Perception of E-Cigarette Harm and Its Correlation With Use Among US Adolescents
Perception of E-Cigarette Harm and Its Correlation With Use Among US Adolescents
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DOI：
10.1093/ntr/ntu156
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发表时间：
2015-03-01
影响因子：
4.7
通讯作者：
Weitzman, Michael
中科院分区：
文献类型：
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作者：
Amrock, Stephen M.;Zakhar, Joseph;Weitzman, Michael
导读：美国青少年越来越多地使用电子烟。电子烟的感知危害尚未得到描述，也没有评估危害感知与电子烟使用之间的相关性。本研究探讨了电子烟危害感知和使用电子烟在nationalsurveillance.Methods的相关性：我们使用了横截面全国代表性的数据，从2012年全国青年烟草调查（n = 24，658）。交叉表和多变量有序概率和逻辑回归模型被用来评估相对伤害感知和电子烟的使用。其中，分别有13.2%（95%置信区间[CI] = 11.7-14.9）和4.0%（95% CI = 3.4-4.7）报告曾经或目前使用电子烟。在了解电子烟的人中，34.2%（95%CI = 32.8-35.6）认为电子烟的危害比香烟小。在尝试电子烟的人中，71.8%（95%CI = 69.0-74.5）认为电子烟的危害相对较小。女性和17岁以上的人更有可能认为电子烟相对于香烟更有害，而平均而言，白人、其他烟草产品的使用者以及家庭成员使用烟草的人更有可能认为电子烟相对更安全。在未吸过香烟的电子烟使用者中，使用其他烟草产品和感知到的电子烟危害减少分别与电子烟使用的平均增加1.6和4.1个百分点相关。结论：感知到电子烟危害低于传统香烟与电子烟使用的增加有关，包括未吸过香烟的电子烟使用者。这些发现应该促使进一步的科学调查，并值得监管机构的关注。
Introduction: U.S. adolescents increasingly use e-cigarettes. The perceived harm of e-cigarettes has not been described, nor has the correlation between harm perception and e-cigarette use been assessed. This study examines correlates of e-cigarette harm perception and use of e-cigarettes in a national survey.Methods: We used cross-sectional nationally representative data from the 2012 National Youth Tobacco Survey (n = 24,658). Cross-tabulations and multivariate ordered probit and logistic regression models were employed to assess relative harm perception and e-cigarette use.Results: Half of U.S. adolescents had heard of e-cigarettes. Of these, 13.2% (95% confidence interval [CI] = 11.7-14.9) and 4.0% (95% CI = 3.4-4.7) reported ever or currently using e-cigarettes, respectively. Of those aware of e-cigarettes, 34.2% (95% CI = 32.8-35.6) believed e-cigarettes were less harmful than cigarettes. Among those trying e-cigarettes, 71.8% (95% CI = 69.0-74.5) believed e-cigarettes were comparatively less harmful. Females and those = 17 years old were more likely to perceive e-cigarettes as more harmful relative to cigarettes, while on average Whites, users of other tobacco products, and those with family members who used tobacco were more likely to perceive e-cigarettes as comparatively safer. Among cigarette-naive e-cigarette users, use of other tobacco products and perceived harm reduction by e-cigarettes were, respectively, on average associated with 1.6 and 4.1 percentage-point increases in e-cigarette use.Conclusions: Perception of e-cigarettes as less harmful than conventional cigarettes was associated with increased e-cigarette use, including among cigarette-naive e-cigarette users. These findings should prompt further scientific investigation and merit attention from regulators.