Underage Youth and Young Adult e-Cigarette Use and Access Before and During the Coronavirus Disease 2019 Pandemic.
Underage Youth and Young Adult e-Cigarette Use and Access Before and During the Coronavirus Disease 2019 Pandemic.
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DOI：
10.1001/jamanetworkopen.2020.27572
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发表时间：
2020-12-01
影响因子：
13.8
通讯作者：
Halpern-Felsher B
中科院分区：
文献类型：
--
作者：
Gaiha SM;Lempert LK;Halpern-Felsher B
未成年人和年轻人（13 - 24岁）是否自我报告在2019年冠状病毒病大流行期间使用和获得电子烟的变化？在这项针对2167名使用电子烟的青少年和年轻人的全国性在线横断面调查研究中，1198名受访者报告改变了他们的电子烟使用量，其中810人减少或放弃了电子烟的使用;电子烟的使用转移到替代零售店和网上。减少电子烟的使用或戒烟与遵守就地庇护指南有关，如果参与者使用电子烟超过10次或尼古丁依赖，则不太可能。在2019年冠状病毒病大流行期间，21岁以下的个人报告使用电子烟，并从网上和零售店购买电子烟，这表明有必要加强预防向这些年轻人销售电子烟，包括年龄验证，并提供戒烟资源。了解2019冠状病毒病（COVID-19）大流行期间电子烟的使用和获取模式非常重要，因为电子烟可能会使用户面临更严重的呼吸系统影响和其他健康问题的风险。研究自COVID-19大流行开始以来，使用过电子烟的未成年人和年轻人是否自我报告了电子烟的获取和使用情况的变化。一项全国性的跨部门在线调查研究于2020年5月6日至5月14日进行。在美国，4351名年龄在13至24岁之间的参与者包括2167名电子烟使用者。使用随机抽样来平衡年龄，性别，种族/民族，以及50%曾经使用过电子烟。在COVID-19大流行开始之前和之后，电子烟使用的变化（增加、减少、戒烟、不改变和改用另一种产品）和获得电子烟的机会（更容易或更难，以及购买点的变化），变化的原因，使用电子烟的次数，尼古丁依赖和社会人口数据。这项研究的重点是4351名参与者中的2167名电子烟使用者。在2167名电子烟使用者中，共有1442人年龄小于21岁，725人年龄大于21岁; 1397人为女性（64.5%），438人被确定为女同性恋，男同性恋，双性恋，变性人，酷儿（20.2%）。调查完成率为40%。自COVID-19疫情开始以来，2125名电子烟使用者中有1198名（56.4%）改变了用途：388人（32.4%）退出，422人（35.3%）减少了尼古丁的量，211人17.6%的人增加了尼古丁的使用，94人（7.8%）增加了大麻的使用，82人（6.9%）改用其他产品。参与者报告说，无法前往vape商店和产品不可用是大流行开始后难以获得电子烟的原因。自COVID-19大流行开始以来，个人报告从替代零售商店购买（一次性用品，632例中的150例[23.7%];基于豆荚的，797例中的144例[18.1%];和其他电子烟，560人中有125人[22.3%]，即18.1%至23.7%），在线购买而不是零售（一次性产品，632人中的115人[18.2%];基于豆荚的，797人中的156人[19.6%];其他电子烟，560人中的111人[19.8%]，即18.2%至19.8%），并转向零售而不是在线（一次性用品，632人中有11人[1.7%];基于豆荚的，797人中有17人[2.0%];其他电子烟，560人中有13人[2.3%]，即1.7%-2.3%）。其他个人报告没有变化：来自零售店（一次性产品262/632 [41.5%];基于豆荚的344/797 [43.2%];和其他电子烟，223/560 [39.8%]，即39.8%和43.2%之间）和在线（一次性产品94/632 [14.9%];基于豆荚的136/797 [17.1%];其他电子烟，88/560 [15.8%]，即14.9%至17.1%）。未成年人报告说，电子烟商店和/或经销商或收到此类交付的朋友交付了电子烟，229人中有63人（27.5%）自我报告在没有年龄验证的情况下获得电子烟。如果电子烟使用者之前使用电子烟的次数在11到99次之间，那么他们戒烟或减少使用的可能性要低52%（调整后的比值比，0.48; 95% CI，0.30 - 0.78），如果他们以前使用电子烟超过100次，戒烟的可能性降低68%（调整后的比值比，0.32; 95%CI，0.20 - 0.51），51%的戒烟者不太可能戒烟，如果他们是尼古丁依赖者（调整后的比值比，0.49; 95%CI，0.35 - 0.70）。在COVID-19大流行期间，年轻电子烟使用者报告了电子烟使用、购买点以及无需年龄验证即可购买电子烟的能力的变化。美国食品和药物管理局和当地政策制定者可能会发现这些数据有助于制定政策，防止向未成年人销售电子烟。这项调查研究考察了2019年冠状病毒大流行期间24岁及以下人群使用电子烟的变化。
Did underage youth and young adults (13-24 years) self-report changes in use and access to e-cigarettes during the coronavirus disease 2019 pandemic? In this national, online, cross-sectional survey study of 2167 youth and young adults using e-cigarettes, 1198 respondents reported changing their amount of e-cigarette use, with 810 reducing or quitting e-cigarette use; e-cigarette access shifted to alternative retail stores and online. Reduced e-cigarette use or quitting was associated with adhering to shelter-in-place guidelines and was less likely if participants had used e-cigarettes more than 10 times or were nicotine dependent. Individuals younger than 21 years reported e-cigarette use and accessed e-cigarettes from online and retail stores during the coronavirus disease 2019 pandemic, suggesting a need to strengthen prevention of e-cigarette sales to such youth, including age verification, and provide cessation resources. Understanding patterns of e-cigarette use and access during the coronavirus disease 2019 (COVID-19) pandemic is important because e-cigarettes may put users at risk for more severe respiratory effects and other health problems. To examine whether underage youth and young adults who ever used e-cigarettes self-reported changes in access and use of e-cigarettes since the COVID-19 pandemic began. A national, cross-sectional online survey study was conducted from May 6 to May 14, 2020. This sample of 4351 participants aged 13 to 24 years across the US included 2167 e-cigarette ever-users. Quota sampling was used to balance for age, sex, race/ethnicity, and 50% having ever used e-cigarettes. Change in e-cigarette use (increase, decrease, quit, no change, and switch to another product) and access to e-cigarettes (easier or harder, and change in point-of-purchase) before and after the COVID-19 pandemic began, reasons for change, number of times e-cigarettes were used, nicotine dependence, and sociodemographic data. This study focused on 2167 e-cigarette ever-users among 4351 participants who completed the survey. Among 2167 e-cigarette users, a total of 1442 were younger than 21 years and 725 were aged 21 years or older; 1397 were female (64.5%) and 438 identified as lesbian, gay, bisexual, transgender, queer (20.2%). The survey completion rate was 40%. Since the COVID-19 pandemic began, 1198 of 2125 e-cigarette users (56.4%) changed their use: 388 individuals (32.4%) quit, 422 individuals (35.3%) reduced the amount of nicotine, 211 individuals (17.6%) increased nicotine use, 94 individuals (7.8%) increased cannabis use, and 82 individuals (6.9%) switched to other products. Participants reported that not being able to go to vape shops and product unavailability were the reasons accessing e-cigarettes was difficult after the pandemic began. Since the COVID-19 pandemic began, individuals reported purchasing from alternative retail stores (disposables, 150 of 632 [23.7%]; pod-based, 144 of 797 [18.1%]; and other e-cigarette, 125 of 560 [22.3%], ie, between 18.1% and 23.7%), purchasing online instead of retail (disposables, 115 of 632 [18.2%]; pod-based, 156 of 797 [19.6%]; and other e-cigarette, 111 of 560 [19.8%], ie, between 18.2% to 19.8%), and shifted to retail instead of online (disposables, 11 of 632 [1.7%]; pod-based, 17 of 797 [2.0%]; and other e-cigarette, 13 of 560 [2.3%], ie, between 1.7%-2.3%). Other individuals reported no change: from retail stores (disposables 262 of 632 [41.5%]; pod-based 344 of 797 [43.2%]; and other e-cigarette, 223 of 560 [39.8%], ie, between 39.8% and 43.2%) and online (disposables 94 of 632 [14.9%]; pod-based 136 of 797 [17.1%]; and other e-cigarette, 88 of 560 [15.8%], ie, between 14.9% and 17.1%). Underage youth reported e-cigarette deliveries from vape shops and/or dealers or friends who received such deliveries, and 63 of 229 (27.5%) self-reported accessing e-cigarettes without age verification. e-Cigarette users were 52% less likely to quit or reduce their use if they previously used e-cigarettes between 11 and 99 times (adjusted odds ratio, 0.48; 95% CI, 0.30-0.78), 68% less likely to quit if they previously used e-cigarettes more than 100 times (adjusted odds ratio, 0.32; 95% CI, 0.20-0.51), and 51% were less likely to quit if they were nicotine dependent (adjusted odds ratio, 0.49; 95% CI, 0.35-0.70). During the COVID-19 pandemic, youth e-cigarette users reported changes in e-cigarette use, point-of-purchase, and ability to purchase e-cigarettes without age verification. The US Food and Drug Administration and local policy makers may find these data useful to inform policies to prevent e-cigarette sales to underage youth. This survey study examines changes in use of e-cigarettes by individuals aged 24 years and younger during the coronavirus 2019 pandemic.
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影响因子：
13.8
作者：
McKelvey, Karma;Baiocchi, Mike;Halpern-Felsher, Bonnie
通讯作者：
Halpern-Felsher, Bonnie
DOI：
10.1164/rccm.201903-0615oc
发表时间：
2019-12-01
影响因子：
24.7
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通讯作者：
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影响因子：
8.3
作者：
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通讯作者：
Upson, Dona
影响因子：
33.9
作者：
Cullen, Karen A.;Liu, Sherry T.;Neff, Linda J.
通讯作者：
Neff, Linda J.
影响因子：
4.7
作者：
Kong, Grace;Morean, Meghan E.;Krishnan-Sarin, Suchitra
通讯作者：
Krishnan-Sarin, Suchitra