Adolescents' and Young Adults' Use and Perceptions of Pod-Based Electronic Cigarettes
Adolescents' and Young Adults' Use and Perceptions of Pod-Based Electronic Cigarettes
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DOI：
10.1001/jamanetworkopen.2018.3535
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发表时间：
2018-10-01
影响因子：
13.8
通讯作者：
Halpern-Felsher, Bonnie
中科院分区：
文献类型：
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作者：
McKelvey, Karma;Baiocchi, Mike;Halpern-Felsher, Bonnie
重要性 电子烟（电子烟）是青少年和年轻人中最常用的烟草产品，新型烟弹电子烟装置可能会增加青少年和年轻人使用多种烟草和尼古丁依赖的风险。 目的 为青少年和年轻人对烟弹电子烟的风险认知和使用建立证据基础。 设计、设置和参与者 在一项调查研究中，进行横断面分析对 2018 年 4 月 6 日至 6 月 20 日期间收集的 445 名加州青少年和年轻人的数据进行了分析，该研究是一项正在进行的前瞻性队列研究的一部分，该研究旨在衡量烟草产品的使用和看法。暴露 烟弹电子烟的使用、电子烟和香烟。主要结果和测量 曾经使用过、过去 7 天的使用情况、过去 30 天的使用情况以及共同使用烟弹的情况电子烟、电子香烟和香烟；在烟弹电子烟和电子烟中使用香料和尼古丁；结果 在完成正在进行的前瞻性队列研究第 6 波的 445 名青少年和年轻人（280 名女性、140 名男性、6 名跨性别者和 19 名缺失数据；平均 [SD] 年龄，19.3 [1.7] 岁）中，437 名受访者提供了曾经使用过的信息，其中 68 名 (15.6%) 报告使用了基于烟弹的烟弹电子烟，133 名（30.4%）报告使用电子烟，106 名（24.3%）报告使用香烟。过去 7 天内使用烟弹电子烟的平均天数 (SD) 为 1.5 (2.4)，过去 30 天为 6.7 (10.0)。过去 7 天内使用其他电子烟的平均天数 (SD) 为 0.8 (1.8)，过去 30 天内使用其他电子烟的天数为 3.2 (7.4)。过去 7 天使用香烟的平均天数 (SD) 为 0.7 天 (1.8)，过去 30 天的平均使用天数 (SD) 为 3.0 天 (7.6)。在曾经使用过烟弹的电子烟用户中，18 人 (26.5%) 表示他们的第一支电子烟油是薄荷醇或薄荷味，19 人 (27.9%) 表示是水果（其他电子烟的用户为 13 人 [9.8%] 和 50 人 [37.6%]）。使用烟弹电子烟或其他电子烟而经历社会风险以及短期和长期健康风险的平均感知几率为 40%，并且在不同电子烟类型之间没有统计学差异。在 34 名报告对尼古丁失去自主权的青少年和年轻人中，使用烟弹电子烟 (2.59 [3.14]) 和其他电子烟 (2.32 [2.55]) 的平均 (SD) 成瘾尼古丁检查表分数没有差异。 结论和相关性 青少年和年轻人对新型电子烟（例如烟弹系统）的使用正在迅速增加，并且青少年和年轻人报告了对这些产品的相应误解和缺乏了解。电子烟制造商的快速创新表明，公共卫生和预防工作似乎需要包括针对所有当前和新兴电子烟产品通用成分的信息，以增加知识并减少误解，目标是最终减少青少年和年轻人的电子烟使用。
IMPORTANCE Electronic cigarettes (e-cigarettes) are the most commonly used tobacco product among adolescents and young adults, and the new pod-based e-cigarette devices may put adolescents and young adults at increased risk for polytobacco use and nicotine dependence.OBJECTIVE To build an evidence base for perceptions of risk from and use of pod-based e-cigarettes among adolescents and young adults.DESIGN, SETTING, AND PARTICIPANTS In a survey study, a cross-sectional analysis was performed of data collected from April 6 to June 20, 2018, from 445 California adolescents and young adults as part of an ongoing prospective cohort study designed to measure the use and perceptions of tobacco products.EXPOSURES Use of pod-based e-cigarettes, e-cigarettes, and cigarettes.MAIN OUTCOMES AND MEASURES Ever use, past 7-day use, and past 30-day use and co-use of pod-based e-cigarettes, e-cigarettes, and cigarettes; use of flavors and nicotine in pod-based e-cigarettes and e-cigarettes; and associated perceptions of risks, benefits, and nicotine dependence.RESULTS Among 445 adolescents and young adults (280 females, 140 males, 6 transgender individuals, and 19 missing data; mean [SD] age, 19.3 [1.7] years) who completed wave 6 of the ongoing prospective cohort study, ever use information was provided by 437 respondents, of which 68 (15.6%) reported use of pod-based e-cigarettes, 133 (30.4%) reported use of e-cigarettes, and 106 (24.3%) reported use of cigarettes. The mean (SD) number of days that pod-based e-cigarettes were used in the past 7 days was 1.5 (2.4) and in the past 30 days was 6.7 (10.0). The mean (SD) number of days that other e-cigarettes were used in the past 7 days was 0.8 (1.8) and in the past 30 days was 3.2 (7.4). The mean (SD) number of days that cigarettes were used in the past 7 days was 0.7 (1.8) and in the past 30 days was 3.0 (7.6). Among ever users of pod-based e-cigarettes, 18 (26.5%) reported their first e-liquid was flavored menthol or mint and 19 (27.9%) reported fruit (vs 13 [9.8%] and 50 [37.6%] for other e-cigarettes). The mean perceived chance of experiencing social risks and short-term and long-term health risks from the use of either pod-based e-cigarettes or other e-cigarettes was 40% and did not differ statistically by e-cigarette type. Among 34 adolescents and young adults reporting any loss of autonomy from nicotine, there was no difference in mean (SD) Hooked On Nicotine Checklist scores between those using pod-based e-cigarettes (2.59 [3.14]) and other e-cigarettes (2.32 [2.55]).CONCLUSIONS AND RELEVANCE Use by adolescents and young adults of newer types of e-cigarettes such as pod-based systems is increasing rapidly, and adolescents and young adults report corresponding misperceptions and lack of knowledge about these products. Rapid innovation by e-cigarette manufacturers suggests that public health and prevention efforts appear to be needed to include messages targeting components common to all current and emerging e-cigarette products to increase knowledge and decrease misperceptions, with the goal to try to ultimately reduce e-cigarette use among adolescents and young adults.