Age at Initiation of Cigarette Use in a Nationally Representative Sample of US Youth, 2013-2017.
Age at Initiation of Cigarette Use in a Nationally Representative Sample of US Youth, 2013-2017.
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DOI：
10.1001/jamanetworkopen.2021.0218
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发表时间：
2021-02-01
影响因子：
13.8
通讯作者：
Harrell MB
中科院分区：
文献类型：
--
作者：
Pérez A;N'hpang RS;Callahan E;Bluestein M;Kuk AE;Chen B;Perry CL;Harrell MB
这项队列研究使用烟草与健康人口评估 (PATH) 研究第 1 至 4 波的数据来评估 12 至 17 岁的年轻人开始吸烟的年龄。青少年（12-17 岁）在什么年龄开始出现 4 项吸烟结果（对使用的敏感性、曾经使用过、过去 30 天使用以及相当经常使用）？这项队列研究调查了 15 776 名从不吸烟的青少年以及其中 11 022 名不易吸烟的青少年的全国代表性数据，发现在不易吸烟的青少年中，到 18 岁时，46.2% 的人变得易吸烟。在从不吸烟的人中，24.4% 的人开始吸烟，16.4% 的人在过去 30 天开始吸烟，4.3% 的人开始相当经常地吸烟。研究结果表明，针对特定年龄（尤其是 17 至 18 岁之前）的预防干预措施和教育公众可能会减少吸烟的发生。尽管最近卷烟使用量有所下降，但卷烟仍然是年轻人常用的烟草产品。本研究的目的是按性别和种族/民族前瞻性估计青少年（12-17 岁）开始吸烟的总体年龄。该队列研究使用了 2013 年 9 月 12 日至 2018 年 1 月 3 日进行的具有全国代表性的烟草与健康人群评估 (PATH) 研究第一波至第四波的数据。评估了两个青少年亚群：(1) 对吸烟不敏感的人群和 (2) 在第一波 PATH 参与时从不吸烟的人群。加权区间审查生存分析用于前瞻性估计开始吸烟的年龄结果。使用加权区间删失 Cox 比例风险模型来估计按性别和种族/民族划分的起始年龄差异。统计分析于2019年10月7日至2020年5月1日进行。不同性别和种族/民族的起始年龄存在差异。按性别和种族/民族划分的开始吸烟易感性年龄、曾经使用过、过去 30 天的使用情况以及总体上相当经常使用香烟的年龄。本研究共纳入了 15 776 名从不吸烟的青少年，其中包括 11 022 名对吸烟不敏感的青少年（加权平均 [SE] 年龄，13.5 [0.01] 岁；58.6% [SE, 0.46%] 非西班牙裔白人；51.0% [SE, 0.32%] 男孩） 15~776 人在第一波 PATH 参与中从未吸烟过（加权平均 [SE] 年龄，13.7 [0.01] 岁；55.0% [SE, 0.29%] 非西班牙裔白人；51.0% [SE, 0.15%] 男孩）。到 18 岁时，在不敏感的人中，46.2%（95% CI，44.3%-48.2%）变得对吸烟敏感。在从不吸烟的人中，24.4%（95% CI，22.9%-25.9%）开始吸烟，16.4%（95% CI，15.2%-17.6%）在过去 30 天开始吸烟，4.3%（95% CI，3.9%-4.8%）开始相当经常吸烟。与女孩相比，男孩在较早的年龄开始吸烟（风险比 [HR]，1.21；95% CI，1.08-1.36）和过去 30 天（HR，1.27；95% CI，1.10-1.47）的风险较高。非西班牙裔白人青少年开始吸烟的风险较高（HR，0.77；95% CI，0.68-0.88）、曾经使用过（HR，0.59；95% CI，0.49-0.71）、过去 30 天使用（HR，0.64；95% CI，0.52-0.77）、与非西班牙裔黑人青年相比，吸烟率相当高（HR，0.25；95% CI，0.14-0.43）。这项队列研究的结果表明，尽管目前采取了干预措施和现行法律，但仍有大量青少年在购买烟草制品的法定年龄之前开始吸烟。
This cohort study uses data from the Population Assessment of Tobacco and Health (PATH) study waves 1 to 4 to assess at what age young people aged 12 to 17 years initiate cigarette use. At what age do youth (aged 12-17 years) initiate 4 cigarette use outcomes (susceptibility to use, ever use, past 30-day use, and fairly regular use)? This cohort study examined nationally representative data for 15 776 youth never users and, among them, 11 022 youth who were nonsusceptible to cigarette use, and found that among youth who were nonsusceptible to cigarette use, by age 18 years, 46.2% became susceptible to cigarette use. Among never users of cigarettes, 24.4% initiated ever cigarette use, 16.4% initiated past 30-day cigarette use, and 4.3% initiated fairly regular cigarette use. Study results suggest that prevention interventions and educating the public about targeting specific ages, particularly before age 17 to 18 years, may reduce cigarette use initiation. Cigarettes are still a commonly used tobacco product among youth despite recent declines in cigarette use. The aim of this study was to prospectively estimate the age of cigarette use initiation among youth (aged 12-17 years) overall, by sex, and by race/ethnicity. This cohort study used data from waves 1 through 4 of the nationally representative Population Assessment of Tobacco and Health (PATH) study, conducted from September 12, 2013, to January 3, 2018. Two subpopulations of youth were assessed: (1) those nonsusceptible to cigarette use and (2) never users of cigarettes at their first wave of PATH participation. Weighted interval-censoring survival analyses were used to prospectively estimate the age of initiation of cigarette use outcomes. Weighted interval-censoring Cox proportional hazard models were used to estimate differences in the age of initiation by sex and by race/ethnicity. Statistical analyses were performed from October 7, 2019, to May 1, 2020. Differences in the age of initiation by sex and race/ethnicity. Age of initiation of susceptibility to cigarette use, ever use, past 30-day use, and fairly regular cigarette use overall, by sex, and by race/ethnicity. A total of 15 776 youth never users and, among them, 11 022 youth who were nonsusceptible to cigarette use, were included in this study (weighted mean [SE] age, 13.5 [0.01] years; 58.6% [SE, 0.46%] non-Hispanic White; and 51.0% [SE, 0.32%] boys) and 15 776 were never users of cigarettes at their first wave of PATH participation (weighted mean [SE] age, 13.7 [0.01] years; 55.0% [SE, 0.29%] non-Hispanic White; and 51.0% [SE, 0.15%] boys). By age 18 years, among those who were nonsusceptible, 46.2% (95% CI, 44.3%-48.2%) became susceptible to cigarette use. Among never users, 24.4% (95% CI, 22.9%-25.9%) initiated ever cigarette use, 16.4% (95% CI, 15.2%-17.6%) initiated past 30-day cigarette use, and 4.3% (95% CI, 3.9%-4.8%) initiated fairly regular cigarette use. Boys had a higher risk of initiating ever (hazard ratio [HR], 1.21; 95% CI, 1.08-1.36) and past 30-day cigarette use (HR, 1.27; 95% CI, 1.10-1.47) at earlier ages compared with girls. Non-Hispanic White youth had a higher risk of an earlier age of initiation of susceptibility to cigarette use (HR, 0.77; 95% CI, 0.68-0.88), ever use (HR, 0.59; 95% CI, 0.49-0.71), past 30-day use (HR, 0.64; 95% CI, 0.52-0.77), and fairly regular cigarette use (HR, 0.25; 95% CI, 0.14-0.43) compared with non-Hispanic Black youth. The results of this cohort study suggest that, despite current interventions and existing laws, a large number of youth initiated cigarette use before the legal age to purchase tobacco products.
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影响因子：
33.9
作者：
Gentzke, Andrea S.;Creamer, MeLisa;King, Brian A.
通讯作者：
King, Brian A.
影响因子：
5.5
作者：
Prizment, Anna E.;Yatsuya, Hiroshi;Huxley, Rachel R.
通讯作者：
Huxley, Rachel R.
DOI：
10.1016/0021-9681(79)90012-2
发表时间：
1979-01-01
期刊：
JOURNAL OF CHRONIC DISEASES
影响因子：
--
作者：
SACKETT, DL
通讯作者：
SACKETT, DL
影响因子：
1.9
作者：
Ng, MP
通讯作者：
Ng, MP
影响因子：
5.2
作者：
Hyland, Andrew;Ambrose, Bridget K.;Compton, Wilson M.
通讯作者：
Compton, Wilson M.