E-Cigarette Use Among Youths and Young Adults During the COVID-19 Pandemic: United States, 2020
E-Cigarette Use Among Youths and Young Adults During the COVID-19 Pandemic: United States, 2020
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DOI：
10.2105/ajph.2021.306210
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发表时间：
2021-06-01
影响因子：
12.7
通讯作者：
Hair, Elizabeth C.
中科院分区：
文献类型：
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作者：
Kreslake, Jennifer M.;Simard, Bethany J.;Hair, Elizabeth C.
目标.确定COVID-19大流行是否影响了美国年轻人的电子烟使用。数据来自每周一次的青年和年轻人（15-24岁）的横断面在线调查。Logistic回归分析测量了在广泛的居家指令（2020年3月14日至6月29日）之后过去30天使用电子烟（n = 5752）的几率，与COVID-19之前的时期（2020年1月1日至3月13日）相比。在当前电子烟使用者的子样本（n = 779）中进行逻辑回归，检查与留在家里的订单减少使用相关的因素。在COVID-19大流行期间，15至17岁的年轻人（比值比[OR] = 0.72; 95%置信区间[CI] = 0.54，0.96）和18至20岁的年轻人（OR = 0.65; 95% CI = 0.52，0.81）目前使用电子烟的几率显著低于COVID-19之前的时期。减少进入零售环境的电子烟使用者报告电子烟使用减少的几率更高（OR = 1.51; 95%CI = 1.07，2.14）。COVID-19待在家里的指令对电子烟的获取构成了障碍，并与年轻人使用电子烟的下降有关。公共卫生影响。调查结果支持紧急实施干预措施，减少未成年人接触电子烟，以加速青年和年轻成人使用电子烟的下降轨迹。
Objectives. To determine whether the COVID-19 pandemic affected e-cigarette use among young people in the United States.Methods. Data came from a weekly cross-sectional online survey of youths and young adults (aged 15-24 years). Logistic regression analyses measured odds of past-30-day e-cigarette use (n = 5752) following widespread stay-at-home directives (March 14-June 29, 2020), compared with the pre.COVID-19 period (January 1-March 13, 2020). Logistic regression among a subsample of current e-cigarette users (n = 779) examined factors associated with reduced use following stay-at-home orders.Results. Odds of current e-cigarette use were significantly lower during the COVID-19 pandemic compared with the pre.COVID-19 period among youths aged 15 to 17 years (odds ratio [OR] = 0.72; 95% confidence interval [CI] = 0.54, 0.96) and young adults aged 18 to 20 years (OR = 0.65; 95% CI = 0.52, 0.81). E-cigarette users with reduced access to retail environments had higher odds of reporting reduced e-cigarette use (OR = 1.51; 95% CI = 1.07, 2.14).Conclusions. COVID-19 stay-at-home directives present barriers to e-cigarette access and are associated with a decline in e-cigarette use among young people.Public Health Implications. Findings support the urgent implementation of interventions that reduce underage access to e-cigarettes to accelerate a downward trajectory of youth and young adult e-cigarette use.