Social Profile of Middle School-Aged Adolescents Who Use Electronic Cigarettes: Implications for Primary Prevention
Social Profile of Middle School-Aged Adolescents Who Use Electronic Cigarettes: Implications for Primary Prevention
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DOI：
10.1007/s11121-017-0825-x
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发表时间：
2018-08-01
影响因子：
3.5
通讯作者：
Sigfusdottir, Inga Dora
中科院分区：
文献类型：
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作者：
Kristjansson, Alfgeir L.;Mann, Michael J.;Sigfusdottir, Inga Dora
电子烟在青少年中的使用持续增加。从初级预防的角度来看，我们知识的一个重要空白包括确定使用电子烟的年轻吸烟者是否与使用可燃香烟（CC）的儿童保持不同的社会形象。作为全州校本心理健康干预项目的一部分，于2015年9月至11月收集了美国西弗吉尼亚州中学生的调查数据（N = 6547，回复率84.7%）。对分类数据采用多项逻辑回归分析。结果表明，与从不吸烟的孩子相比，只吸电子烟的孩子在社会支持和家长监督方面的能力较弱，在学校的表现也较差。此外，纯电子游戏的用户更有可能感到与学校疏远，与有不良行为的同龄人交往，深夜在外面消磨时间，并与朋友参加无人监督的聚会。在13个统计模型中的11个中，仅ec用户与仅cc用户之间没有观察到差异。然而，与仅使用EC的用户相比，双重用户（在其一生中同时使用EC和CC）显示出更大的风险。我们得出的结论是，使用电子烟的中学生与使用电子烟的同龄儿童具有相似的风险。与传统吸烟相似，青少年使用电子烟可能是进一步犯罪途径的社会标志，因此应采取初级预防措施。
Electronic cigarette (EC) use continues to increase among adolescents. From a primary prevention point of view, an important gap in our knowledge includes determining whether young smokers that use EC maintain a distinct social profile from kids who use combustible cigarettes (CC). Survey data from middle school students in West Virginia, USA were collected between September and November of 2015 (N = 6547, response rate 84.7%) as part of a state wide school-based mental health intervention program. Data was analyzed using multinomial logistic regression for categorical data. The results show that compared to never smokers, EC-only users possessed a weaker social support and parental monitoring profile and performed worse in school. Additionally, EC-only users were more likely to feel alienated from school, to associate with delinquent peers, to spend time outside late at night, and to engage in unsupervised gatherings with their friends. In 11 of 13 statistical models no difference was observed between EC-only users compared with CC-only users. However, dual users (that had used both EC and CC in their lifetime) demonstrated a significantly greater risk profile compared with EC-only users. We conclude that middle school-aged kids that use EC share a similar risk profile as kids of the same age that use CC. Similar to traditional cigarette smoking, EC use in young adolescents is likely to be a social marker of a pathway to further delinquency and should therefore be subject to primary prevention approaches.