Trends and Patterns of Tobacco and Nicotine Product Use Among Youth in Canada, England, and the United States From 2017 to 2019.

Trends and Patterns of Tobacco and Nicotine Product Use Among Youth in Canada, England, and the United States From 2017 to 2019.
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DOI:
10.1016/j.jadohealth.2021.02.011
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发表时间:
2021-09
期刊:
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
影响因子:
--
通讯作者:
Hammond D
Hammond D
中科院分区:
其他
文献类型:
--
作者:
East KA;Reid JL;Rynard VL;Hammond D

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烟草和尼古丁市场正在多样化。对公共卫生的影响将取决于使用趋势,包括总体使用情况,以及这些产品的使用者。这项研究考察了不同时间(2017-2019年)、不同国家(加拿大、英国、美国)以及吸烟和电子烟、其他烟草/尼古丁产品使用和总体使用的差异。2017年,2018年,2019年在加拿大(N= 11,714),英国(N= 11,170),美国(N= 11,838)对16-19岁的青少年进行了在线重复横断面调查。按国家、年份检查了过去30天内使用烟草/尼古丁产品(任何香烟、电子烟、其他燃烧[雪茄/小雪茄/水烟]、其他非燃烧[无烟烟草/尼古丁替代疗法(NRT)])的情况,对于其他燃烧/非燃烧,检查了过去30天内吸烟和吸电子烟的情况。2018-2019年探索了新兴产品(IQOS、尼古丁袋)的使用。从2017年到2019年,加拿大(17.1- 23.2%,AOR=1.07[95% CI=1.04-1.09])和美国(18.0- 24.0%,AOR=1.06[1.04-1.09])的任何产品的使用都有所增加,但英国(20.8- 21.7%,AOR=1.01[0.99-1.03])没有增加。其他燃烧产品(雪茄/小雪茄/水烟)的使用几乎没有变化(加拿大:8.1-7.8%;英格兰:6.3-7.3%;美国:8.6-8.5%; p≥.151)。所有国家的其他非燃烧产品(无烟/NRT)的使用都有所增加(加拿大:1.5- 3.2%,AOR=1.02[1.01-1.02];英国:1.4- 2.6%,AOR=1.02[1.01-1.03];美国:3.3- 4.9%,AOR=1.02[1.01-1.02])。所有国家的Vaping都有所增加(加拿大:8.4-17.8%;英国:8.7-12.6%;美国:11.1-18.5%;所有p<.001)。吸烟者和电子烟使用者报告说,他们使用其他燃烧和非燃烧产品的比例高于那些既不吸烟也不使用电子烟的人(p<.001)。新兴产品使用罕见(≤1.5%)。在加拿大和美国,超过30天的烟草/尼古丁使用量从2017年到2019年有所增加,这主要是由于电子烟和其他非燃烧产品的增加。“其他”烟草/尼古丁产品主要由吸烟和/或吸烟的年轻人使用。
The tobacco and nicotine market is diversifying. Implications for public health will depend on trends in use, including overall use, and who is using these products. This study examined differences over time (2017-2019), across countries (Canada, England, US), and by smoking and vaping, in use of other tobacco/nicotine products and overall use. Online repeat cross-sectional surveys of youth age 16–19 in Canada (N=11,714), England (N=11,170), US (N=11,838) in 2017, 2018, 2019. Past-30-day use of tobacco/nicotine products (any, cigarette, e-cigarette, other combusted [cigars/cigarillos/waterpipe], other non-combusted [smokeless tobacco/nicotine replacement therapies (NRT)) were examined by country, year, and, for other combusted/non-combusted, past-30-day cigarette smoking and vaping. Use of emerging products (IQOS, nicotine pouches) was explored in 2018-2019. From 2017-2019, use of any product increased in Canada (17.1-23.2%, AOR=1.07[95% CI=1.04-1.09]) and the US (18.0-24.0%, AOR=1.06[1.04-1.09]) but not England (20.8-21.7%, AOR=1.01[0.99-1.03]). Use of other combusted products (cigars/cigarillos/waterpipe) showed little change (Canada: 8.1-7.8%; England: 6.3-7.3%; US: 8.6-8.5%; p≥.151). Use of other non-combusted products (smokeless/NRT) increased in all countries (Canada: 1.5-3.2%, AOR=1.02[1.01-1.02]; England: 1.4-2.6%, AOR=1.02[1.01-1.03]; US: 3.3-4.9%, AOR=1.02[1.01-1.02]). Vaping increased in all countries (Canada: 8.4-17.8%; England: 8.7-12.6%; US: 11.1-18.5%; all p<.001). Smokers and vapers reported greater use of other combusted and non-combusted products than those who neither smoked/vaped (p<.001). Emerging product use was rare (≤1.5%). Youth past-30-day tobacco/nicotine use increased from 2017-2019 in Canada and the US, largely due to increases in vaping and other non-combusted products. ‘Other’ tobacco/nicotine products were used predominantly by youth who smoked cigarettes and/or vaped.
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