e-Cigarette Use and Perceived Harm Among Women of Childbearing Age Who Reported Tobacco Use During the Past Year.
e-Cigarette Use and Perceived Harm Among Women of Childbearing Age Who Reported Tobacco Use During the Past Year.
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DOI：
10.1097/nnr.0000000000000176
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发表时间：
2016-09
期刊：
影响因子：
2.5
通讯作者：
Hahn E
中科院分区：
文献类型：
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作者：
Ashford K;Wiggins A;Butler K;Ickes M;Rayens MK;Hahn E
电子烟使用的流行程度在缺乏潜在健康影响的公开证据的情况下增长。该研究的目的是评估育龄女性当前和以前的烟草使用者使用电子烟的预测因素，特别是确定人口统计学因素，怀孕状况，传统吸烟和感知的电子烟危害是否与电子烟使用相关。还测量了使用电子烟的原因。采用横断面相关设计，194名来自肯塔基州两所大学附属产前诊所和一所妇女健康诊所的18-45岁的现任和前任女性烟草使用者参加了研究。略多于一半的人怀孕了。测量了年龄、种族/民族、教育程度、妊娠状况、香烟和电子烟使用史以及对电子烟健康危害的感知，并使用Mann-Whitney U检验或斯皮尔曼等级相关性进行了与电子烟使用的关联。使用比例优势模型确定电子烟使用的预测因素。目前大多数电子烟使用者也是目前的吸烟者（88%）。目前和以前的电子烟使用者中有近一半是孕妇。大多数女性认为电子烟是轻微（38%）或中度（31%）的健康危害。在回归中，年轻女性使用电子烟的风险更大，而少数民族女性和怀孕女性使用电子烟的可能性较小。与非孕妇相比，孕妇最近使用电子烟的可能性较小。然而，目前几乎所有的电子烟使用者都是双重烟草使用者，包括孕妇。确定电子烟使用对母婴健康的影响是必要和及时的，从而提高医疗保健提供者与患者讨论电子烟使用对健康影响的信心。
The prevalence of electronic cigarette use grows amidst a dearth of published evidence of the potential health implications. The purpose of the study was to assess predictors of e-cigarette use among female current and former tobacco users of childbearing age—specifically to determine whether demographic factors, pregnancy status, conventional cigarette smoking, and perceived e-cigarette harm are associated with e-cigarette use. Reasons for using e-cigarettes were also measured. A cross-sectional, correlational design was used; 194 current and former female tobacco users, 18–45 years of age from two university-affiliated prenatal clinics and one women’s health clinic in Kentucky took part. Slightly more than half were pregnant. Age, race/ethnicity, education, pregnancy status, use history for cigarettes and e-cigarettes, and perception of health hazard from e-cigarettes were measured and associations with e-cigarette use were made with Mann-Whitney U tests or Spearman’s rank correlations. Predictors of e-cigarette use were determined using proportional odds modeling. Most current e-cigarette users were also current cigarette smokers (88%). Nearly half of current and former e-cigarette users were pregnant. Most women perceived e-cigarettes as a minor (38%) or moderate (31%) health hazard. In the regression, younger women were at greater risk for e-cigarette use, while minority women and those who were pregnant were less likely to be e-cigarette users. Pregnant women were less likely to be more recent e-cigarette users, compared with nonpregnant women. However, nearly all current e-cigarette users were dual tobacco users, including pregnant women. It is both imperative and timely to determine the impact of e-cigarette use on maternal and infant health, thus improving healthcare provider confidence to discuss the health implications of e-cigarette use with their patients.