Vital Signs: Tobacco Product Use Among Middle and High School Students - United States, 2011-2018
Vital Signs: Tobacco Product Use Among Middle and High School Students - United States, 2011-2018
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DOI：
10.15585/mmwr.mm6806e1
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发表时间：
2019-02-15
影响因子：
33.9
通讯作者：
King, Brian A.
中科院分区：
文献类型：
--
作者：
Gentzke, Andrea S.;Creamer, MeLisa;King, Brian A.
简介：烟草使用是美国可预防疾病和死亡的主要原因;几乎所有烟草制品的使用都始于青年和青年时期。方法：CDC，食品和药物管理局和国家癌症研究所分析了2011-2018年全国青年烟草调查的数据，以估计美国初中和高中学生的烟草制品使用情况。流行率估计值（过去30天）使用七种烟草产品进行了评估;随着时间的推移，使用多变量回归分析差异（2011-2018年）或t检验（2017-2018）.结果：2018年，27.1%的高中生报告目前使用任何烟草产品（404万人）和中学生（84万人）的比例分别为7.2%;电子烟（电子烟）是高中生（20.8%; 305万人）和中学生（4.9%; 57万人）最常使用的产品。在2011-2018年期间，任何烟草产品的使用在两个学校级别之间都没有显着变化。在2017-2018年期间，任何烟草产品的当前使用量增加了38.3%（从19.6%到27.1%），初中生中的吸烟率从5.6%上升到7.2%;电子烟使用量增长77.8%（从11.7%到20.8%），（从3.3%到4.9%）。结论和对公共卫生实践的启示：美国青少年使用电子烟的人数大幅增加，加上2017-2018年期间其他烟草产品的使用没有变化，这抵消了最近在减少青少年整体烟草产品使用方面取得的进展。持续实施全面的烟草控制战略，与美国食品和药物管理局对烟草制品的监管相协调，可以预防和减少美国青少年使用各种形式的烟草制品。
Introduction: Tobacco use is the leading cause of preventable disease and death in the United States; nearly all tobacco product use begins during youth and young adulthood.Methods: CDC, the Food and Drug Administration, and the National Cancer Institute analyzed data from the 2011-2018 National Youth Tobacco Surveys to estimate tobacco product use among U.S. middle and high school students. Prevalence estimates of current (past 30-day) use of seven tobacco products were assessed; differences over time were analyzed using multivariable regression (2011-2018) or t-test (2017-2018).Results: In 2018, current use of any tobacco product was reported by 27.1% of high school students (4.04 million) and 7.2% of middle school students (840,000); electronic cigarettes (e-cigarettes) were the most commonly used product among high school (20.8%; 3.05 million) and middle school (4.9%; 570,000) students. Use of any tobacco product overall did not change significantly during 2011-2018 among either school level. During 2017-2018, current use of any tobacco product increased 38.3% (from 19.6% to 27.1%) among high school students and 28.6% (from 5.6% to 7.2%) among middle school students; e-cigarette use increased 77.8% (from 11.7% to 20.8%) among high school students and 48.5% (from 3.3% to 4.9%) among middle school students.Conclusions and Implications for Public Health Practice: A considerable increase in e-cigarette use among U.S. youths, coupled with no change in use of other tobacco products during 2017-2018, has erased recent progress in reducing overall tobacco product use among youths. The sustained implementation of comprehensive tobacco control strategies, in coordination with Food and Drug Administration regulation of tobacco products, can prevent and reduce the use of all forms of tobacco products among U.S. youths.