Reasons for Electronic Cigarette Experimentation and Discontinuation Among Adolescents and Young Adults
Reasons for Electronic Cigarette Experimentation and Discontinuation Among Adolescents and Young Adults
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DOI：
10.1093/ntr/ntu257
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发表时间：
2015-07-01
影响因子：
4.7
通讯作者：
Krishnan-Sarin, Suchitra
中科院分区：
文献类型：
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作者：
Kong, Grace;Morean, Meghan E.;Krishnan-Sarin, Suchitra
引言：了解为什么年轻人试图停止使用电子烟（电子烟）对于告知电子烟监管工作至关重要。方法：我们在康涅狄格州的1所初中（MS）、2所高中（hs）和2所大学进行了18个焦点小组（N = 127），以评估与电子烟实验和停止相关的主题。然后，我们在2所高中、4所高中和1所大学（N = 1,175）中进行了调查，以评估这些确定的主题，以探讨电子烟实验和/或停止的原因是否因学校水平或吸烟状况而异。结果：从焦点小组中，我们确定了实验主题（即好奇心，口味，家庭/同伴影响，易于获取，以及将电子烟视为“酷”且更健康/更好的香烟替代品的看法）和停用主题（即健康问题，失去兴趣，高成本，不良品味，以及认为电子烟不如香烟令人满意）。调查数据显示，尝试电子烟的主要原因是好奇心（54.4%）、吸引人的口味（43.8%）和同伴影响（31.6%），而放弃电子烟的主要原因是失去兴趣（23.6%）、认为电子烟“不酷”（16.3%）和健康问题（12.1%）。吸烟者尝试电子烟，因为他们认为电子烟可以在任何地方使用，并且戒烟和停止吸烟，因为它们不像香烟那样令人满意。发现了学校水平的差异。结论：针对青少年的电子烟预防工作应包括限制电子烟口味，传达强调使用健康风险的信息，以及改变有关使用电子烟的社会规范。结果应根据本研究的局限性来解释。
Introduction: Understanding why young people try and stop electronic cigarette (e-cigarette) use is critical to inform e-cigarette regulatory efforts.Methods: We conducted 18 focus groups (N = 127) in 1 middle school (MS), 2 high schools (HSs), and 2 colleges in Connecticut to assess themes related to e-cigarette experimentation and discontinuation. We then conducted surveys to evaluate these identified themes in 2 MSs, 4 HSs, and 1 college (N = 1,175) to explore whether reasons for e-cigarette experimentation and/or discontinuation differed by school level or cigarette smoking status.Results: From the focus groups, we identified experimentation themes (i. e., curiosity, flavors, family/peer influence, easy access, and perceptions of e-cigarettes as "cool" and as a healthier/better alternative to cigarettes) and discontinuation themes (i. e., health concerns, loss of interest, high cost, bad taste, and view of e-cigarettes as less satisfying than cigarettes). The survey data showed that the top reasons for experimentation were curiosity (54.4%), appealing flavors (43.8%), and peer influences (31.6%), and the top reasons for discontinuation were responses related to losing interest (23.6%), perceiving e-cigarettes as "uncool" (16.3%), and health concerns (12.1%). Cigarette smokers tried e-cigarettes because of the perceptions that they can be used anywhere and to quit smoking and discontinued because they were not as satisfying as cigarettes. School level differences were detected.Conclusions: E-cigarette prevention efforts toward youth should include limiting e-cigarette flavors, communicating messages emphasizing the health risks of use, and changing social norms surrounding the use of e-cigarettes. The results should be interpreted in light of the limitations of this study.