Electronic cigarette initiation among minority youth in the United States
Electronic cigarette initiation among minority youth in the United States
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DOI：
10.1080/00952990.2016.1203926
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发表时间：
2017-01-01
影响因子：
2.7
通讯作者：
Blunt-Vinti, Heather
中科院分区：
文献类型：
--
作者：
Hammig, Bart;Daniel-Dobbs, Page;Blunt-Vinti, Heather
工作背景：青年人使用电子烟是一个紧迫的公共卫生问题，其使用率超过了烟草卷烟。虽然近年来有关电子烟的研究激增，但关于那些首次接触烟草产品是电子烟的人的信息却很少。目的：研究与美国少数民族青年开始使用电子烟相关的因素。研究方法：对2014年全国青年烟草调查（NYTS）中美国初中和高中少数民族学生的数据进行了抽样（加权N = 27，294，454）。我们使用logistic回归模型研究了少数民族青年的电子烟初始化，以确定相关因素。结果：2014年，736，158名少数民族青年是电子烟发起者。西班牙裔青年开始使用电子烟的几率最高[调整后的比值比（AOR）= 2.70; 95%置信区间（CI）= 1.60-4.56]。接触电子烟广告（AOR = 1.64; 95%CI = 1.07-2.50），认为几乎没有危害（AOR = 7.08; 95%CI = 4.03-12.46），以及认为电子烟比烟草成瘾性小（AOR = 2.15; 95%CI = 1.52-3.02）与电子烟开始相关。结论：西班牙裔青年开始使用电子烟的几率最高。在少数民族青年中，开始使用电子烟与对危害和成瘾潜力的看法以及接触电子烟广告有关。因此，针对有可能成为电子烟发起者的少数群体青年的预防工作可能会通过将这些因素纳入预防活动而受益。
Background: Electronic cigarettes (e-cigarette) use among youth is a pressing public health issue, with prevalence of use surpassing that of tobacco cigarettes. While research concerning e-cigarettes has proliferated in recent years, there is a dearth of information regarding those whose first exposure to tobacco products was an e-cigarette. Objectives: To examine factors associated with e-cigarette initiation among minority youth in the United States. Methods: Data on minority students in middle and high schools in the United States derived from the 2014 National Youth Tobacco Survey (NYTS) were sampled (weighted N = 27,294,454). We examined e-cigarette initiation among minority youth using logistic regression models to identify related factors. Results: In 2014, 736,158 minority youth were e-cigarette initiators. Odds of e-cigarette initiation was highest among Hispanic youth [adjusted odds ratio (AOR) = 2.70; 95% confidence interval (CI) = 1.60-4.56]. Exposure to e-cigarette advertising (AOR = 1.64; 95% CI = 1.07-2.50), perceptions of little to no harm (AOR = 7.08; 95% CI = 4.03-12.46), and believing e-cigarettes were less addictive than tobacco (AOR = 2.15; 95% CI = 1.52-3.02) were associated with e-cigarette initiation. Conclusions: Odds of initiating e-cigarette use was highest among Hispanic youth. Among minority youth, e-cigarette initiation was associated with perceptions of harm and addiction potential, as well as exposure to e-cigarette advertising. Therefore, prevention efforts targeting minority youth who are at risk of becoming e-cigarette initiators may benefit by incorporating these factors into prevention campaigns.