Race, Educational Attainment, and E-Cigarette Use.
Race, Educational Attainment, and E-Cigarette Use.
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DOI：
10.32892/jmri.185
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发表时间：
2020-01-01
期刊：
影响因子：
--
通讯作者：
Bazargan, Mohsen
中科院分区：
文献类型：
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作者：
Assari, Shervin;Mistry, Ritesh;Bazargan, Mohsen
背景：虽然较高的教育程度可以降低物质使用等高风险行为，但根据少数族裔收益递减理论，教育程度对黑人的影响可能小于白人。目的：探讨教育程度与电子烟（e-香烟）之间联系的种族差异。方法：我们使用健康信息国家趋势调查（HINTS）数据。这项全国性调查于 2017 年进行，调查对象为 2,277 名美国成年人，其中包括 1,868 名白人和 409 名黑人。教育程度是自变量。电子烟的使用（生命周期）是因变量。年龄和性别是协变量。种族是影响因素。 结果：在整个样本中，较高的教育程度与较低的电子烟使用几率相关（OR = 0.76，95% CI = 0.61-0.95）。种族与教育程度对结果存在显着的交互作用（OR = 1.63，95% CI = 1.04-2.56），这表明黑人的高教育程度与电子烟使用之间的负相关性比白人弱。在种族分层逻辑回归模型中，高教育程度与白人而非黑人的电子烟使用风险呈负相关。结论：与黑人相比，教育程度对白人电子烟使用的影响更大。
BACKGROUND: Although higher educational attainment lowers high-risk behaviors such as substance use, according to the Minorities' Diminished Returns theory, the effect of educational attainment may be smaller for Blacks than Whites.AIMS: To explore the racial differences in the link between educational attainment and electronic cigarettes (e-cigarettes).METHODS: We used the Health Information National Trends Survey (HINTS) data. This national survey was conducted in 2017 and included 2,277 American adults composed of 1,868 White and 409 Black individuals. Educational attainment was the independent variable. E-cigarette use (lifetime) was the dependent variables. Age and gender were the covariates. Race was the effect modifier.RESULTS: In the overall sample, a higher level of education attainment was linked to lower odds of e-cigarette use (OR = 0.76, 95% CI =0.61-0.95). Race showed a significant interaction with educational attainment on the outcome (OR = 1.63, 95% CI =1.04-2.56), suggesting a weaker negative association between high educational attainment and e-cigarette use for Blacks than Whites. In race-stratified logistic regression models, high educational attainment was inversely associated with risk of e-cigarette use for Whites but not Blacks.CONCLUSIONS: Educational attainment shows a stronger effect on e-cigarette use in White than Black Americans.