Price promotion receipt and use progression of any tobacco, cigarettes, e-cigarettes and cigars among US youth between 2016 and 2018.
Price promotion receipt and use progression of any tobacco, cigarettes, e-cigarettes and cigars among US youth between 2016 and 2018.
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DOI：
10.1136/tobaccocontrol-2021-056667
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发表时间：
2023-03
期刊：
影响因子：
5.2
通讯作者：
Choi K
中科院分区：
文献类型：
--
作者：
Chen-Sankey J;Unger JB;Bernat E;Niederdeppe J;Bansal-Travers M;Choi K
烟草价格促销可能促使年轻人尝试烟草。我们评估了接受任何烟草、香烟、电子烟和雪茄的价格促销是否与产品使用进展有关。该分析包括来自烟草与健康人口评估（PATH）研究第4波（2016-2018）的全国代表性青年样本（12-16岁；n= 9405）。我们在Wave 4.5（2017-2018）评估了过去一年任何烟草、香烟、电子烟和雪茄的价格促销和使用进展（开始使用、当前使用和经常使用）。采用多变量逻辑回归来检验按产品类型接受价格促销和使用进展之间的关系，控制协变量。在第4.5次浪潮中，9.4%的年轻人开始使用任何烟草（香烟、电子烟和雪茄分别为1.8%、7.8%和0.9%），5.4%的年轻人接受任何价格促销（香烟、电子烟和雪茄分别为3.8%、3.1%和0.9%）。接受任何烟草价格促销与任何烟草开始（AOR=1.77; 95% CI=1.30, 2.41）、当前使用（AOR=1.54; 95% CI=1.06, 2.23）和经常使用（AOR=1.76; 95% CI=1.04, 3.10）相关。接受电子烟价格促销与电子烟起始（AOR=1.78; 95% CI=1.18, 2.26）、当前使用（AOR=1.88; 95% CI=1.17, 3.02）和经常使用（AOR=2.10; 95% CI=1.02, 4.40）相关。香烟和雪茄特有的关联仅在产品启动时被发现。接受任何烟草和电子烟的价格促销分别与任何烟草和电子烟的使用进度相关。需要持续监测烟草营销活动，以确定吸引年轻人的价格促销策略。
Tobacco price promotions may prompt tobacco trials among youth. We assessed whether receiving price promotions for any tobacco, cigarettes, e-cigarettes, and cigars was associated with product use progression. The analysis included a nationally representative sample of youth never tobacco users (ages 12–16; n=9,405) from Wave 4 (2016–2018) of the Population Assessment of Tobacco and Health (PATH) Study. We assessed past-year receipt of price promotions and use progression (initiation, current use, and ever regular use) for any tobacco, cigarettes, e-cigarettes, and cigars one year later at Wave 4.5 (2017–2018). Multivariable logistic regressions were used to examine the associations between receiving price promotions and use progression by product type, controlling for covariates. At Wave 4.5, 9.4% of youth initiated any tobacco (1.8%, 7.8%, 0.9% for cigarettes, e-cigarettes, and cigars), and 5.4% received any price promotions (3.8%, 3.1%, and 0.9% for cigarettes, e-cigarettes, and cigars). Receiving any tobacco price promotions was associated with any tobacco initiation (AOR=1.77; 95% CI=1.30, 2.41), current use (AOR=1.54; 95% CI=1.06, 2.23), and ever regular use (AOR=1.76; 95% CI=1.04, 3.10). Receiving e-cigarette price promotions was associated with e-cigarette initiation (AOR=1.78; 95% CI=1.18, 2.26), current use (AOR=1.88; 95% CI=1.17, 3.02), and ever regular use (AOR=2.10; 95% CI=1.02, 4.40). The associations specific to cigarettes and cigars were only found for product initiation. Receiving price promotions for any tobacco and e-cigarettes was respectively associated with the use progression of any tobacco and e-cigarettes. Continuous monitoring of tobacco marketing activities is needed to identify youth-appealing price promotion tactics.
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