Use Patterns, Flavors, Brands, and Ingredients of Nonnicotine e-Cigarettes Among Adolescents, Young Adults, and Adults in the United States.

Use Patterns, Flavors, Brands, and Ingredients of Nonnicotine e-Cigarettes Among Adolescents, Young Adults, and Adults in the United States.
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DOI:
10.1001/jamanetworkopen.2022.16194
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发表时间:
2022-05-02
期刊:
影响因子:
13.8
通讯作者:
--
中科院分区:
医学1区
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非尼古丁电子烟的使用程度如何,最常见的口味、品牌和成分是什么?这项对6131名13至40岁的美国居民进行的横断面研究发现,25.9%的人曾经使用过非尼古丁电子烟,16.7%的人在过去30天内使用过,12.4%的人在过去7天内使用过; 18.8%的人曾经同时使用过非尼古丁和尼古丁电子烟。最常用的口味是甜味、甜点或糖果口味;水果口味;薄荷或薄荷醇口味;最常见的成分是四氢大麻酚、大麻二酚、褪黑激素、咖啡因和精油。这些发现表明,相当一部分美国居民正在使用无尼古丁口味的电子烟,这些电子烟的健康声明没有得到支持,这需要进一步的研究、监管和预防。这项横断面研究评估了非尼古丁电子烟的使用模式,包括常见的口味、品牌和成分。非尼古丁电子烟含有已知对健康有害和/或尚未被证明吸入安全的化学物质,香料和溶剂。评估非尼古丁电子烟的使用模式,包括常见的口味,品牌和成分。这项横断面研究包括一个13至40岁的美国居民的便利样本,他们于2021年11月和12月完成了一项在线调查。根据最新的美国人口普查,对13至17岁、18至20岁和21至40岁的同等比例的参与者进行了随机抽样,性别、种族和民族保持平衡。非尼古丁电子烟使用(曾经,过去30天和过去7天,使用次数,完成所需时间);与尼古丁电子烟共同使用;首次尝试的年龄;以及使用的口味,品牌和成分。总体而言,6131名参与者(平均[SD]年龄,21.9 [6.8]岁;范围,13-40岁; 3454名[56.3%]确定为女性)完成了调查(完成率为55.1%)。在所有参与者中,1590人(25.9%)曾经使用过非尼古丁电子烟,1021人(16.7%)在过去30天内使用过,760人(12.4%)在过去7天内使用过。按年龄组划分,1630名13至17岁的参与者中有227名(13.9%),2033名18至20岁的参与者中有497人(24.4%),1041名21至24岁的参与者中有399名(38.3%),1427名25至40岁的参与者中有467名(32.7%)曾经使用过非尼古丁电子烟。在1590名曾经使用过非尼古丁电子烟的参与者中,549人(34.5%)使用过10次以上; 1017人(63.9%)在不到1周的时间内完成了1支非尼古丁电子烟。1155名参与者(18.8%)报告了非尼古丁与尼古丁电子烟的共同使用,1363名(22.2%)仅使用尼古丁电子烟,431名(7.0%)仅使用非尼古丁电子烟。最常用的口味是甜的,甜点,或糖果(578 [36.3%]);水果(532 [33.4%]);薄荷或薄荷醇(321人[20.2%]);在过去30天内使用非尼古丁电子烟的人中,观察到前两种口味的相似口味模式,其次是咖啡,酒精,花卉,植物,和薄荷或薄荷醇口味。大多数参与者报告在非尼古丁电子烟中使用四氢大麻酚(587 [36.9%]),大麻二酚(537 [33.7%]),褪黑激素(438 [27.5%]),咖啡因(428 [26.9%])和精油(364 [22.9%])。在这项针对青少年、年轻人和成年人的研究中,相当大一部分人报告曾使用过非尼古丁电子烟,并与尼古丁电子烟同时使用。监测研究应进一步评估非尼古丁电子烟的使用模式和法规,并应制定预防措施,以解决青少年的吸引力,未经证实的健康声明和可能的健康危害。
To what extent are nonnicotine e-cigarettes used, and what flavors, brands, and ingredients are most common? This cross-sectional study of 6131 US residents aged 13 to 40 years found that 25.9% had ever used a nonnicotine e-cigarette, 16.7% had used one in the past 30 days, and 12.4% had used one in the past 7 days; 18.8% had ever co-used nonnicotine and nicotine e-cigarettes. The most-used flavors were sweet, dessert, or candy flavors; fruit flavors; and mint or menthol flavors; most common ingredients were tetrahydrocannabinol, cannabidiol, melatonin, caffeine, and essential oils. These findings suggest that a significant proportion of US residents are using nonnicotine flavored e-cigarettes marketed with unsupported health claims, which warrants further research, regulation, and prevention. This cross-sectional study evaluates nonnicotine e-cigarette use patterns, including common flavors, brands, and ingredients. Nonnicotine e-cigarettes contain chemicals, flavorants, and solvents that have known health harms and/or have not been proven safe for inhalation. To evaluate nonnicotine e-cigarette use patterns, including common flavors, brands, and ingredients. This cross-sectional study included a convenience sample of US residents aged 13 to 40 years who completed an online survey in November and December 2021. Quota sampling was used for an equal proportion of participants aged 13 to 17 years, 18 to 20 years, and 21 to 40 years, balanced for sex, race, and ethnicity per the latest US Census. Nonnicotine e-cigarette use (ever, past 30- and past 7-day, number of times used, time taken to finish); co-use with nicotine e-cigarettes; age at first try; and flavors, brands, and ingredients used. Overall, 6131 participants (mean [SD] age, 21.9 [6.8] years; range, 13-40 years; 3454 [56.3%] identifying as female) completed the survey (55.1% completion rate). Among all participants, 1590 (25.9%) had ever used a nonnicotine e-cigarette, 1021 (16.7%) used one in the past 30 days, and 760 (12.4%) used one in the past 7 days. By age group, 227 of 1630 participants aged 13 to 17 years (13.9%), 497 of 2033 participants aged 18 to 20 years (24.4%), 399 of 1041 participants aged 21 to 24 years (38.3%), and 467 of 1427 participants aged 25 to 40 years (32.7%) had ever used nonnicotine e-cigarettes. Among 1590 participants who had ever used a nonnicotine e-cigarette, 549 (34.5%) had used one more than 10 times; 1017 (63.9%) finished 1 nonnicotine e-cigarette in less than 1 week. Co-use of nonnicotine with nicotine e-cigarettes was reported by 1155 participants (18.8%), 1363 (22.2%) exclusively used nicotine e-cigarettes, and 431 (7.0%) exclusively used nonnicotine e-cigarettes. Most-used flavors were sweet, dessert, or candy (578 [36.3%]); fruit (532 [33.4%]); and mint or menthol (321 [20.2%]); similar flavor patterns were observed for the top 2 flavors among those who used nonnicotine e-cigarettes in the past 30 days, followed by combinations of coffee, alcohol, flower, plant, and mint or menthol flavors by age group. Participants most reported using tetrahydrocannabinol (587 [36.9%]), cannabidiol (537 [33.7%]), melatonin (438 [27.5%]), caffeine (428 [26.9%]), and essential oils (364 [22.9%]) in their nonnicotine e-cigarettes. In this study of adolescents, young adults, and adults, a sizeable proportion reported having used nonnicotine e-cigarettes and co-using them with nicotine e-cigarettes. Surveillance studies should further assess nonnicotine e-cigarette use patterns and regulations, and prevention should be developed to address youth appeal, unsubstantiated health claims, and possible health harms.
DOI: 10.1001/jamanetworkopen.2020.27572
发表时间: 2020-12-01
期刊: JAMA network open
影响因子: 13.8
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