The Road to Vaping: E-cigarette Susceptibility and Curiosity Among US Adolescents Susceptible and Nonsusceptible to Cigarette Smoking

The Road to Vaping: E-cigarette Susceptibility and Curiosity Among US Adolescents Susceptible and Nonsusceptible to Cigarette Smoking
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DOI:
10.1177/1090198120943166
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发表时间:
2020-07-22
影响因子:
4.2
通讯作者:
Ben Taleb, Ziyad
Ben Taleb, Ziyad
中科院分区:
医学3区
文献类型:
--
作者:
Kalan, Mohammad Ebrahimi;McKelvey, Karma;Ben Taleb, Ziyad

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背景。电子烟是青少年中最常用的烟草产品。我们的目的是确定易受吸烟影响和不受吸烟影响的青少年对电子烟的易感性和好奇心相关的因素。研究样本包括13428名从不吸烟或吸电子烟的人。结果:在吸烟易感的青少年中,非西班牙裔(NH)黑人受试者对电子烟易感(调整优势比[aOR] = 0.42, 95%可信区间[CI][0.26, 0.67])和对电子烟好奇(aOR = 0.61, 95% CI[0.39, 0.95])的可能性低于NH白人受试者。在对吸烟不敏感的青少年中,西班牙裔比白人更容易(aOR = 1.33, 95% CI[1.04, 1.71])和对电子烟好奇(aOR = 1.29, 95% CI[1.02, 1.62])。在青少年(易感和不易感吸烟)中,女性、在公共场所接触电子烟气雾剂、在销售点接触电子烟广告、结论:未来的监管政策和烟草控制预防运动应侧重于提高青少年对电子烟的健康意识(例如,潜在的危害和成瘾性),并限制在公共场所销售和使用电子烟。
Background. Electronic cigarettes (e-cigarettes) are the most commonly used tobacco product among adolescents. We aimed to identify factors associated with e-cigarette susceptibility and curiosity among adolescents who are and are not susceptible to cigarette smoking.Method.Data were drawn from the 2018 U.S. National Youth Tobacco Survey. The study sample comprised 13,428 never cigarette or e-cigarette users. Four distinct weighted multivariable regression models were performed to assess associations between covariates and e-cigarette curiosity and susceptibility.Results.Among adolescents susceptible to smoking cigarettes, non-Hispanic (NH) Black participants were less likely to be susceptible to (adjusted odds ratio [aOR] = 0.42, 95% confidence interval [CI] [0.26, 0.67]) and curious about (aOR = 0.61, 95% CI [0.39, 0.95]) e-cigarettes than NH Whites. Among adolescents nonsusceptible to smoking cigarettes, Hispanics were more susceptible to (aOR = 1.33, 95% CI [1.04, 1.71]) and curious about (aOR = 1.29, 95% CI [1.02, 1.62]) e-cigarettes than NH Whites. Among adolescents (both susceptible and nonsusceptible to smoking cigarettes), being female, exposure to e-cigarette aerosol in public places, exposure to e-cigarette ads at point-of-sale, and having low perceived harm and addictiveness of e-cigarettes versus cigarettes were associated with having greater odds of susceptibility toward and curiosity about e-cigarette use.Conclusions.Future regulatory policies and tobacco control prevention campaigns should focus on increasing health awareness (e.g., potential harm and addictiveness) of e-cigarettes among adolescents and restrict marketing and the use of e-cigarettes in public places.