Patterns of youth tobacco and polytobacco usage: The shift to alternative tobacco products.
Patterns of youth tobacco and polytobacco usage: The shift to alternative tobacco products.
复制标题
DOI：
10.1080/00952990.2016.1225072
复制
发表时间：
2017-11
期刊：
影响因子：
--
通讯作者：
Martins SS
中科院分区：
文献类型：
--
作者：
Harrell PT;Naqvi SMH;Plunk AD;Ji M;Martins SS
尽管青少年吸烟人数显著下降，但总体烟草使用率仍超过20%，因为非卷烟烟草产品的使用越来越普遍，而混合烟草的使用（使用1+烟草产品）保持稳定。本研究旨在确定青年烟草使用的模式，并研究与社会人口特征和烟草依赖的关联。目前的分析使用潜在类别分析（LCA）来检查全国青年烟草调查（2012年和2013年）中的6，958名烟草使用者（n = 2，738名女性）。我们使用过去一个月使用烟草产品（香烟，雪茄，无烟烟草，电子烟，水烟，鼻烟，烟斗，比迪斯和kreteks）作为指标，并回归社会人口特征和烟草依赖的结果类。出现了九个阶级：吸烟者（33.4%的样本，也包括使用雪茄和电子烟的小概率），雪茄吸烟者（16.8%，几乎全部），无烟烟草使用者（12.3%，也包括香烟，雪茄，鼻烟的小概率），水烟吸烟者（11.8%），吸烟者/嚼烟者（10.7%，各种主要传统烟草产品），吸烟者/水烟者（7.2%）、烟草/鼻烟/电子烟使用者（3.3%）、电子烟使用者（2.9%）和聚烟草使用者（1.7%，所有产品的可能性都很高）。与吸烟者相比，烟草/水烟吸烟者和水烟吸烟者更有可能报告西班牙裔。混合烟草使用者更有可能报告依赖性（AOR：2.77，95% CI：[1.49 - 5.18]），而电子烟使用者的可能性较小（AOR：0.49，95% CI：[0.24 - 0.97]）。研究结果与其他研究一致，表明青少年烟草产品的使用转向非卷烟烟草产品。需要对这些模式进行持续监测，以帮助预测这种转变最终是否会改善公共卫生。
Despite significant declines in youth cigarette smoking, overall tobacco usage remains over 20% as non-cigarette tobacco product usage is increasingly common and polytobacco use (using 1+ tobacco product) remains steady. The present study was designed to identify patterns of youth tobacco use and examine associations with sociodemographic characteristics and tobacco dependence. The current analysis uses Latent Class Analysis (LCA) to examine the 6,958 tobacco users (n=2,738 female) in the National Youth Tobacco Survey (2012 and 2013). We used as indicators past month use of tobacco products (cigarettes, cigars, smokeless tobacco, e-cigarettes, hookah, snus, pipes, bidis, and kreteks) and regressed resulting classes on sociodemographic characteristics and tobacco dependence. Nine classes emerged: cigarette smokers (33.4% of sample, also included small probabilities for use of cigars and e-cigarettes), cigar smokers (16.8%, nearly exclusive), smokeless tobacco users (12.3%, also included small probabilities for cigarettes, cigars, snus), hookah smokers (11.8%), tobacco smokers/chewers (10.7%, variety of primarily traditional tobacco products), tobacco/hookah smokers (7.2%), tobacco/snus/e-cig users (3.3%), e-cigarette users (2.9%,), and polytobacco users (1.7%, high probabilities for all products). Compared to cigarette smokers, tobacco/hookah smokers and hookah smokers were more likely to report Hispanic ethnicity. Polytobacco users were more likely to report dependence (AOR:2.77, 95% CI:[1.49–5.18]), whereas e-cigarette users were less likely (AOR:0.49, 95% CI:[0.24–0.97]). Findings are consistent with other research demonstrating shifts in adolescent tobacco product usage towards non-cigarette tobacco products. Continuous monitoring of these patterns is needed to help predict if this shift will ultimately result in improved public health.