Accessing Vaping Products When Underage: A Qualitative Study of Young Adults in Southern California
Accessing Vaping Products When Underage: A Qualitative Study of Young Adults in Southern California
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DOI：
10.1093/ntr/ntaa221
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发表时间：
2021-05-01
影响因子：
4.7
通讯作者：
Barrington-Trimis, Jessica L.
中科院分区：
文献类型：
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作者：
Schiff, Sara J.;Kechter, Afton;Barrington-Trimis, Jessica L.
简介：加州实施了多种策略，如烟草21法律和合规检查，以降低青少年电子烟的高使用率。然而，未成年青少年和青壮年的使用率继续上升。人们对未成年人如何获得电子烟知之甚少。目的和方法：我们在2018年6月至2019年6月期间对加州洛杉矶地区的61名年轻人（18-25岁）进行了结构化定性访谈。访谈内容全面，旨在了解参与者的想法、感受和与电子烟有关的经历。我们询问了参与者在哪里以及如何获得电子烟产品，参与者讨论了他们在法定年龄以下购买电子烟产品的经历。采用定向内容分析法对访谈进行分析。结果：出现了四个概念：(1)与同伴进行电子烟的早期实验经常发生在学校环境中；(2)继续使用通常通过同伴销售获得的电子烟；(3)面对面零售商对年龄限制的执行不一致；(4)在线零售商。参与者让同伴代表他们购买产品，并经常在很少甚至没有年龄验证过程的线下和在线零售商那里购买产品。很少有参与者在从零售商那里购买产品时遇到挑战。结论：目前的研究结果为未成年人在哪里以及如何获得电子烟产品提供了深入的见解，尽管有限制阻止他们这样做。参与者描述了未成年人面对面和在线购物的复杂程度，这表明需要对零售商进行教育，同时进行额外的研究，以制定更有效的政策，减少未成年人接触电子烟产品。
Introduction: California implemented multiple strategies, such as a Tobacco 21 law and compliance checks, to reduce high rates of youth e-cigarette use. However, the prevalence of use among underage youth and young adults continues rising. Little is known about how underage individuals obtain e-cigarettes.Aims and Methods: We conducted structured qualitative interviews with 61 young adult (18-25 years old) vapers in the Los Angeles, CA area between June 2018 and June 2019. Interviews were comprehensive and designed to elicit information on participants' thoughts, feelings, and experiences related to vaping. We queried participants on where and how they obtained vaping products, and participants discussed their experiences accessing products while under the legal age for sale. Directed content analysis was used to analyze interviews.Results: Four concepts emerged: (1) early experimentation of e-cigarettes with peers often occurred in a school setting, (2) continued use of e-cigarettes commonly obtained through peer sales, (3) inconsistent implementation of age restrictions at in-person retailers, and (4) at online retailers. Participants had peers purchase products on their behalf and frequented in-person and online retailers with few to no age verification processes. Few participants faced challenges when purchasing products from retailers.Conclusions: The current study's findings offer insight into where and how underage individuals obtain vaping products despite restrictions to prevent them from doing so. Participant accounts of mixed ease of underage purchasing in-person and online suggest retailer education is needed, along with additional research to inform more effective policies to reduce underage access to vaping products.