Global youth vaping and respiratory health: epidemiology, interventions, and policies.

Global youth vaping and respiratory health: epidemiology, interventions, and policies.
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DOI:
10.1038/s41533-022-00277-9
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发表时间:
2022-04-11
影响因子:
3.1
通讯作者:
Eisenberg, Mark J.
Eisenberg, Mark J.
中科院分区:
医学3区
文献类型:
--
作者:
Lyzwinski, Lynnette Nathalie;Naslund, John A.;Miller, Christopher J.;Eisenberg, Mark J.

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电子烟(也称为电子烟或vaping产品)的使用越来越被认为是一个全球性的公共卫生问题。一个特别的挑战是向未成年人(青少年和儿童)推销这些药物,以及在这一人群中使用的日益普遍。电子烟不必要地使未成年人面临健康风险,包括呼吸道健康问题,如哮喘、支气管炎和尿道刺激的恶化。电子烟中常见的尼古丁也与认知障碍和神经发育问题有关。电子烟也是下游物质使用的风险因素,包括香烟和大麻的开始(网关假设),这加剧了双重使用者的健康风险。目前的公共卫生预防和干预研究是有限的,显然需要更多的干预措施,可以防止使用和协助停止在这个脆弱的人群。还应加强医生教育和筛查。此外,还需要在全球范围内制定更严格的公共卫生政策和保护措施,以限制未成年人接触电子烟。
E-cigarette usage (also known as e-cigarettes or vaping products) has increasingly been recognized as a global public health problem. One challenge in particular involves their marketing to minors (teenagers and children) and the rising prevalence of use in this population. E-cigarettes unnecessarily expose minors to health risks, these include respiratory health problems, such as exacerbations of asthma, bronchitis, and respiratory-tract irritation. Nicotine, commonly found in e-cigarettes, is also associated with cognitive impairment and neurodevelopmental problems. E-cigarettes are also risk factors for downstream substance use, including cigarettes and cannabis initiation (the gateway hypothesis), which compounds health risks in dual users. Current public health preventative and intervention studies are limited, and there is a clear need for more interventions that may prevent usage and assist with cessation in this vulnerable population. Physician education and screening uptake should also be enhanced. Stricter public health policy and protection measures are also needed on a global scale to limit e-cigarette exposure in minors.
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