Age of initiation of cigarillos, filtered cigars and/or traditional cigars among youth: Findings from the Population Assessment of Tobacco and Health (PATH) study, 2013-2017.
Age of initiation of cigarillos, filtered cigars and/or traditional cigars among youth: Findings from the Population Assessment of Tobacco and Health (PATH) study, 2013-2017.
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DOI：
10.1371/journal.pone.0243372
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发表时间：
2020
期刊：
影响因子：
3.7
通讯作者：
Pérez A
中科院分区：
文献类型：
--
作者：
Chen B;Sterling KL;Bluestein MA;Kuk AE;Harrell MB;Perry CL;Pérez A
过早开始使用烟草与持续使用烟草以及较低的戒烟率相关。尽管人们对开始使用香烟的年龄了解较多，但对于青少年开始使用雪茄产品的年龄却知之甚少。
对2013年至2017年烟草与健康人群评估青少年年度数据集（年龄12 - 17岁）进行了生存分析，分析对象为任何雪茄产品的使用、小雪茄或过滤雪茄以及传统雪茄，涉及四种雪茄使用结果，即开始使用的年龄：使用倾向、曾经使用、过去30天使用以及“相当规律”使用。采用区间删失生存方法来估计总体上每种雪茄产品开始使用年龄的每种结果的概率。使用加权Cox比例风险模型对区间删失数据评估了性别和种族/族裔在开始使用年龄上的差异。
对于三种雪茄产品的每种结果，在17岁之前开始使用的概率显著增加。对于小雪茄或过滤雪茄，男性在比女性更小的年龄就有更高的产生使用倾向、开始曾经使用以及开始过去30天使用的风险。与非西班牙裔白人相比，西班牙裔和非西班牙裔其他族裔在更小年龄开始曾经使用和过去30天使用的风险较低。非西班牙裔黑人青少年在更小年龄开始过去30天使用和“相当规律”使用的风险比非西班牙裔白人青少年更高。对于任何雪茄使用和传统雪茄使用也报告了类似的发现。
应在17岁之前为青少年提供适合其发展和文化的雪茄使用干预措施和宣传活动，以防止雪茄产品的使用开始和发展。应实施降低所有雪茄产品吸引力的监管政策，以遏制青少年开始使用雪茄。
Early age of initiation of tobacco use is associated with sustained tobacco use and lower rates of smoking cessation. Although much is known about age of initiation of cigarette use, much less is known about the age of initiation of cigar product use among youth. Survival analyses of the Population Assessment of Tobacco and Health youth annual datasets (ages 12–17) from 2013 to 2017 were conducted for any cigar product use, cigarillos or filtered cigars, and traditional cigars across four cigar use outcomes, age of initiation of: susceptibility to use, ever use, past 30-day use and “fairly regular” use. An interval censoring survival method was implemented to estimate the probability of each outcome for age of initiation of each cigar product overall. Differences in age of initiation by sex and race/ethnicity were assessed using weighted Cox proportional hazards models for interval-censored data. For each outcome across the three cigar products, striking increases in the probability of initiation begin before 17 years old. For cigarillo or filtered cigars, males had a higher risk of onset of susceptibility to use, initiating ever use, and initiating past 30-day use at earlier ages than females. Compared to Non-Hispanic Whites, Hispanic and Non-Hispanic Other had lower risk of initiating ever use and past 30-day use at earlier ages. Non-Hispanic Black youth had higher risk of initiating past 30-day use and “fairly regular” use than Non-Hispanic White youth at earlier ages. Similar findings are reported for any cigar use and traditional cigar use. Developmentally and culturally appropriate cigar use interventions and communication campaigns should be provided to youth before 17 years of age to prevent the onset and progression of cigar products. Regulatory policies that reduce appeal of all cigar products should be implemented to curb cigar initiation among youth.
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