The association of perceptions of harmfulness and addictiveness on the age of initiation of cigar product use among youth: Findings from the Population Assessment of Tobacco and Health (PATH) study, 2013-2017.
The association of perceptions of harmfulness and addictiveness on the age of initiation of cigar product use among youth: Findings from the Population Assessment of Tobacco and Health (PATH) study, 2013-2017.
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DOI：
10.3389/fpubh.2022.882434
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发表时间：
2022
影响因子：
5.2
通讯作者：
Perez, Adriana
中科院分区：
文献类型：
--
作者：
Chen, Baojiang;Spells, Charles E.;Bluestein, Meagan A.;Kuk, Arnold E.;Harrell, Melissa B.;Perez, Adriana
关键词：
青少年对雪茄产品危害性和成瘾性的认知与随后开始使用雪茄产品有关，但它们与开始使用雪茄产品的年龄之间的关联尚不清楚。
在青少年参与“青少年烟草使用综合评估”（PATH）的第一轮（2013 - 2015年的第1轮或第2轮）时对危害性和成瘾性的认知与在PATH第2 - 4轮（2014 - 2017年）随访期间（i）曾经、（ii）过去30天以及（iii）相当规律地使用任何雪茄产品（小雪茄、过滤嘴雪茄或传统雪茄）的开始使用年龄之间的关联，使用加权区间删失考克斯比例风险模型进行了评估。此外，还报告了危害性和成瘾性认知之间的相互作用与开始使用任何雪茄的年龄之间的关联。报告了风险比（HR）和95%置信区间（CI）。
在曾经听说过雪茄产品的青少年中，认为雪茄“低 - 中危害性和低 - 中成瘾性”的青少年比那些认为雪茄“高危害性和高成瘾性”的青少年开始使用雪茄产品的风险高60%（HR：1.60，95%CI：1.36 - 1.89），且在更年轻时开始使用，并且开始过去30天使用雪茄产品的风险高46%（HR：1.46，95%CI：1.14 - 1.86），且在更年轻时开始使用。此外，认为雪茄“低 - 中危害性和高成瘾性”的青少年比那些认为雪茄“高危害性和高成瘾性”的青少年在更年轻时开始使用雪茄产品的风险高33%（HR：1.33，95%CI：1.15 - 1.53）。报告“高危害性和低 - 中成瘾性”的青少年（HR：0.24，95%CI：0.07 - 0.83）与报告“高危害性和高成瘾性”的青少年相比，在更年轻时开始相当规律地使用雪茄产品的风险低76%。
预防和宣传活动应强调雪茄产品独特的潜在危害和成瘾性，以遏制美国青少年开始使用雪茄产品。
Perceptions of cigar products' harmfulness and addictiveness in youth are associated with subsequent cigar product initiation, but their association on the age of initiation of cigar product use is unknown. The association of perceptions of harmfulness and addictiveness at youth's first wave of PATH participation (waves 1 or 2 in years 2013–2015) on the age of initiation of (i) ever. (ii) past 30-day, and (iii) fairly regular use of any cigar products (cigarillos, filtered cigars, or traditional cigars) during the followed-up in PATH waves 2–4 (2014–2017) was estimated using weighted interval-censored Cox proportional hazards models. Also, the association of the interaction between perceptions of harmfulness and addictiveness and the age of initiation of any cigar use are reported. Hazard ratios (HR) and 95% confidence intervals (CI) are reported. Among youth who had ever heard of cigar products, youth who perceived cigars to be “low-medium harmfulness and low-medium addictiveness” had 60% (HR: 1.60, 95%CI: 1.36–1.89) higher hazard risk to initiate ever cigar product use at an earlier age, and had 46% (HR:1.46, 95%CI: 1.14–1.86) higher hazard risk to initiate past 30-day cigar product use at younger ages than those who perceived cigars to be “high harmfulness and high addictiveness.” Moreover, youth who perceived cigars to be “low-medium harmfulness and high addictiveness” had 33% (HR: 1.33, 95%CI: 1.15–1.53) higher hazard risk to initiate ever cigar product use at younger ages than those who perceived cigars to be “high harmfulness and high addictiveness.” Youth who reported “high harmfulness and low-medium addictiveness” (HR: 0.24, 95% CI: 0.07–0.83) had 76% lower hazard risk to initiate fairly regular use of cigar products at younger ages compared to youth who reported “high harmfulness and high addictiveness.” Prevention and awareness campaigns should reinforce the unique potential for harm and addiction of cigar products to curb cigar product initiation among US youth.
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