Electronic Cigarette and JUUL Use Among Adolescents and Young Adults
Electronic Cigarette and JUUL Use Among Adolescents and Young Adults
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DOI：
10.1001/jamapediatrics.2019.5436
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发表时间：
2020-03-01
期刊：
影响因子：
26.1
通讯作者：
Hair, Elizabeth C.
中科院分区：
文献类型：
--
作者：
Vallone, Donna M.;Cuccia, Alison F.;Hair, Elizabeth C.
从2018年到2019年，青少年和年轻人使用JUUL的情况有何变化？在这项具有全国代表性的青少年和年轻人队列研究中，2018年有14379名参与者，2019年有12114名参与者，JUUL的使用在每个年龄组中都有所增加，但在18至20岁和21至24岁的人群中最高。这项研究的结果表明，需要采取紧急行动来遏制青少年使用电子烟，并防止新一代对尼古丁上瘾。这项队列研究分析了美国青少年和年轻人自我报告的电子烟和其他烟草产品的使用情况和风险因素。重要性电子烟使用率的增加在美国年轻人中，电子烟的流行在很大程度上与高尼古丁输送装置JUUL的出现有关。需要相关数据来监测电子烟，特别是JUUL，以帮助为干预工作提供信息。目的评估美国青少年和年轻人电子烟使用的流行率、模式和相关因素。设计，设置和参与者两个全国代表性的纵向样本的青少年和年轻的成年人，年龄在15至34岁的真理纵向队列，一个全国性的，基于概率的队列。该队列中的参与者通过基于地址的抽样招募，子样本从基于概率的在线面板中招募。目前的队列研究使用了来自后续在线调查的数据，特别是第7波（N = 14 & x202 f;379;从2018年2月15日收集到2018年5月25日）和第8波（N = 12 & x202 f;114;从2019年2月10日收集到2019年5月17日）。受访者报告了他们使用电子烟、JUUL和可燃烟草产品的情况，以及他们的危害认知、家庭吸烟状况、寻求刺激、朋友使用电子烟和人口统计信息。主要结果和指标主要结果是以往和当前（过去30天）JUUL的使用。chi（2）分析评估了心理社会和人口统计学特征的JUUL使用差异。Logistic回归模型确定了与波7电子烟参与者中的波8曾经和当前JUUL使用相关的重要因素。结果：第7波共纳入14例379名受试者（平均[SD]年龄24.3 [0.09]岁; 8142名女性[51.0%]），第8波共纳入12例114名受试者（平均[SD]年龄24.5 [0.10]岁; 6835名女性[50.1%]）。从第7波到第8波，JUUL的使用率在曾经使用者（6.0% [n = 1105]到13.5% [2111]; P < .001）和当前使用者（3.3% [680]到6.1% [993]; P < .001）中有统计学显著性增加。JUUL的使用在每个年龄组中都有所增加，其中18至20岁（23.9% [491]曾经使用者和12.8% [340]当前使用者）和21至24岁（18.1% [360]曾经使用者和8.2% [207]当前使用者）的使用率最高。与第7波相比，第8波的使用者报告了更高的频繁使用率（37.6% vs 26.1%; P <0.01）。与未接触电子烟的参与者未来使用JUUL相关的重要因素包括年龄较小，可燃烟草使用，较低的伤害感知，感觉寻求和朋友的电子烟使用。结论和相关性这项研究发现，电子烟设备JUUL似乎与青少年电子烟流行有关，吸引了新用户，并以其高度成瘾的尼古丁含量和吸引人的口味促进了频繁使用。这项研究的结果强调了在联邦、州和地方各级加强电子烟产品监管的迫切需要。
Question How has the use of JUUL among adolescents and young adults changed from 2018 to 2019? Findings In this nationally representative cohort study of adolescents and young adults, with 14 379 participants in 2018 and 12 114 participants in 2019, JUUL use increased in every age group but was highest among those aged 18 to 20 years and 21 to 24 years. Meaning Findings of this study suggest that urgent action is needed to curb youth use of electronic cigarettes and prevent a new generation from becoming addicted to nicotine.This cohort study analyzes self-reported use and risk factors of electronic cigarettes and other tobacco products by adolescents and young adults in the United States.Importance The increasing use rates of electronic cigarettes (e-cigarettes) among young people in the United States have been largely associated with the emergence of high-nicotine-delivery device JUUL. Relevant data are needed to monitor e-cigarette, specifically JUUL, use to help inform intervention efforts. Objective To estimate the prevalence, patterns, and factors associated over time with e-cigarette use among adolescents and younger adults in the United States. Design, Setting, and Participants Two nationally representative longitudinal samples of adolescents and younger adults aged 15 to 34 years were drawn from the Truth Longitudinal Cohort, a national, probability-based cohort. Participants in this cohort were recruited through address-based sampling, and subsamples were recruited from a probability-based online panel. The present cohort study used data from follow-up online surveys, specifically, wave 7 (N = 14 & x202f;379; collected from February 15, 2018, to May 25, 2018) and wave 8 (N = 12 & x202f;114; collected from February 10, 2019, to May 17, 2019). Respondents reported their use of e-cigarettes, JUUL, and combustible tobacco products as well as their harm perceptions, household smoking status, sensation-seeking, friends' e-cigarette use, and demographic information. Main Outcomes and Measures The main outcomes were ever and current (past 30 days) JUUL use. chi(2) Analyses assessed differences in JUUL use by psychosocial and demographic characteristics. Logistic regression models identified the significant factors associated with wave 8 ever and current JUUL use among wave 7 e-cigarette-naive participants. Results A total of 14 & x202f;379 participants (mean [SD] age, 24.3 [0.09] years; 8142 female [51.0%]) were included in wave 7 and 12 & x202f;114 (mean [SD] age, 24.5 [0.10] years; 6835 female [50.1%]) in wave 8. JUUL use statistically significantly increased from wave 7 to wave 8 among ever users (6.0% [n = 1105] to 13.5% [2111]; P < .001) and current users (3.3% [680] to 6.1% [993]; P < .001). JUUL use increased among every age group and was highest among those aged 18 to 20 years (23.9% [491] ever users and 12.8% [340] current users) and 21 to 24 years (18.1% [360] ever users and 8.2% [207] current users). Users reported a higher prevalence of frequent use in wave 8 compared with wave 7 (37.6% vs 26.1%; P < .01). Significant factors associated with future JUUL use among e-cigarette-naive participants included younger age, combustible tobacco use, lower harm perceptions, sensation seeking, and friends' e-cigarette use. Conclusions and Relevance This study found that the e-cigarette device JUUL appears to be associated with the youth e-cigarette epidemic, attracting new users and facilitating frequent use with their highly addictive nicotine content and appealing flavors. Findings of this study underscore the critical need for increased e-cigarette product regulation at the federal, state, and local levels.