actual use, an association that may be based on cigarette smoking status or sexual and gender minority status. This study examined the moderating effect of these variables as well as differences in e-cigarette use between and within perceived harmfulness of e-cigarettes and cigarette smoking among U.S. adults. The data were drawn from the 2020 and 2019 Health Information National Trends Survey (HINTS 5), Cycles 4 and 3, on adults (N = 9303). We estimated weighted multivariable logistic regression models and conducted marginal analyses based on perceived harmfulness of e-cigarettes. Of the study population, 30.75% currently used e-cigarettes daily or some days. No significant difference in e-cigarette use was found between sexual minorities and heterosexuals, but there was a significant interaction between sexual identity and perceived harmfulness of e-cigarettes. Compared to non-smokers, current daily or some days cigarette smokers were more likely to use e-cigarettes (AOR = 3.48, 95% CI = 1.25, 9.72). Those who perceived e-cigarettes to be just as harmful as actual cigarettes (AOR = 0.13, 95% CI = 0.06, 0.27) or more harmful (AOR = 0.03, 95% CI = 0.01, 0.10), or were uncertain (AOR = 0.18, 95% CI = 0.08, 0.45), were less likely to use e-cigarettes compared to those who perceived e-cigarettes to be less harmful. Former and current cigarette smokers who perceived e-cigarettes as less harmful had a higher probability of using e-cigarettes daily or some days than did non-cigarette smokers. For the current and former cigarette smoking groups, those who perceived e-cigarettes as less harmful had the highest probability of current e-cigarette use than did those who were uncertain or perceived e-cigarettes as just as harmful, whereas the probability was not significant for those who perceived e-cigarettes as more harmful. Current daily or some days use of e-cigarettes is associated with current daily or some days cigarette smoking and lowered perceived harmfulness of e-cigarettes among the U.S. adult population. Tailored health promotion and intervention efforts may reduce the potential perceived health and behavioral/lifestyle risks related to the use of tobacco products, especially the use of e-cigarettes daily among former and current cigarette smokers as well as those who perceive e-cigarettes as less harmful.
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影响因子：
4.5
作者：
Luo C;Zheng X;Zeng DD;Leischow S
通讯作者：
Leischow S
影响因子：
2.2
作者：
Manzione, Lauren C.;Shan, Lingpeng;Azagba, Sunday
通讯作者：
Azagba, Sunday
影响因子：
2.3
作者：
Cooper, Maria;Case, Kathleen R.;Perry, Cheryl L.
通讯作者：
Perry, Cheryl L.
成人目前吸烟 - 美国，2016年。
DOI：
10.15585/mmwr.mm6702a1
发表时间：
2018-01-19
期刊：
MMWR. Morbidity and mortality weekly report
影响因子：
--
作者：
Jamal A;Phillips E;Gentzke AS;Homa DM;Babb SD;King BA;Neff LJ
通讯作者：
Neff LJ
影响因子：
5.5
作者：
Johnson SE;Holder-Hayes E;Tessman GK;King BA;Alexander T;Zhao X
通讯作者：
Zhao X