Importance of a Balanced Public Health Approach When Assessing Recent Patterns in the Prevalence of Adult e-Cigarette Use in the US.
Importance of a Balanced Public Health Approach When Assessing Recent Patterns in the Prevalence of Adult e-Cigarette Use in the US.
复制标题
在评估美国成人电子烟使用流行率的最新模式时，平衡的公共卫生方法的重要性。
DOI：
10.1001/jamanetworkopen.2022.23274
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发表时间：
2022
影响因子：
13.8
通讯作者：
Michelle T. Bover
中科院分区：
文献类型：
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作者：
J. Chen;Michelle T. Bover
从2010年代初到2018年，美国成年人使用电子烟的流行率稳步上升，这一模式部分与其吸引人的口味、可及性和易用性、有助于烟草戒烟的潜力以及在此期间地方和国家层面对产品营销和销售缺乏政策限制有关。Boakye及其同事利用行为风险因素监测系统（Behavioral Risk Factor Surveillance System）的数据，估计了2017年、2018年和2020年美国成年人当前（过去30天）和每日使用电子烟的全国流行程度，提供的数据揭示了2018年之后成人电子烟使用模式的潜在变化。他们的研究结果表明，在2017年（4.4%）和2018年（5.5%）之间，成年人中当前卷烟的使用率有所上升，在2020年（5.1%）略有下降。2020年的下降主要与18至20岁人群的使用减少有关（从18.9%降至15.6%）。相比之下，作者发现，每日电子烟使用量在3年内持续增加（2017年为1.5%，2018年为2.1%，2020年为2.3%），其中21至24岁的年轻人增幅最大（2017年为2.6%，2018年为4.4%，2020年为6.6%）。此外，目前使用电子烟的流行率在从未吸过可燃香烟的人群中显著增加，在目前的可燃香烟吸烟者中保持不变，在过去一年中试图戒烟的可燃香烟吸烟者中下降。为了解读成人电子烟使用流行率近期变化背后的流行病学模式，需要采取一种平衡的公共卫生方法。3一方面，电子烟可能促使未接触烟草的年轻人（包括青少年和青壮年）开始接触烟草制品，通过促进尼古丁成瘾、呼吸系统疾病和长期烟草使用损害个人健康
The prevalence of e-cigarette use among US adults steadily increased between the early 2010s and 2018, 1 a pattern partially associated with its appealing flavors, accessibility and ease of use, potential toassistwithtobaccocessation,andlackofpolicyrestrictionsonproductmarketingandsalesatthe local and national levels during this period. Boakye and colleagues 2 estimated the national prevalence of current (past 30 days) and daily e-cigarette use among US adults in 2017, 2018, and 2020 using data from the Behavioral Risk Factor Surveillance System, providing data that revealed potential changes in the patterns of adult e-cigarette use after 2018. Their findings suggest that the prevalenceofcurrente-cigaretteuseamongadultsincreasedbetween2017(4.4%)and2018(5.5%) and slightly decreased in 2020 (5.1%). The decrease in 2020 was mainly associated with reduced use among those aged 18 to 20 years (from 18.9% to 15.6%). In contrast, the authors found that daily e-cigarette use increased consistently across the 3 years (1.5% in 2017, 2.1% in 2018, and 2.3% in 2020), with the most significant increase observed among young adults aged 21 to 24 years (2.6% in 2017, 4.4% in 2018, and 6.6% in 2020). In addition, the prevalence of current e-cigarette use significantly increased among those who never smoked combustible cigarettes, remained unchanged among current combustible cigarette smokers, and decreased among combustible cigarette smokers who attempted to quit in the past year. To decipher the epidemiological patterns underlying these recent changes in the prevalence of adult e-cigarette use, a balanced public health approach is needed. 3 On the one hand, e-cigarettes may promote the initiation of tobacco products among tobacco-naive young people (including youths and young adults), harming individual health by fostering nicotine addiction, respiratory disease, and long-term tobacco-using