Association Between Contraband Tobacco and Illicit Drug Use Among High School Students in Canada
Association Between Contraband Tobacco and Illicit Drug Use Among High School Students in Canada
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DOI：
10.1007/s10935-014-0377-9
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发表时间：
2015-04-01
影响因子：
1.7
通讯作者：
Hammond, David
中科院分区：
文献类型：
--
作者：
Azagba, Sunday;Sharaf, Mesbah F.;Hammond, David
戒烟工作面临的一个特别具有挑战性的问题是走私香烟的供应。虽然有研究表明，违禁烟草与开始吸烟和戒烟效果不佳有关，但人们对其与青少年非法药物使用之间的关系知之甚少。我们使用2010-2011年青少年吸烟调查中9-12年级的2，136名当前吸烟学生的全国代表性样本，研究了青少年学生中违禁烟草和非法药物使用之间的关联。大约31%的9-12年级青少年吸烟者使用违禁香烟。使用非法药物的流行率从9%到37%不等，二亚甲基双氧安非他明是最常用的药物。调整后的逻辑回归分析显示，与非走私香烟吸烟者相比，走私香烟吸烟者更有可能使用可卡因（OR 2.14; CI 1.29-3.56），海洛因（OR 7.92; CI 3.00-20.91），安非他明（OR 4.25; CI 2.07-8.74）、MDMA（OR 2.00; CI 1.25-3.19）、致幻剂（OR 2.18; CI 1.34-3.55）和氯胺酮（OR 3.48; CI 1.61-7.54）。这篇论文通过表明青少年违禁吸烟者更有可能使用非法药物，增加了违禁烟草负面影响的现有证据。鉴于这些药物的成瘾性以及这种行为蔓延到成年的可能性，应该投入更多的努力来解决这个问题。
A particularly challenging issue to tobacco cessation efforts is the availability of contraband cigarettes. While studies have linked contraband tobacco to smoking initiation and poor cessation outcomes, little is known about its association with illicit drug use among adolescents. We examine the association between contraband tobacco and illicit drug use among adolescent students using a national representative sample of 2,136 current smoker students in grades 9-12 from the 2010-2011 Youth Smoking Survey. About 31 % of adolescent current smokers in grades 9-12 use contraband cigarettes. Prevalence in the use of illicit drugs ranged from 9 to 37 %, with MDMA being the most commonly used drug. Adjusted logistic regression revealed that smokers of contraband cigarettes, when compared with non-contraband cigarette smokers, were more likely to use cocaine (OR 2.14; CI 1.29-3.56), heroin (OR 7.92; CI 3.00-20.91), amphetamines (OR 4.25; CI 2.07-8.74), MDMA (OR 2.00; CI 1.25-3.19), hallucinogens (OR 2.18; CI 1.34-3.55), and ketamine (OR 3.48; CI 1.61-7.54). This paper adds to the existing evidence of the negative effects of contraband tobacco by showing that adolescent contraband smokers are more likely to use illicit drugs. Given the addictive nature of these drugs and the potential for such behavior to spill over into adulthood, more efforts should be invested in addressing this problem.