First E-Cigarette Flavor and Device Type Used: Associations With Vaping Persistence, Frequency, and Dependence in Young Adults.
First E-Cigarette Flavor and Device Type Used: Associations With Vaping Persistence, Frequency, and Dependence in Young Adults.
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第一种电子烟口味和使用的设备类型：与年轻人吸电子烟的持久性、频率和依赖性的关联。
DOI：
10.1093/ntr/ntab172
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Leventhal,AdamM
中科院分区：
文献类型：
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作者：
Sargent,JamesD;Stoolmiller,Mike;Dai,Hongying;Barrington-Trimis,JessicaL;McConnell,Rob;Audrain-McGovern,Janet;Leventhal,AdamM
第一次使用时电子烟的调味剂和装置类型可能会区分后来的电子烟使用和依赖。这项回顾性横断面研究探讨了召回的第一尼古丁vaping设备和风味与当前vaping频率/dependency.Aims和MethodsA年轻的成年人队列从洛杉矶，加州，美国完成了基于网络的调查（N = 2553）。使用来自971名报告吸烟尼古丁的横截面数据，多变量栅栏回归测试了召回的第一种口味之间的关联。（水果/糖果、薄荷/薄荷、其他）和装置（Juul，一次性，mod，box，pod，pen，其他）vaped与过去30天vaping状态（是/否）和频率（1-30天），并与任何vaping依赖症状（是/否）和计数（1-10症状）.ResultsThe最常见的第一味道是甜（71%）;最常见的第一设备是一个vape笔（37%），然后Juul（22%）.薄荷/薄荷醇初味（对比其他;调整后的比值比[AOR]：2.22[95% CI = 1.16 - 4.25]），以及首件器械模型（AOR = 2.40[95% CI = 1.34 - 4.31]）和非Juul pod（2.64[95% CI = 1.41至4.92]）（与笔相比）与过去30天的电子烟相关，并且电子烟天数是电子烟天数的两倍（调整后的比率[ARR]范围：1.96-2.12;ps < .05）。薄荷/薄荷醇的第一种口味（相对于其他; AOR：1.95[95% CI = 1.003 - 3.79]）和第一种装置mod、box、非Juul pod和其他（AOR范围：2.36-4.01;ps < .05）与尼古丁依赖相关。第一个设备Juul，mod，box和non-Juul pod也与更多的依赖症状相关（ARR范围：1.38-1.59;ps < .05）。结论在第一次使用电子烟时暴露于薄荷/薄荷醇和某些设备（mod，box，Juul和non-Juul pod）可能与年轻人更频繁的电子烟使用和尼古丁依赖症状相关。薄荷/薄荷醇和某些设备值得考虑在电子烟的监管基于产品特性.ImplicationsCharacteristics（味道和设备类型）的第一个电子烟产品使用与较高的使用和更多的依赖性.在进行前瞻性设计的复制之前，研究结果表明，某些口味（薄荷/薄荷醇）和设备（豆荚，mods）值得考虑监管，因为它们可能与年轻人的持续使用和依赖有关。
IntroductionType of e-cigarette flavoring and device during first use might differentiate later e-cigarette use and dependence. This retrospective cross-sectional study examined associations of recalled first nicotine vaping device and flavor used with current vaping frequency/dependence.Aims and MethodsA young adult cohort from Los Angeles, California, USA completed web-based surveys (N = 2553). Using cross-sectional data from 971 reporting ever vaping nicotine, multivariable hurdle regressions tested associations between recalled first flavor (fruit/sweet, menthol/mint, other) and device (Juul, disposable, mod, box, pod, pen, other) vaped with past-30-day vaping status (yes/no) and frequency (1–30 days), and with any vaping dependence symptoms (yes/no) and count (1–10 symptoms).ResultsThe most common first-flavor was sweet (71%); the most common first-device was a vape pen (37%), then Juul (22%). First-flavor of mint/menthol (vs. other; adjusted odds ratio [AOR]: 2.22[95% CI = 1.16 to 4.25]), and first-device mod (AOR = 2.40[95% CI = 1.34 to 4.31]) and non-Juul pod (2.64[95% CI = 1.41 to 4.92]) (vs. pen) were associated with past-30-day vaping, and twice as many vaping days (adjusted rate ratios [ARRs] range: 1.96–2.12;ps < .05). First flavor of mint/menthol (vs. other; AOR: 1.95[95% CI = 1.003 to 3.79) and first device mod, box, non-Juul pod, and other (AORs range: 2.36–4.01;ps < .05) were associated with nicotine dependence. First device Juul, mod, box, and non-Juul pod were also associated with more dependence symptoms (ARRs range:1.38–1.59;ps < .05).ConclusionsExposure to mint/menthol and certain devices (mod, box, Juul, and non-Juul pods) at first e-cigarette use may be associated with more frequent e-cigarette use and nicotine dependence symptoms in young adulthood. Mint/menthol and certain devices warrant consideration in regulation of e-cigarettes based on product characteristics.ImplicationsCharacteristics (flavor and device type) of first e-cigarette product used were associated with higher usage and more dependence. Pending replication with prospective designs, the findings suggest certain flavors (mint/menthol) and devices (pods, mods) merit consideration in regulation because of their possible link with continued use and dependence among young people.