Patterns of Alternative Tobacco Product Use: Emergence of Hookah and E-cigarettes as Preferred Products Amongst Youth
Patterns of Alternative Tobacco Product Use: Emergence of Hookah and E-cigarettes as Preferred Products Amongst Youth
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DOI：
10.1016/j.jadohealth.2015.10.001
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发表时间：
2016-02-01
影响因子：
7.6
通讯作者：
McConnell, Rob
中科院分区：
文献类型：
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作者：
Gilreath, Tamika D.;Leventhal, Adam;McConnell, Rob
目的：青少年中使用多种烟草制品的人数迅速增加，这引起了越来越多的公共卫生关注。这项研究调查了南加州青少年使用香烟、电子烟、雪茄/小雪茄、水烟/水烟、无烟/蘸烟/嚼烟的模式。方法：收集2014年南加州儿童健康研究的2097名11年级和12年级参与者的自我报告数据。研究参与者被问及一生和目前（过去30天）使用香烟，雪茄/小雪茄/小雪茄，电子烟，水烟/水烟，无烟/蘸/嚼烟的情况。使用潜类分析（LCA）来确定烟草使用模式。结果：水烟/水烟烟草的使用率最高（10.7%），其次是电子烟（9.6%）。使用无烟/蘸烟/嚼烟的流行率最低，仅有2.2%的青少年报告目前使用烟草。LCA提出了四个不同的类别，包括不使用者（占样本的72.3%），多元烟草实验者（13.9%），电子烟/水烟使用者（8.2%）和多元烟草使用者（5.6%）。基于这四个类别的多项逻辑回归发现，与女性相比，男性成为多烟使用者的几率是不吸烟者的两倍（优势比为2.3；95%置信区间为1.26-4.25）。结论：通过确定青少年自然发生的烟草制品使用配置，这些发现可能有助于从业者和政策制定者确定烟草控制干预措施的必要性，以解决特定烟草制品和多聚烟草使用的特定组合。LCA可用于确定某些烟草使用类别（例如男孩）中代表性过高的人群，这些人群可能从有针对性的多产品干预方法中获益最多。(c) 2016年青少年健康和医学协会。版权所有。
Purpose: There is a growing public health concern related to the rapid increase in the use of multiple tobacco products among adolescents. This study examined patterns of adolescent use of cigarettes, e-cigarettes, cigars/cigarillo, hookah/waterpipe, and smokeless/dip/chewing tobacco in a population of southern California adolescents.Methods: Data from 2,097 11th- and 12th-grade participants in the Southern California Children's Health Study were collected via self-report in 2014. Study participants were asked about lifetime and current (past 30 days) use of cigarettes, cigars/cigarillos/little cigars, e-cigarettes, hookah/waterpipe, and smokeless/dip/chewing tobacco. Latent class analysis (LCA) was used to identify patterns of tobacco use.Results: Hookah/waterpipe tobacco use had the highest current prevalence (10.7%) followed by e-cigarettes (9.6%). The prevalence of use of smokeless/dip/chewing tobacco was lowest, with 2.2% of adolescents reporting current use. The LCA suggested four distinct classes, comprising nonusers (72.3% of the sample), polytobacco experimenters (13.9%), e-cigarette/hookah users (8.2%), and polytobacco users (5.6%). Multinomial logistic regression based on these four classes found that males had double the odds to be polytobacco users relative to nonusers compared to females (odds ratio, 2.3; 95% confidence interval, 1.26-4.25).Conclusions: By identifying naturally occurring configurations of tobacco product use in teens, these findings may be useful to practitioners and policymakers to identify the need for tobacco control interventions that address specific tobacco products and particular combinations of polytobacco use. LCA can be used to identify segments of the population overrepresented among certain tobacco use classes (e.g., boys) that may benefit most from targeted poly product intervention approaches. (c) 2016 Society for Adolescent Health and Medicine. All rights reserved.