Assessment of Patterns in e-Cigarette Use Among Adults in the US, 2017-2020.
Assessment of Patterns in e-Cigarette Use Among Adults in the US, 2017-2020.
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DOI：
10.1001/jamanetworkopen.2022.23266
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发表时间：
2022-07-01
影响因子：
13.8
通讯作者：
Blaha, Michael J.
中科院分区：
文献类型：
--
作者：
Boakye, Ellen;Osuji, Ngozi;Erhabor, John;Obisesan, Olufunmilayo;Osei, Albert D.;Mirbolouk, Mohammadhassan;Stokes, Andrew C.;Dzaye, Omar;El Shahawy, Omar;Hirsch, Glenn A.;Benjamin, Emelia J.;DeFilippis, Andrew P.;Robertson, Rose Marie;Bhatnagar, Aruni;Blaha, Michael J.
美国成年人当前和日常使用电子烟的最新模式是什么？这项横断面研究涉及美国各州和地区的 994 307 名成年人，报告了 2017 年、2018 年和 2020 年行为风险因素监测系统中电子烟使用的数据，当前电子烟使用流行率在 2017 年至 2018 年期间从 4.4% 上升至 5.5%，但在 2020 年略有下降至 5.1%；这种下降虽然幅度不大，但主要发生在 18 至 20 岁的人群中。日常电子烟使用率持续上升，从 2017 年的 1.5% 上升至 2018 年的 2.1%，再到 2020 年的 2.3%，其中 21 至 24 岁成年人的增幅最为显着。这项研究发现，目前电子烟的使用量略有减少，但日常电子烟的使用量持续增加，这表明尼古丁依赖性更大，需要持续监测。需要有关美国成年人电子烟使用模式的最新数据。研究美国成年人当前和日常使用电子烟的最新模式。这项重复的横断面研究使用了 2017 年、2018 年和 2020 年行为风险因素监测系统的数据，该系统是一项针对非机构化美国成年人的全国代表性州级调查。共有 994 307 名居住在提供 2017 年（53 个州和地区）、2018 年（36 个州和关岛）和 2020 年（42 个州和关岛）电子烟使用数据的州和地区的 18 岁及以上成年人纳入研究。每年估计当前（过去 30 天）和每日电子烟使用的加权流行率，并评估 2017 年至 2020 年流行率的变化，首先进行总体评估，然后根据参与者特征（包括居住的州或地区）进行分层。在拥有电子烟使用数据的各州的 994 307 名成年人中，2017 年的调查有 429~370 人（女性占 51.3%），2018 年的调查有 280~184 人（女性占 52.1%），2020 年的调查有 284~753 人（女性占 52.1%）。调查。 18 至 24 岁年轻人的加权比例在 2017 年为 12.6%，2018 年为 11.8%，2020 年为 11.9%。在所有 3 年中，17 035 名参与者（加权，1.0%）是美洲印第安人或阿拉斯加原住民，22 313 名参与者（加权，4.6%）是亚洲人，75 名参与者是亚洲人。 780 名（加权，12.2%）是黑人，72 190 名（加权，15.1%）是黑人 西班牙裔人中，4817 人（加权，0.2%）为夏威夷原住民，757 140 人（加权，65.1%）为白人，20 332 人（加权，1.3%）为多种族，6245 人（加权，0.5%）为其他种族和/或民族。 2017 年，当前电子烟使用率为 4.4%（95% CI，4.3%-4.5%），2018 年上升至 5.5%（95% CI，5.4%-5.7%），2020 年略有下降至 5.1%（95% CI，4.9%-5.3%）。近期下降幅度虽然不大，但主要发生在 20 岁以上的年轻人中。 18 岁至 20 岁（从 18.9% [95% CI, 17.2%-20.7%] 至 15.6% [95% CI, 14.1%-17.1%]； P = .004)。然而，每日电子烟使用率从 2017 年的 1.5%（95% CI，1.4%-1.6%）持续上升至 2018 年的 2.1%（95% CI，2.0%-2.2%）和 2020 年的 2.3%（95% CI，2.2%-2.4%）。在 21 至 24 岁的年轻人中，当前流行病的患病率略有增加，尽管不显着 电子烟使用率（从 13.5% [95% CI, 12.3%-14.7%] 增加到 14.5% [95% CI, 13.2%-15.9%]；P = .28），但日常电子烟使用率显着增加（从 4.4% [95% CI, 3.8%-5.1%] 增加到 6.6% [95%] CI，5.6%-7.6%]； 2018 年至 2020 年间，各州的电子烟使用流行率模式存在差异，马萨诸塞州（从 5.6% [95% CI, 4.8%-6.5%] 到 4.1% [95% CI, 3.1%-5.3%]；P = .03）和纽约州（从 5.4% [95% CI, 4.9%-5.9%] 至 4.1% [95% CI, 3.5%-4.7%]； P = .001）在 2018 年至 2020 年间显着下降。相比之下，关岛（从 5.9% [95% CI，4.5%-7.9%] 降至 11.4% [95% CI，8.7%-14.8%]；P = .002）和犹他州（从 6.1% [95% CI， 5.5%-6.7%]到 7.2% [95% CI, 6.5%-8.0%]； P = .02）记录了同期电子烟使用量的显着增加。这项研究发现，2018 年至 2020 年间，当前电子烟的使用流行率略有下降；这种下降主要发生在 18 至 20 岁的年轻人中。相比之下，每日电子烟使用量持续增加，特别是在 21 至 24 岁的年轻人中。日常使用量的增加表明电子烟使用者对尼古丁的依赖性更大，需要持续监测。这项横断面研究使用 2017 年、2018 年和 2020 年行为风险因素监测系统的数据来评估美国成年人当前和日常电子烟使用的最新州级模式。
What are the recent patterns in current and daily e-cigarette use among US adults? In this cross-sectional study involving 994 307 adults from US states and territories that reported data on e-cigarette use in the 2017, 2018, and 2020 Behavioral Risk Factor Surveillance System, the prevalence of current e-cigarette use increased from 4.4% to 5.5% between 2017 and 2018 but decreased slightly to 5.1% in 2020; this decrease, though modest, was observed mainly among those aged 18 to 20 years. The prevalence of daily e-cigarette use increased consistently, from 1.5% in 2017 to 2.1% in 2018 and 2.3% in 2020, with the most significant increase among adults aged 21 to 24 years. This study found a slight reduction in current e-cigarette use but consistent increases in daily e-cigarette use, suggesting greater nicotine dependence that warrants continued surveillance. Updated data on the patterns of e-cigarette use among adults in the US are needed. To examine recent patterns in current and daily e-cigarette use among US adults. This repeated cross-sectional study used data from the 2017, 2018, and 2020 Behavioral Risk Factor Surveillance System, a nationally representative state-based survey of noninstitutionalized US adults. A total of 994 307 adults 18 years and older who were living in states and territories that provided data on e-cigarette use in 2017 (53 states and territories), 2018 (36 states and Guam), and 2020 (42 states and Guam) were included. The weighted prevalence of current (past 30 days) and daily e-cigarette use was estimated for each year, and changes in prevalence from 2017 to 2020 were assessed, first overall and then stratified by participant characteristics, including state or territory of residence. Among 994 307 adults from states with data on e-cigarette use, 429 370 individuals (weighted 51.3% female) were participants in the 2017 survey, 280 184 (weighted 52.1% female) were participants in the 2018 survey, and 284 753 (weighted 52.1% female) were participants in the 2020 survey. The weighted proportions of young adults aged 18 to 24 years were 12.6% in 2017, 11.8% in 2018, and 11.9% in 2020. Across all 3 years, 17 035 participants (weighted, 1.0%) were American Indian or Alaska Native, 22 313 (weighted, 4.6%) were Asian, 75 780 (weighted, 12.2%) were Black, 72 190 (weighted, 15.1%) were Hispanic, 4817 (weighted, 0.2%) were Native Hawaiian, 757 140 (weighted, 65.1%) were White, 20 332 (weighted, 1.3%) were multiracial, and 6245 (weighted, 0.5%) were of other races and/or ethnicities. The prevalence of current e-cigarette use was 4.4% (95% CI, 4.3%-4.5%) in 2017, which increased to 5.5% (95% CI, 5.4%-5.7%) in 2018 and decreased slightly to 5.1% (95% CI, 4.9%-5.3%) in 2020. The recent decrease, though modest, was observed mainly among young adults aged 18 to 20 years (from 18.9% [95% CI, 17.2%-20.7%] to 15.6% [95% CI, 14.1%-17.1%]; P = .004). However, the prevalence of daily e-cigarette use increased consistently from 1.5% (95% CI, 1.4%-1.6%) in 2017 to 2.1% (95% CI, 2.0%-2.2%) in 2018 and 2.3% (95% CI, 2.2%-2.4%) in 2020. Among young adults aged 21 to 24 years, there was a slight, albeit insignificant, increase in the prevalence of current e-cigarette use (from 13.5% [95% CI, 12.3%-14.7%] to 14.5% [95% CI, 13.2%-15.9%]; P = .28) but a significant increase in the prevalence of daily e-cigarette use (from 4.4% [95% CI, 3.8%-5.1%] to 6.6% [95% CI, 5.6%-7.6%]; P < .001) between 2018 and 2020. State-level patterns in the prevalence of current e-cigarette use were heterogeneous, with states like Massachusetts (from 5.6% [95% CI, 4.8%-6.5%] to 4.1% [95% CI, 3.1%-5.3%]; P = .03) and New York (from 5.4% [95% CI, 4.9%-5.9%] to 4.1% [95% CI, 3.5%-4.7%]; P = .001) recording significant decreases between 2018 and 2020. In contrast, Guam (from 5.9% [95% CI, 4.5%-7.9%] to 11.4% [95% CI, 8.7%-14.8%]; P = .002) and Utah (from 6.1% [95% CI, 5.5%-6.7%] to 7.2% [95% CI, 6.5%-8.0%]; P = .02) recorded significant increases in current e-cigarette use over the same period. In this study, a slight decrease in the prevalence of current e-cigarette use was found between 2018 and 2020; this decrease was mainly observed among young adults aged 18 to 20 years. In contrast, daily e-cigarette use consistently increased, particularly among young adults aged 21 to 24 years. This increase in daily use suggests greater nicotine dependence among those who use e-cigarettes, warranting continued surveillance. This cross-sectional study uses data from the 2017, 2018, and 2020 Behavioral Risk Factor Surveillance System to assess recent state-level patterns in current and daily e-cigarette use among US adults.
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影响因子：
13.8
作者：
Gaiha SM;Lempert LK;Halpern-Felsher B
通讯作者：
Halpern-Felsher B
影响因子：
13.8
作者：
Kasza KA;Edwards KC;Kimmel HL;Anesetti-Rothermel A;Cummings KM;Niaura RS;Sharma A;Ellis EM;Jackson R;Blanco C;Silveira ML;Hatsukami DK;Hyland A
通讯作者：
Hyland A
影响因子：
33.9
作者：
Gentzke, Andrea S.;Creamer, MeLisa;King, Brian A.
通讯作者：
King, Brian A.
影响因子：
39.2
作者：
Mirbolouk, Mohammadhassan;Charkhchi, Paniz;Blaha, Michael J.
通讯作者：
Blaha, Michael J.
影响因子：
26.1
作者：
Miech, Richard;Leventhal, Adam;Barrington-Trimis, Jessica
通讯作者：
Barrington-Trimis, Jessica