Not Just Cigarettes: A More Comprehensive Look at Marijuana and Tobacco Use Among African American and White Youth and Young Adults
Not Just Cigarettes: A More Comprehensive Look at Marijuana and Tobacco Use Among African American and White Youth and Young Adults
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DOI：
10.1093/ntr/ntv202
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发表时间：
2016-04-01
影响因子：
4.7
通讯作者：
Rock, Valerie J.
中科院分区：
文献类型：
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作者：
Kennedy, Sara M.;Caraballo, Ralph S.;Rock, Valerie J.
香烟、雪茄和大麻通常是孤立地研究的，但它们的使用并不是孤立地发生的。对吸烟的关注可能夸大了这样一种观察，即与白色同龄人相比，非洲裔美国青年和年轻人不太可能吸烟任何可燃产品。评估香烟、雪茄和大麻的使用趋势可能有助于确定这种差异的程度。来自2002-2012年全国药物使用和健康调查（N = 25 541至N = 28 232）的数据用于调查过去30天非裔美国人和白色青年（12-17岁）和年轻人（18-25岁）的香烟、雪茄和大麻使用趋势。Logistic回归评估了可燃烟草（香烟和雪茄）和大麻单独使用和混合使用的趋势。从2002年到2012年，非裔美国人和白色青年（9.6%-4.2%）与年轻人（19.0%-10.5%）之间吸烟率的绝对差异缩小。任何可燃烟草/大麻的使用在非裔美国人中明显低于白人，但相对于香烟，青年（7.2%-2.2%）和年轻人（15.8%-5.6%）的绝对差异要小得多。在任何可燃烟草/大麻使用者中，使用两种或两种以上物质的青年比例为31.4%至40.3%，年轻人为29.1%至39.8%。任何可燃烟草/大麻使用趋势表明，非裔美国人和白色青年和年轻人之间的吸烟率差异是真实的，但不如单独评估吸烟时明显。解决吸烟行为的政策和计划可能会受益于扩大重点，以监测和解决雪茄和大麻的使用以及任何使用香烟，雪茄，和/或大麻的趋势表明，非裔美国人和白色青年和年轻成年人之间的吸烟流行率的差异是真实的，但不太明显时，单独评估吸烟。2012年，超过10%的非洲裔美国人和白色青年，超过三分之一的非洲裔美国青年和近一半的白色青年报告过去30天使用香烟，雪茄和/或大麻。旨在减少青少年和年轻人这些行为的公共卫生计划可以通过考虑有关烟草和大麻使用模式的详细的种族特定信息来了解。
Cigarettes, cigars, and marijuana have generally been studied in isolation yet their use does not occur in isolation. Focus on cigarette smoking may overstate the observation that African American youth and young adults are less likely to smoke any combustible product compared with their white counterparts. Assessing cigarette, cigar, and marijuana use trends may help identify the extent of this difference.Data from the 2002-2012 National Survey on Drug Use and Health (N = 25 541 to N = 28 232) were used to investigate past 30-day cigarette, cigar, and marijuana use trends among African American and white youth (12-17) and young adults (18-25). Logistic regressions assessed trends in combustible tobacco (cigarettes and cigars) and marijuana use, alone and in combination.From 2002-2012, the absolute difference in cigarette smoking prevalence between African American and white youth (9.6%-4.2%) and young adults (19.0%-10.5%) narrowed. Any combustible tobacco/marijuana use was significantly lower among African Americans than whites but, relative to cigarettes, the absolute difference was much smaller among youth (7.2%-2.2%) and young adults (15.8%-5.6%). Among any combustible tobacco/marijuana users, using two or more substances ranged from 31.4% to 40.3% among youth and 29.1% to 39.8% among young adults.Any combustible tobacco/marijuana use trends suggest the smoking prevalence difference between African American and white youth and young adults is real, but less pronounced than when assessing cigarette smoking alone. Policies and programs addressing smoking behaviors may benefit from broadening focus to monitor and address cigar and marijuana use as well.Trends in any use of cigarettes, cigars, and/or marijuana suggest the difference in smoking prevalence between African American and white youth and young adults is real, but less pronounced than when cigarette smoking is assessed alone. In 2012, more than 10% of African American and white youth, more than a third of African American young adults, and nearly half of white young adults reported past 30-day use of cigarette, cigars, and/or marijuana. Public health programs aimed at reducing these behaviors among youth and young adults could be informed by considering detailed, race-specific information regarding tobacco and marijuana use patterns.