Adolescent Susceptibility to E-Cigarettes: An Update From the 2018 National Youth Tobacco Survey.
Adolescent Susceptibility to E-Cigarettes: An Update From the 2018 National Youth Tobacco Survey.
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DOI：
10.1177/0890117120971121
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发表时间：
2021-05
期刊：
影响因子：
--
通讯作者：
Wagener TL
中科院分区：
文献类型：
--
作者：
Tackett AP;Keller-Hamilton B;Hébert ET;Smith CE;Wallace SW;Stevens EM;Johnson AL;Wagener TL
研究青少年对电子烟易感性的相关因素。使用2018年全国青年烟草调查的次要数据分析，不包括12岁以下和17岁以上的参与者。美国初中和高中。从未吸过电子烟的12,439人(n=12,439)，年龄在12-17岁之间。研究了电子烟易感性与年龄、性别、种族/民族、曾经吸烟、购买烟草产品的感知易感性、感知的伤害、相对成瘾性、家庭使用电子烟/烟草之间的关系。易感几率用加权多变量Logistic回归进行建模。35%的青少年(未加权n=4436)对电子烟敏感。女性(AOR=1.2)、西班牙裔(AOR=1.3)、认为电子烟危害小(AOR=2.2-4.9)和“容易购买”(AOR=1.4)、曾经使用过可燃烟草(AOR=2.9)、或报告家庭使用电子烟(AOR=1.5)的青少年是易受影响的。非西班牙裔黑人受访者(与非西班牙裔白人相比；AOR=0.72)对电子烟的易感性显著较低。在2018年NYTS青少年样本中，除了其他人口统计因素外，对烟草产品购买的危害和容易程度的看法似乎与电子烟易感性的较高几率显著相关。需要纵向数据，特别是跟踪青少年实际使用或不使用的队列数据，以评估电子烟使用开始的预测因素。
Examine correlates of e-cigarette susceptibility among adolescents. Secondary data analyses using the 2018 National Youth Tobacco Survey, excluding participants under 12 and over 17. United States middle and high schools. Never e-cigarette users (n = 12,439) ages 12–17. Relationships between e-cigarette susceptibility and age, sex, race/ethnicity, ever tobacco use, perceived ease of purchasing tobacco products, perceived harm, relative addictiveness, household use of e-cigarettes/tobacco were examined. Odds of susceptibility were modeled with weighted multivariable logistic regressions. Thirty-five percent (unweighted n = 4,436) of adolescents were susceptible to e-cigarettes. Adolescents who were female (aOR = 1.2), Hispanic (aOR = 1.3), perceived e-cigarettes as anything less than “a lot of harm” (aOR = 2.2–4.9) and “easy” to purchase (aOR = 1.4), had ever used combustible tobacco (aOR = 2.9), or reported household use of e-cigarettes (aOR = 1.5) were susceptible. Non-Hispanic black respondents (vs. non-Hispanic white; aOR = 0.72) had significantly lower odds of susceptibility to e-cigarettes. In the 2018 NYTS adolescent sample, perceptions of harm and ease of tobacco product purchase appear to be significantly related to higher odds of e-cigarette susceptibility, in addition to other demographic factors. Longitudinal data, particularly cohort data following adolescents from susceptible to actual or no use, are needed to assess predictors of e-cigarette use initiation.
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