Age of initiation of smokeless tobacco use among young adults: Findings from the population assessment of tobacco and health (PATH) study, 2013-2017.
Age of initiation of smokeless tobacco use among young adults: Findings from the population assessment of tobacco and health (PATH) study, 2013-2017.
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DOI：
10.18332/tpc/146130
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发表时间：
2022
影响因子：
1.8
通讯作者：
Harrell MB
中科院分区：
文献类型：
--
作者：
Pérez A;Kuk AE;Bluestein MA;Chen B;Harrell MB
在美国所有年龄组中，无烟烟草（SLT）的使用在年轻人中最为普遍。在烟草产品格局不断变化的情况下，需要一项研究来估计年轻人开始使用无烟烟草的年龄。
对“烟草与健康人口评估”（PATH）项目第1 - 4波的年轻人数据进行了二次分析。分析共纳入了10595名在参与PATH项目的第一波（第1 - 3波中的某一波）时从未使用过无烟烟草的年轻人。在第2 - 4波中对曾经使用、过去30天使用以及相当规律地使用无烟烟草的开始年龄结果进行了前瞻性评估。采用区间删失考克斯回归模型，通过性别和种族/族裔来评估每种结果的开始年龄差异，并对其他烟草产品的使用进行了调整。
到27岁时，分别有4.9%、3.0%和1.9%的年轻人报告曾经开始使用、过去30天使用以及相当规律地使用无烟烟草。在控制了人口统计学因素和其他烟草使用情况后，男性开始使用每种无烟烟草的年龄比女性早；非西班牙裔黑人开始使用每种无烟烟草的年龄比非西班牙裔白人晚；西班牙裔和非西班牙裔其他族裔开始曾经使用的年龄比非西班牙裔白人晚。
这些数据表明，有三个年轻人群体更有可能在较早年龄开始使用无烟烟草：男性、非西班牙裔白人和多烟草产品使用者。了解年轻人中无烟烟草开始使用结果的年龄将对公众进行教育，为无烟烟草使用预防活动提供信息，并为衡量2019年12月的《烟草21法案》的成功提供一个基准。
Smokeless tobacco (SLT) use, across all age groups, is most prevalent among young adults in the US. A study estimating the age of initiation of SLT use among young adults is needed amid the changing landscape of tobacco products. Secondary analyses of PATH young adults across waves 1–4 were conducted. A total of 10595 young adults who were never SLT users at their first wave of adult participation in PATH (waves 1–3) were included in the analysis. Age of initiation outcomes of ever, past 30-day, and fairly regular SLT use, were assessed prospectively in waves 2–4. Interval censoring Cox regression models were used to assess differences in the age of initiation of each outcome by sex and race/ethnicity, adjusting for other tobacco product use. By the age of 27 years, 4.9%, 3.0%, and 1.9% of young adults reported initiating ever, past 30-day, and fairly regular SLT use, respectively. After controlling for demographic factors and other tobacco use, males initiated each of the SLT outcomes at earlier ages than females; non-Hispanic Blacks initiated each of the SLT use at later ages than non-Hispanic Whites; and Hispanic and non-Hispanic others initiated ever use at later ages than non-Hispanic Whites. These data suggest that three young adult groups are more likely to initiate use of SLT at earlier ages: males, non-Hispanic Whites, and poly-tobacco users. Knowing the age of SLT initiation outcomes among young adults will educate the public domain, inform SLT use prevention campaigns, and provide a baseline to measure the success of the Tobacco 21 legislation from December 2019.
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DOI：
10.1056/nejmsa1607538
发表时间：
2017-01-26
期刊：
The New England journal of medicine
影响因子：
--
作者：
Kasza KA;Ambrose BK;Conway KP;Borek N;Taylor K;Goniewicz ML;Cummings KM;Sharma E;Pearson JL;Green VR;Kaufman AR;Bansal-Travers M;Travers MJ;Kwan J;Tworek C;Cheng YC;Yang L;Pharris-Ciurej N;van Bemmel DM;Backinger CL;Compton WM;Hyland AJ
通讯作者：
Hyland AJ
影响因子：
1.7
作者：
Arnett, JJ
通讯作者：
Arnett, JJ
影响因子：
7.6
作者：
Perry, Cheryl L.;Perez, Adriana;Harrell, Melissa B.
通讯作者：
Harrell, Melissa B.
影响因子：
12.7
作者：
Cheng, Yu-Ching;Rostron, Brian L.;Borek, Nicolette
通讯作者：
Borek, Nicolette
影响因子：
4.7
作者：
Chang, Joanne T.;Levy, David T.;Meza, Rafael
通讯作者：
Meza, Rafael