Flavored cigar smoking among African American young adult dual users: An ecological momentary assessment
Flavored cigar smoking among African American young adult dual users: An ecological momentary assessment
复制标题
DOI：
10.1016/j.drugalcdep.2018.12.020
复制
发表时间：
2019-03-01
影响因子：
4.2
通讯作者：
Mead, Erin L.
中科院分区：
文献类型：
--
作者：
Chen-Sankey, Julia Cen;Choi, Kelvin;Mead, Erin L.
背景资料：近年来，在美国，非裔美国年轻人（AAYAs）抽味雪茄和与香烟双重使用的流行率很高，但使用的预测因素尚不清楚。我们研究了AAYA双users.Methods之间的味雪茄吸烟的预测因素：我们分析了从生态瞬时评估（EMA）的研究，捕获近实时的影响，吸烟线索，烟草吸烟从8个短信调查，每天超过两个星期的数据。63名AAYA（18-29岁）香烟和雪茄的双重使用者记录了1205次雪茄吸烟时刻。多变量广义估计方程被用来评估吸烟雪茄的口味和特定的风味types.Results的预测：一半的参与者是女性（49.2%）和年龄在18-24（46.7%）。在两周内，几乎所有（98.4%）的参与者都抽了调味雪茄，其中64.2%的雪茄是调味的。酒精（34.4%）是最常吸烟的口味类型，其次是甜（23.4%）和薄荷（5.7%）。感觉压力（AOR = 1.07）和无聊（AOR = 1.10）预测吸烟酒精口味。钝性吸烟正向预测吸烟甜味（AOR = 4.79），但负向预测吸烟酒精味（AOR = 0.40）。结论：吸烟味雪茄，特别是酒精味雪茄，是普遍存在于AAYA双重用户在这项研究中。这群人可能会使用特定的口味来达到不同的目的，包括吸烟和提升情绪。减少雪茄使用的努力需要解决这些风险因素以及雪茄营销和低成本定价的增加。联邦对雪茄香料的禁令可能会降低雪茄产品的吸引力。
Background: Flavored cigar sales have increased in recent years in the U.S. African American young adults (AAYAs) have high prevalence of smoking flavored cigars and dual use with cigarettes, but the predictors of use are unclear. We examined the predictors of flavored cigar smoking among AAYA dual users.Methods: We analyzed data from an Ecological Momentary Assessment (EMA) study that captured near real-time affect, smoking cues, and tobacco smoking from eight text-messaging surveys per day over two weeks. Sixty-three AAYA (ages 18-29) dual users of cigarettes and cigars recorded 1205 cigar smoking moments. Multivariable Generalized Estimating Equations were used to assess the predictors of smoking cigars with flavors and specific flavor types.Results: Half of the participants were women (49.2%) and aged between 18-24 (46.7%). Over the two-weeks, almost all (98.4%) participants smoked flavored cigars, and 64.2% of the cigars smoked were flavored. Alcohol (34.4%) was the most frequently smoked flavor type followed by sweet (23.4%) and mint (5.7%). Feeling stressed (AOR = 1.07) and bored (AOR = 1.10) predicted smoking alcohol flavors. Blunt smoking positively predicted smoking sweet flavors (AOR = 4.79), but negatively predicted smoking alcohol flavors (AOR = 0.40).Conclusions: Smoking flavored cigars, especially alcohol-flavored cigars, was prevalent among AAYA dual users in this study. This group might use specific flavors for different purposes including smoking blunts and boosting mood. Efforts to reduce cigar use need to tackle these risk factors and the increased marketing and low-cost pricing of cigars. A federal ban of cigar flavors might reduce the appeal of cigar products.