Are age of smoking initiation and purchasing patterns associated with menthol smoking?

Are age of smoking initiation and purchasing patterns associated with menthol smoking?
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DOI:
10.1111/j.1360-0443.2010.03188.x
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发表时间:
2010-12-01
期刊:
影响因子:
6
通讯作者:
Adkins, Sarah
Adkins, Sarah
中科院分区:
医学1区
文献类型:
--
作者:
Fernander, Anita;Rayens, Mary Kay;Adkins, Sarah

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目的 本研究的目的是探讨当前吸烟者开始吸烟的年龄与薄荷醇吸烟购买模式之间的关系。设计 使用平衡重复权重的逻辑回归进行二次分析。将美国国家癌症研究所、疾病控制与预防中心和人口普查局收集的 2003 年和 2006/07 年烟草使用补充资料 (TUS) 数据设置到当前人口调查 (CPS) 中,构成了本次调查的基础。参与者 2003 年和 2006/2007 年参与 TUS CPS 管理的总共 66 145 名当前吸烟者接受了检查。测量 评估人口统计特征(性别、种族/民族、年龄、教育和收入)、吸烟频率、购买类型(包装、盒装或两者)、开始年龄和薄荷醇卷烟的使用情况。结果 四分之一的样本吸薄荷醇香烟;大多数人购买香烟时是按包购买,而不是按条购买;开始吸烟的平均年龄为18岁;与男性、白人或老年受访者相比,女性、少数族裔/种族和年轻参与者更有可能吸薄荷香烟。与当前吸烟者中薄荷醇卷烟使用相关的其他人口统计因素包括高中教育程度(该人群中薄荷醇使用率高于受教育程度较低或受教育程度较高的人群)。多变量逻辑模型仅略微揭示开始吸烟的年龄预测薄荷醇吸烟:研究结果表明,开始吸烟的时间越长,个体吸薄荷醇香烟的可能性就越大[比值比 (OR) = 1.01; 95% 置信区间 (CI):1.00-1.01]。此外,相对于购买成包卷烟的吸烟者,购买整盒卷烟的吸烟者成为薄荷醇吸烟者的可能性较低(OR = 0.86;95% CI:0.81-0.91)。结论 美国的薄荷醇吸烟者更有可能是女性、更年轻、来自少数族裔群体并且受过高中教育。美国薄荷醇吸烟者往往比其他类型香烟的吸烟者开始吸烟晚,这一发现仅具有提示性,需要进一步研究。
Aims The purpose of this study was to examine the relationship between age of cigarette smoking initiation and cigarette purchasing patterns on menthol smoking among current smokers. Design Secondary analyses were conducted using logistic regression with balanced replicated weights. Setting Data from the 2003 and 2006/07 Tobacco Use Supplement (TUS) to the Current Population Survey (CPS), collected by the National Cancer Institute, the Centers for Disease Control and Prevention and the Census Bureau, formed the basis for this investigation. Participants A total of 66 145 current smokers who participated in the TUS CPS administration in 2003 and 2006/07 were examined. Measurements Demographic characteristics (gender, race/ethnicity, age, education and income), smoking frequency, purchase type (pack, carton, or both), age of initiation and menthol cigarette use were assessed. Findings One-quarter of the sample smoked menthol cigarettes; most purchased their cigarettes by the pack when rather than by the carton; average age of cigarette smoking initiation was 18 years; and females, ethnic/racial minorities and younger participants were more likely to smoke menthol cigarettes compared with males, whites or older respondents. Other demographic factors associated with menthol cigarette use among current smokers included a high school education (the prevalence of menthol use among this cohort was greater than either those with less education or those with more). The multivariate logistic model only marginally revealed that age of smoking initiation predicted menthol smoking: findings are suggestive that the longer the delay of initiation the more likely that an individual smoked menthol cigarettes [odds ratio (OR) = 1.01; 95% confidence interval (CI): 1.00-1.01]. In addition, relative to those who purchased cigarettes by the pack, smokers who purchased cigarettes by the carton were less (OR = 0.86; 95% CI: 0.81-0.91) likely to be menthol smokers. Conclusions Menthol smokers in the United States are more likely to be female, younger, from ethnic minority groups, and to have a high school education. The findings that menthol smokers in the U.S. tend to start smoking later than smokers of other types of cigarettes are suggestive only and require further study.