Tobacco product initiation is correlated with cross-product changes in tobacco harm perception and susceptibility: Longitudinal analysis of the Population Assessment of Tobacco and Health youth cohort
Tobacco product initiation is correlated with cross-product changes in tobacco harm perception and susceptibility: Longitudinal analysis of the Population Assessment of Tobacco and Health youth cohort
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DOI：
10.1016/j.ypmed.2018.06.008
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发表时间：
2018-09-01
影响因子：
5.1
通讯作者：
Cheng, Jing
中科院分区：
文献类型：
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作者：
Chaffee, Benjamin W.;Cheng, Jing
青少年开始使用一种烟草产品与使用其他烟草类型的风险有关。使用一种产品可能会鼓励使用其他产品，这可能是由于改变与烟草有关的观念。本研究旨在评估烟草产品的开始与易感性（好奇心和意愿）和其他烟草产品的感知危害的变化之间的关系。对于香烟、电子烟、水烟和无烟烟草中的每一种，青少年（12-16岁; N = 8005）在烟草与健康人口评估（美国，2013-2015）的第1波和第2波中对感知伤害、好奇心和尝试意愿进行了评级。对于每种产品，我们使用多变量（多结果）回归估计了危害等级降低，好奇心增加或意愿增加与香烟，电子烟，水烟，无烟烟草或其他可燃产品的开始（从不使用到曾经使用）之间的关联，调整其他烟草风险因素。烟草产品的开始与该产品的感知伤害降低，感知伤害降低，好奇心增加，并在一些，但不是所有的交叉产品组合的意愿增加。大多数交叉产品组合的启动和易感性产生了积极的关联。例如，尝试电子烟与对香烟的好奇心随之增加有关（OR：5.69; 95% CI：3.68，8.79）和水烟（OR：4.19; 95%CI：2.55，6.88）和尝试吸烟意愿增加（OR：9.61; 95%CI：5.67，16.3）、水烟（OR：8.46; 95%CI：4.76，15.0）和无烟烟草（OR：3.48; 95%CI：1.75，6.94）。新使用一种烟草产品可能会通过感知和易感性的跨产品变化催化随后使用其他烟草产品。
Youth initiation with one tobacco product is associated with risk of using additional tobacco types. How use of one product potentially encourages use of others could result from changing tobacco-related perceptions. This study aimed to evaluate how tobacco product initiation correlates with changes in susceptibility (curiosity and willingness) and perceived harm of other tobacco products. For each of cigarettes, e-cigarettes, hookah, and smokeless tobacco, youth (ages 12-16; N = 8005) rated perceived harm, curiosity, and willingness to try in Waves 1 and 2 of the Population Assessment of Tobacco and Health (United States, 2013-2015). For each product, we estimated associations between decreased harm rating, increased curiosity, or increased willingness with initiation (from never-to ever-use) of cigarettes, e-cigarettes, hookah, smokeless tobacco, or other combustible products using multivariate (multiple outcomes) regression, adjusting for other tobacco risk factors. Tobacco product initiation was associated with decreased perceived harm for that product and with decreased perceived harm, increased curiosity, and increased willingness in some, but not all, cross-product combinations. Most cross-product combinations of initiation and susceptibility yielded positive associations. For example, trying e-cigarettes was associated with concomitant increases in curiosity about cigarettes (OR: 5.69; 95% CI: 3.68, 8.79) and hookah (OR: 4.19; 95% CI: 2.55, 6.88) and with increased willingness to try cigarettes (OR: 9.61; 95% CI: 5.67, 16.3), hookah (OR: 8.46; 95% CI: 4.76, 15.0), and smokeless tobacco (OR: 3.48; 95% CI: 1.75, 6.94). New use of one tobacco product may catalyze subsequent use of others through cross-product changes in perceptions and susceptibility.