Predictive validity of the adult tobacco dependence index: Findings from waves 1 and 2 of the Population Assessment of Tobacco and Health (PATH) study
Predictive validity of the adult tobacco dependence index: Findings from waves 1 and 2 of the Population Assessment of Tobacco and Health (PATH) study
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DOI：
10.1016/j.drugalcdep.2020.108134
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发表时间：
2020-09-01
影响因子：
4.2
通讯作者：
Niaura, Ray
中科院分区：
文献类型：
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作者：
Strong, David R.;Leas, Eric;Niaura, Ray
背景和目的：在已发表的工作1的基础上，在烟草与健康人口评估(PATH)研究的第一波(W1)中建立了不同烟草产品使用者的自我报告烟草依赖(TD)指数的同时有效性，本研究检查了与烟草使用行为的预期关系，以建立TD指数的预测有效性。假设表明，W1的高TD水平可能与在第二波(W2)持续烟草使用有关。参与者：美国全国代表性样本32,320名成人W1和W2访谈的重点是11,615名目前已确定的烟草使用者并完成了W2访谈。发现：在W2访谈中，更高的TD得分和更大的TD得分变化与更多的烟草使用数量和频率有关(n=7068)，仅吸烟(无烟或鼻烟袋)(n=772)，香烟加电子烟(n=592)，以及多种产品(n=1866)使用者，尽管仅电子烟(n=367)、仅雪茄(传统、雪茄或过滤)(n=584)或仅水烟(n=366)使用者的吸烟率并不显著。对于香烟和多种产品使用者来说，TD越高，成功戒烟的几率就越低。更高的TD与水烟和多种产品用户组的戒烟尝试几率增加相关，而与电子烟、雪茄、无烟和香烟加电子烟用户中戒烟尝试或戒烟成功的降低几率无关。结论：支持成人TD路径研究措施的预测有效性，将有助于对几种烟草产品的TD进行监管调查。
Background and aims: Building on published work1 establishing concurrent validity of a self-report tobacco dependence (TD) index among users of different tobacco products in Wave 1 (W1) of the Population Assessment of Tobacco and Health (PATH) Study, the current study examines prospective relationships with tobacco use behaviors to establish predictive validity of the TD index. Hypotheses suggested high levels of W1 TD would be associated with persistent tobacco use at Wave 2 (W2).Participants: A U.S. nationally representative sample of 32,320 adult W1 and W2 interviews focused on 11,615 W1 adults who were current established tobacco users and completed the W2 interview.Findings: Higher TD scores and greater changes in TD scores were associated with greater quantity and frequency of tobacco use at the W2 interview for Cigarette Only (n= 7068), Smokeless (smokeless or snus pouches) Only (n= 772), Cigarette plus E-Cigarette (n= 592), and Multiple Products (n= 1866) users, although not significantly so for E-Cigarette Only (n= 367), Cigar Only (traditional, cigarillo, or filtered) (n= 584), or Hookah Only (n= 366) users. Higher TD was associated with decreased odds of successful quitting for Cigarette and Multiple Product users. Higher TD was associated with increased odds of a quit attempt for those in the Hookah and Multiple Products user groups and was not associated with quit attempts or deceased odds of quit success among exclusive E-Cigarette, Cigar, Smokeless and Cigarette plus E-Cigarette users.Conclusion: Support for the predictive validity of the PATH Study measures of adult TD will enable regulatory investigations of TD across several tobacco products.