Longitudinal transitions in adolescent polytobacco use across waves 1-4 of the Population Assessment of Tobacco and Health study.
Longitudinal transitions in adolescent polytobacco use across waves 1-4 of the Population Assessment of Tobacco and Health study.
复制标题
烟草与健康人口评估研究第 1-4 波青少年多种烟草使用的纵向转变。
DOI：
10.1111/add.16095
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Bray,BethanyC
中科院分区：
文献类型：
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作者：
Blank,MelissaD;Romm,KatelynF;Childers,MargaretG;Douglas,AshleyE;Dino,Geri;Bray,BethanyC
目的本研究旨在确定青少年使用多种烟草的模式，并测量模式之间的转换随着时间的推移。设计纵向分析，使用来自烟草与健康人口评估（PATH）研究的第1-4波（2013-18）的数据。通过潜在转变分析检查烟草使用模式的转变，然后通过逻辑回归使用社会人口学特征来预测转变。（W1平均年龄=13.29，标准差= 0.86; W 4 54.2%为男性; 54.5%白色，25.9%西班牙裔）。测量包括过去30天使用香烟，电子烟（电子烟），传统雪茄，小雪茄，过滤雪茄，鼻烟，无烟烟草（香烟）或水烟。FindingsSix潜在类被确定。吸烟者（43.5-58.8%）和吸烟者（50.8-79.6%）倾向于长期坚持吸烟。电子烟使用者开始可能过渡到非使用者（80.0%），但随着时间的推移，更有可能坚持使用（31.1%）。在特定的浪潮中，非用户最有可能过渡到电子烟用户（8.5-43.7%）或卷烟用户（6.7-28.6%）。arillo/聚乙烯用户和水烟/聚乙烯用户显示出更多变的转换模式。与同龄人相比，如果青少年年龄较大（吸烟者，吸烟者），年龄较小（电子烟使用者），其他种族（吸烟者），男性（吸烟者）或父母受教育程度较低（吸烟者），则青少年更有可能过渡到不使用（而不是成为/保持电子烟使用者）。西班牙裔（相对于白色）的香烟使用者更有可能过渡到非用户比坚持在此use.ConclusionsAmong青少年在美国，烟草使用的特点是使用，主要是单一的，具体的产品模式似乎是稳定的，特别是青春期后期。相比之下，以多种烟草使用为特征的模式似乎更多变，可能代表了没有专业化的实验。
AimsThis study aims to identify adolescent patterns of polytobacco use and measure transitions between patterns over time.DesignLongitudinal analysis using data derived from waves 1–4 (2013–18) of the Population Assessment of Tobacco and Health (PATH) study. Transitions in tobacco use patterns were examined via latent transition analysis, and then, socio‐demographic characteristics were used to predict transitions via logistic regression.SettingUnited States.ParticipantsParticipants included 975 adolescents who used at least one tobacco product at any wave (W1 mean age=13.29, standard deviation = 0.86; W4 54.2% male; 54.5% white, 25.9% Hispanic).MeasurementsMeasurements included past 30‐day use of cigarettes, electronic cigarettes (e‐cigs), traditional cigars, cigarillos, filtered cigars, snus, smokeless tobacco (SLT) or hookah.FindingsSix latent classes were identified. Cigarette users (43.5–58.8%) and SLT users (50.8–79.6%) tended to persist in their use over time. E‐cig users began to probably transition to non‐users (80.0%), but became more likely to persist in this use over time (31.1%). Non‐users at a given wave were most likely to transition to e‐cig users (8.5–43.7%) or cigarette users (6.7–28.6%). Cigarillo/poly‐users and hookah/poly‐users displayed more variable transition patterns. Adolescents were more likely to transition to non‐use (versus become/remain e‐cig users) if they were older (cigarette users, SLT users), younger (e‐cig users), other race (SLT users), male (SLT users) or had less‐educated parents (SLT users) compared with their counterparts. Hispanic (versus white) cigarette users were more likely to transition to non‐users than to persist in this use.ConclusionsAmong adolescents in the United States, patterns of tobacco use characterized by the use, mainly, of single, specific products appear to be stable, particularly by late adolescence. In contrast, patterns characterized by polytobacco use appear to be more variable and may represent experimentation without specialization.