Use of Flavored E-Cigarettes Among Adolescents, Young Adults, and Older Adults: Findings From the Population Assessment for Tobacco and Health Study
Use of Flavored E-Cigarettes Among Adolescents, Young Adults, and Older Adults: Findings From the Population Assessment for Tobacco and Health Study
复制标题
DOI：
10.1177/0033354919830967
复制
发表时间：
2019-05-01
影响因子：
3.3
通讯作者：
Villanti, Andrea C.
中科院分区：
文献类型：
--
作者：
Soneji, Samir S.;Knutzen, Kristin E.;Villanti, Andrea C.
目的：调味电子烟（电子烟）的使用在电子烟用户中很常见，但人们对调味剂的潜在危害、多种口味同时使用的程度以及口味类型使用的相关性知之甚少。本研究的目的是评估青少年（12-17岁）、年轻人（18-24岁）和老年人（25岁）电子烟用户使用的电子烟口味类型。方法：我们评估了在烟草与健康研究人口评估第二阶段（2014-2015年）抽样的414名青少年、961名年轻人和1711名老年人中，过去一个月内按口味类型使用调味电子烟的流行情况，以及同时使用多种口味的电子烟用户。我们对水果味、糖果味、薄荷/薄荷醇味、烟草味或其他口味的电子烟以及同时使用多种口味的电子烟使用了加权逻辑回归模型。协变量包括人口统计学特征、电子烟使用频率、吸烟状况、目前使用其他烟草制品以及使用电子烟的原因。结果：青少年电子烟口味以水果、糖果和其他口味为主；年轻人喜欢水果、糖果和薄荷/薄荷醇；在老年人中则是烟草或其他口味，水果和薄荷/薄荷醇。与老年人相比，青少年和年轻人更有可能使用水果味电子烟（调整优势比[aOR] = 3.35； 95%可信区间[CI]， 2.56-4.38; aOR = 2.31; 95% CI, 1.77-3.01）和糖果味电子烟（aOR = 3.81; 95% CI, 2.74-5.28; aOR = 2.95; 95% CI, 2.29-3.80），并同时使用多种口味的电子烟（aOR = 4.58; 95% CI, 3.39-6.17; aOR = 2.28; 95% CI, 1.78-2.91）。结论：对甜电子烟口味（如水果和糖果）的监管可能有助于减少年轻人对电子烟的使用，而不会给成年电子烟使用者带来实质性负担。
Objectives: The use of flavored electronic cigarettes (e-cigarettes) is common among e-cigarette users, but little is known about the potential harms of flavorings, the extent to which the concurrent use of multiple flavor types occurs, and the correlates of flavor type use. The objective of this study was to assess the types of e-cigarette flavors used by adolescent (aged 12-17), young adult (aged 18-24), and older adult (aged >= 25) e-cigarette users. Methods: We assessed the prevalence of flavored e-cigarette use within the past month by flavor types and concurrent use of multiple flavor types among past-month e-cigarette users sampled during Wave 2 (2014-2015) of the Population Assessment for Tobacco and Health Study among 414 adolescents, 961 young adults, and 1711 older adults. We used weighted logistic regression models for the use of fruit-, candy-, mint/menthol-, tobacco-, or other-flavored e-cigarettes and concurrent use of multiple flavor types. Covariates included demographic characteristics, e-cigarette use frequency, cigarette smoking status, current use of other tobacco products, and reasons for e-cigarette use. Results: The leading e-cigarette flavor types among adolescents were fruit, candy, and other flavors; among young adults were fruit, candy, and mint/menthol; and among older adults were tobacco or other flavors, fruit, and mint/menthol. Compared with older adults, adolescents and young adults were more likely to use fruit-flavored e-cigarettes (adjusted odds ratio [aOR] = 3.35; 95% confidence interval [CI], 2.56-4.38; and aOR = 2.31; 95% CI, 1.77-3.01, respectively) and candy-flavored e-cigarettes (aOR = 3.81; 95% CI, 2.74-5.28; and aOR = 2.95; 95% CI, 2.29-3.80, respectively) and concurrently use multiple flavor types (aOR = 4.58; 95% CI, 3.39-6.17; and aOR = 2.28; 95% CI, 1.78-2.91, respectively). Conclusions: Regulation of sweet e-cigarette flavors (eg, fruit and candy) may help reduce the use of e-cigarettes among young persons without substantially burdening adult e-cigarette users.