Polytobacco Use Among a Nationally Representative Sample of Adolescent and Young Adult E-Cigarette Users
Polytobacco Use Among a Nationally Representative Sample of Adolescent and Young Adult E-Cigarette Users
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DOI：
10.1016/j.jadohealth.2018.04.010
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发表时间：
2018-10-01
影响因子：
7.6
通讯作者：
Sutfin, Erin L.
中科院分区：
文献类型：
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作者：
King, Jessica L.;Reboussin, David;Sutfin, Erin L.
目的：电子尼古丁递送系统(END)是青少年最常用的烟草产品，是年轻人第二常用的产品。方法：2016年春季，我们对3517名13-25岁的青少年(36.9%的13-17岁)进行了具有全国代表性的抽样调查，并分析了过去30天的两组最终使用者的社会人口学和相对风险认知。结果：4.5%的青少年和10%的年轻人报告超过30天的终端使用(n=281；分析样本)。最终用户为38.8%的女性和70.6%的白人。超过一半的人(55.9%)是多种烟草的最终使用者。最常见的多元烟头使用模式是烟头和香烟(11.5%)，烟头和雪茄(7.7%)，烟头、雪茄和水烟(5.2%)。那些认为烟头比香烟危害小的人比那些认为烟头比香烟更有害或更有害的人更有可能是独家终端使用者(调整后的优势比=2.6，可信区间=1.2，5.7)。END组之间在年龄、种族、性别、父母教育程度、性取向或END使用频率上没有差异。结论：略高于一半的END使用者还使用其他烟草产品，增加了他们尼古丁成瘾和其他健康损害的风险。食品和药物管理局负责向消费者传达产品风险，并应在其公共教育工作中考虑常见的使用模式和相对的风险认知。(C)2018年青少年健康与医学学会。版权所有。
Purpose: Electronic nicotine delivery systems (ENDS) are adolescents' most commonly used tobacco product and young adults' second most used. Little is known about ENDS use alongside other tobacco products (polytobacco use) and whether exclusive ENDS users differ from polytobacco ENDS users.Methods: In spring 2016, we surveyed a nationally representative sample of 3,517 13-25-year olds (36.9% 13-17-year olds), and examined sociodemographic and relative risk perceptions between two groups of past 30-day ENDS users: exclusive (only ENDS) and polytobacco (ENDS and at least one other tobacco product).Results: 4.5% of adolescents and 10% of young adults reported past 30-day ENDS use (n = 281; analytic sample). ENDS users were 38.8% female and 70.6% white. Over half (55.9%) were polytobacco ENDS users. The most common patterns of polytobacco ENDS use were ENDS and cigarettes (11.5%), ENDS and cigars (7.7%), and ENDS, cigars, and waterpipe (5.2%). Those who perceived ENDS to be less harmful than cigarettes were more likely to be exclusive ENDS users than those who perceived ENDS to be as or more harmful than cigarettes (adjusted odds ratio = 2.6, confidence interval = 1.2, 5.7). There were no differences between ENDS groups on age, race, sex, parental education, sexual orientation, or ENDS use frequency.Conclusions: Just over half of ENDS users also used other tobacco products, increasing their risk for nicotine addiction and other health harms. The Food and Drug Administration is responsible for communicating product risk to consumers and should consider common patterns of use and relative risk perceptions in its ENDS public education efforts. (C) 2018 Society for Adolescent Health and Medicine. All rights reserved.