E-cigarette Use, Cigarette Smoking, Dual Use, and Problem Behaviors Among US Adolescents: Results From a National Survey
E-cigarette Use, Cigarette Smoking, Dual Use, and Problem Behaviors Among US Adolescents: Results From a National Survey
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DOI：
10.1016/j.jadohealth.2017.02.004
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发表时间：
2017-08-01
影响因子：
7.6
通讯作者：
Boyd, Carol J.
中科院分区：
文献类型：
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作者：
McCabe, Sean Esteban;West, Brady T.;Boyd, Carol J.
目的：有必要更清楚地了解青少年使用电子烟的情况，以及使用电子烟与更广泛的风险行为之间的关系。这项研究调查了上个月仅使用电子烟、仅使用传统香烟、双重使用（即，同时使用电子烟和吸烟），学校相关（即，逃学和学习成绩差）的危险行为，以及与物质有关的（即，酒精使用，酗酒，大麻使用，非法药物使用，和非医疗处方药使用）的危险行为。方法：通过自填问卷收集数据，从全国代表性样本的8,696高中毕业生。结果：据估计，9.9%的美国高中生报告上个月只使用电子烟，6.0%的人报告上个月只吸烟，7.3%的人报告上个月有双重使用。学校和物质相关的风险行为与上个月的电子烟使用有很强的关联。仅使用电子烟的青少年相对于非使用者而言，所有与学校和物质相关的风险行为的几率都显着更大。与仅使用电子烟的人相比，双重使用者频繁/每天使用电子烟以及所有与学校和物质相关的风险行为的几率显着更大。最后，从事频繁/每天使用电子烟的青少年有显着更大的几率酗酒，大麻的使用，其他非法药物的使用和非医疗处方药的使用，相对于实验e-cigarette users.Conclusions：电子烟的使用是常见的美国青少年，和有强大的电子烟的使用和学校和物质相关的风险行为之间的关联。有证据表明，电子烟的使用与危险行为有关，似乎代表了一种问题行为，特别是电子烟和传统香烟的双重使用。(C)2017年青少年健康和医学协会。All rights reserved.
Purpose: There is a need to obtain greater clarity regarding adolescents' e-cigarette use and the associations of use with a wider range of risk behaviors. This study examines the associations among past-month e-cigarette use only, traditional cigarette smoking only, dual use (i.e., concurrent e-cigarette use and cigarette smoking), school-related (i.e., truancy and poor academic performance) risk behaviors, and substance-related (i.e., alcohol use, binge drinking, marijuana use, illicit drug use, and nonmedical prescription drug use) risk behaviors.Methods: Data were collected via self-administered questionnaires from a nationally representative sample of 8,696 high school seniors.Results: An estimated 9.9% of U.S. high school seniors reported past-month e-cigarette use only, 6.0% reported past-month cigarette smoking only, and 7.3% reported past-month dual use. School-and substance-related risk behaviors had strong associations with past-month e-cigarette use. Adolescents who only used e-cigarettes had significantly greater odds of all school-and substance-related risk behaviors relative to nonusers. Dual users had significantly greater odds of frequent/daily e-cigarette use as well as all school- and substance-related risk behaviors relative to those who only used e-cigarettes. Finally, adolescents who engaged in frequent/daily e-cigarette use had significantly greater odds of binge drinking, marijuana use, other illicit drug use and nonmedical prescription drug use, relative to experimental e-cigarette users.Conclusions: E-cigarette use is common among U.S. adolescents, and there are robust associations between e-cigarette use and school- and substance-related risk behaviors. There is evidence that e-cigarette use clusters with risk behaviors and appears to represent a problem behavior, especially dual use of e-cigarettes and traditional cigarettes. (C) 2017 Society for Adolescent Health and Medicine. All rights reserved.