Symptoms of tobacco dependence among middle and high school tobacco users: results from the 2012 National Youth Tobacco Survey.
Symptoms of tobacco dependence among middle and high school tobacco users: results from the 2012 National Youth Tobacco Survey.
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DOI：
10.1016/j.amepre.2014.04.013
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发表时间：
2014-08
影响因子：
5.5
通讯作者：
Backinger CL
中科院分区：
文献类型：
--
作者：
Apelberg BJ;Corey CG;Hoffman AC;Schroeder MJ;Husten CG;Caraballo RS;Backinger CL
越来越多的证据表明，烟草依赖症状在开始吸烟后不久就会出现，而且使用水平很低。然而，在全国和非卷烟烟草使用者中可获得的数据有限。在2012年全国青少年烟草调查中，研究青少年烟草使用者中烟草依赖症状的患病率和决定因素，这是一项具有全国代表性的，以学校为基础的美国中学生调查。多变量逻辑回归用于确定当前使用者（即过去30天使用）香烟、雪茄或无烟烟草依赖症状的独立预测因子。分析于2013年使用sas可调用的第11版SUDAAN进行，以解释复杂的调查设计。烟草依赖症状的患病率范围从20.8% （95% CI=18.6, 23.1）的当前烟草使用者报告在醒来后30分钟内想要使用烟草到41.9% （95% CI=39.3, 44.5）报告最近强烈的渴望。报告依赖症状最一致地与多烟草使用、使用频率较高、起始年龄较早和女性性别相关。与过去30天中仅使用1-2天烟草制品的青少年相比，使用烟草制品3-5天的青少年报告症状的几率增加了2 - 4倍。相当大比例的美国青少年烟草使用者，包括使用率低的青少年，报告有烟草依赖症状。这些调查结果表明，需要全面实施以证据为基础的战略，以防止在青少年中试验和发展为经常使用烟草。
A growing body of evidence suggests that tobacco dependence symptoms can occur soon after smoking onset and with low levels of use. However, limited data are available nationally and among non-cigarette tobacco users. To examine the prevalence and determinants of tobacco dependence symptoms among adolescent tobacco users in the 2012 National Youth Tobacco Survey, a nationally representative, school-based survey of U.S. middle and high school students. Multivariate logistic regression was used to identify independent predictors of dependence symptoms among current users (i.e., past 30-day use) of cigarettes, cigars, or smokeless tobacco. Analyses were conducted in 2013 using SAS-callable SUDAAN, version 11 to account for the complex survey design. Prevalence of tobacco dependence symptoms ranged from 20.8% (95% CI=18.6, 23.1) of current tobacco users reporting wanting to use tobacco within 30 minutes of waking to 41.9% (95% CI=39.3, 44.5) reporting recent strong cravings. Reporting of dependence symptoms was most consistently associated with polytobacco use, higher frequency of use, earlier initiation age, and female gender. A 2–4-fold increase in the odds of symptom reporting was found in adolescents using tobacco products on as few as 3–5 days compared to those who only used it for 1–2 of the past 30 days. A substantial proportion of U.S. adolescent tobacco users, including those with low levels of use, report symptoms of tobacco dependence. These findings demonstrate the need for full implementation of evidence-based strategies to prevent both experimentation and progression to regular tobacco use among youth.