Adolescents' Perceptions of Health Risks, Social Risks, and Benefits Differ Across Tobacco Products
Adolescents' Perceptions of Health Risks, Social Risks, and Benefits Differ Across Tobacco Products
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DOI：
10.1016/j.jadohealth.2016.01.012
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发表时间：
2016-05-01
影响因子：
7.6
通讯作者：
Halpern-Felsher, Bonnie
中科院分区：
文献类型：
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作者：
Roditis, Maria;Delucchi, Kevin;Halpern-Felsher, Bonnie
目的：这项研究评估了人们对各种烟草产品的总体危害、短期健康和社会风险、长期健康风险以及与各种烟草产品相关的好处的看法，包括传统香烟、电子烟、雪茄、咀嚼和水烟。这项研究还评估了不同年龄、性别、种族/民族和以前的烟草经验是否以及如何感知不同。方法：共有722名高中生完成了一项在线调查，回答了关于他们对各种烟草产品的使用和感知的问题。结果：青少年认为不同的烟草产品具有显著不同的风险和收益水平。一般来说，青少年认为香烟风险最大，其次是雪茄和咀嚼，水烟和电子烟风险最小。青少年被评为水烟，其次是香烟和电子烟，最有可能让他们看起来很酷或适合自己，而雪茄和嚼雪茄最不可能带来这些好处。年龄和使用有交互作用，年龄较大的青少年和有烟草经验的人对风险的感知较低。结论：鉴于青少年对使用不同烟草产品的风险和益处的认知存在显著差异，以及研究表明认知和行为之间的预测关系，有必要对所有烟草产品，特别是水烟和电子烟的风险进行综合信息讨论。还需要解决烟草产品，特别是水烟和电子烟的公认益处问题。(C)2016年青少年健康与医学学会。版权所有。
Objective: This study assesses perceptions of overall harm, short-term health and social risks, long-term health risks, and benefits associated with various tobacco products including conventional cigarettes, e-cigarettes, cigars, chew, and hookah. This study also assesses whether and how perceptions differ by age, gender, race/ethnicity, and previous experience with tobacco.Methods: A total of 722 high school students completed an online survey, answering questions about their use and perceptions of a variety of tobacco products. Differences in perceptions across products were assessed using a generalized estimation equation with an exchangeable correlation structure.Results: Adolescents rated the various tobacco products as conferring significantly different levels of risks and benefits. Generally, adolescents rated cigarettes as most risky, followed by cigars and chew, with hookah and e-cigarettes rated as least risky. Adolescents rated hookah followed by cigarettes and e-cigarettes as most likely to make them look cool or fit in and cigars and chew as least likely to confer these benefits. There were interaction effects by age and use, with older adolescents and those with tobacco experience holding lower perceptions of risk. There were no significant interaction effects by race/ethnicity or gender.Conclusion: Given the significant differences in adolescents' perceptions of risks and benefits of using different tobacco products and research showing the predictive relationship between perceptions and behavior, there is a need for comprehensive messaging that discusses risks of all tobacco products, particularly hookah and e-cigarettes. There is also a need to address perceived benefits of tobacco products, especially hookah and e-cigarettes. (C) 2016 Society for Adolescent Health and Medicine. All rights reserved.