Examining Youth Dual and Polytobacco Use with E-Cigarettes
Examining Youth Dual and Polytobacco Use with E-Cigarettes
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DOI：
10.3390/ijerph15040699
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发表时间：
2018-04-01
影响因子：
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通讯作者：
Porter, Lauren
中科院分区：
文献类型：
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作者：
Lee, Youn Ok;Pepper, Jessica K.;Porter, Lauren
电子烟和其他非香烟烟草产品越来越受到年轻人的欢迎。我们对减少青少年使用的公共卫生努力知之甚少。我们研究了青少年电子烟使用者中单一和多种烟草产品使用的心理社会相关性。数据来自 2014 年佛罗里达州青少年烟草调查（N = 69,923），该调查是佛罗里达州中学生和高中生的代表性样本。使用多项 Logistic 回归分析电子烟、香烟和其他烟草产品 (OTP) 使用组合与社会心理变量之间的关联，分析样本 N = 2756。大多数使用电子烟的青少年至少使用一种其他产品 (81%)。认为香烟容易戒烟与电子烟/OTP 联合使用（相对风险比 (RRR) = 2.51，p < 0.001）和电子烟/香烟/OTP 联合使用（RRR = 3.20，p < 0.0001）的可能性显着相关。认为自己会在 5 年内吸烟与包含香烟的产品组合有关。烟草公司的营销接受度与多种产品用户类型相关。鉴于特定的社会心理因素使青少年面临同时使用电子烟和烟草产品的风险，公共卫生工作应专门解决多种烟草的使用问题，而不是个别产品的使用问题。年轻人对戒烟难易程度的看法、继续吸烟的意愿以及对烟草公司营销的接受度是旨在减少电子烟复合烟草产品使用的信息传递的有希望的领域。
E-cigarettes and other non-cigarette tobacco products are increasingly popular among youth. Little is known to inform public health efforts to reduce youth use. We examined psychosocial correlates of single and multiple tobacco product use among youth e-cigarette users. Data were from the 2014 Florida Youth Tobacco Survey (N = 69,923), a representative sample of Florida middle and high school students. Associations between combinations of e-cigarette, cigarette and other tobacco product (OTP) use and psychosocial variables were examined using multinomial logistic regression with an analytic sample of N = 2756. Most e-cigarette-using youth used at least one other product (81%). Perceiving cigarettes as easy to quit was significantly associated with greater likelihood of combined e-cigarette/OTP use (relative risk ratio (RRR) = 2.51, p < 0.001) and combined e-cigarette/cigarette/OTP use (RRR = 3.20, p < 0.0001). Thinking you will be smoking cigarettes in 5 years was associated with product combinations that include cigarettes. Tobacco company marketing receptivity was associated with multiple product user types. Given that specific psychosocial factors put youth at risk for concurrent use of e-cigarettes with tobacco products, public health efforts should address polytobacco use specifically, instead of individual product use. Youth perceptions about the ease of quitting cigarettes, intentions to continue smoking cigarettes and receptivity to tobacco company marketing are promising areas for messaging aimed at reducing e-cigarette polytobacco product use.