Prevalence and Distribution of E-Cigarette Use Among US Adults: Behavioral Risk Factor Surveillance System, 2016
Prevalence and Distribution of E-Cigarette Use Among US Adults: Behavioral Risk Factor Surveillance System, 2016
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DOI：
10.7326/m17-3440
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发表时间：
2018-10-02
影响因子：
39.2
通讯作者：
Blaha, Michael J.
中科院分区：
文献类型：
--
作者：
Mirbolouk, Mohammadhassan;Charkhchi, Paniz;Blaha, Michael J.
背景资料：关于美国电子烟使用流行率的当代数据有限。目的：报告2016年美国成年人当前电子烟使用的流行率和分布。设计：横断面。设置：行为风险因素监测系统，2016年。参与者：18岁及以上的成年人。测量：按社会人口学群体、共病医疗状况和居住州划分的当前电子烟使用的患病率。在有电子烟使用信息的参与者（n = 466 842）中，有15 240人是目前的电子烟使用者，患病率为4.5%，相当于美国1080万成年电子烟使用者。在电子烟使用者中，15%是从不吸烟的人。目前使用电子烟的流行率在18至24岁的人群中最高（9.2% [95% CI，8.6%至9.8%]），在这个年龄段转换为大约280万用户。超过一半的电子烟使用者（51.2%）年龄小于35岁。此外，电子烟使用的年龄标准化流行率在男性中很高;女同性恋，男同性恋，双性恋和变性人（LGBT）;目前的可燃香烟吸烟者;以及那些有慢性健康状况的人。电子烟的使用率在各州之间差异很大，估计从3.1%到2.1%不等。（CI，2.3%至4.1%），南达科他州至7.0%（置信区间，6.0%至8.2%）。局限性：数据是自我报告的，没有烟草使用的生化确认。电子烟的使用很常见，特别是在年轻人，LGBT人群，当前吸烟者和患有合并症的人中。各州的使用率各不相同。这些当代的估计数据可以为研究人员、医疗保健政策制定者和烟草监管机构提供有关电子烟使用的人口和地理分布的信息。主要资金来源：美国心脏协会烟草监管和成瘾中心，该中心由美国食品和药物管理局和国家心肺血液研究所资助。
Background: Contemporary data on the prevalence of e-cigarette use in the United States are limited.Objective: To report the prevalence and distribution of current e-cigarette use among U.S. adults in 2016.Design: Cross-sectional.Setting: Behavioral Risk Factor Surveillance System, 2016.Participants: Adults aged 18 years and older.Measurements: Prevalence of current e-cigarette use by sociodemographic groups, comorbid medical conditions, and states of residence.Results: Of participants with information on e-cigarette use (n = 466 842), 15 240 were current e-cigarette users, representing a prevalence of 4.5%, which corresponds to 10.8 million adult e-cigarette users in the United States. Of the e-cigarette users, 15% were never-cigarette smokers. The prevalence of current e-cigarette use was highest among persons aged 18 to 24 years (9.2% [95% CI, 8.6% to 9.8%]), translating to approximately 2.8 million users in this age range. More than half the current e-cigarette users (51.2%) were younger than 35 years. In addition, the age-standardized prevalence of e-cigarette use was high among men; lesbian, gay, bisexual, and transgender (LGBT) persons; current combustible cigarette smokers; and those with chronic health conditions. The prevalence of e-cigarette use varied widely among states, with estimates ranging from 3.1% (CI, 2.3% to 4.1%) in South Dakota to 7.0% (CI, 6.0% to 8.2%) in Oklahoma.Limitation: Data were self-reported, and no biochemical confirmation of tobacco use was available.Conclusion: E-cigarette use is common, especially in younger adults, LGBT persons, current cigarette smokers, and persons with comorbid conditions. The prevalence of use differs across states. These contemporary estimates may inform researchers, health care policymakers, and tobacco regulators about demographic and geographic distributions of e-cigarette use.Primary Funding Source: American Heart Association Tobacco Regulation and Addiction Center, which is funded by the U.S. Food and Drug Administration and National Heart, Lung, and Blood Institute.