Electronic Cigarette Use Prevalence, Associated Factors, and Pattern by Cigarette Smoking Status in the United States From NHANES (National Health and Nutrition Examination Survey) 2013-2014.
Electronic Cigarette Use Prevalence, Associated Factors, and Pattern by Cigarette Smoking Status in the United States From NHANES (National Health and Nutrition Examination Survey) 2013-2014.
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DOI：
10.1161/jaha.117.008178
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发表时间：
2018-07-14
影响因子：
5.4
通讯作者：
Nasir K
中科院分区：
文献类型：
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作者：
Jaber RM;Mirbolouk M;DeFilippis AP;Maziak W;Keith R;Payne T;Stokes A;Benjamin E;Bhatnagar A;Blankstein R;Saxena A;Blaha MJ;Nasir K
在美国成年人和青少年的全国代表性样本中检查最近电子烟（电子烟）使用的流行率和模式。使用2013-2014年NHANES（国家健康和营养检查调查）的烟草信息，5423名成年人和895名青少年（13-17岁）被纳入本分析。自我报告人口统计学、烟草使用和药物使用信息。最近的电子烟使用（在过去5天内）按吸烟状态分层。在125名电子烟使用者中，116名参与者年龄≥18岁，分别相当于美国成年人和青少年电子烟使用率的2.6%（95%置信区间[CI]，2.0-3.1）和1.21%（95% CI，0.3-2.1）。电子烟成年使用者是目前吸烟者（68.1%），以前吸烟者（23.7%）和从不吸烟者（8.2%）。电子烟使用率最高的是目前吸烟者（8.2%; 95% CI，6.3-10.1），其次是以前吸烟者（2.7%; 95% CI，1.4-4.1），然后是从不吸烟者（0.4%; 95% CI，0.2-0.6）。在调整年龄，性别和种族后，与非烟草使用者相比，电子烟使用者暴露于二手烟（比值比：6.3; 95%CI，3.6-11.1）和饮酒（比值比：4.2; 95%CI，1.8-10.0）的几率更高，至少接受过大学教育或收入更高的几率更低。在2013年至2014年期间，美国的电子烟使用在年轻人，社会经济地位低的人以及当前和以前的吸烟者中更为常见。这些发现将有助于为未来的研究以及公共政策和监管行动提供信息。
To examine the prevalence and patterns of recent electronic cigarette (e‐cigarette) use in a nationally representative sample of US adults and adolescents. Using tobacco information from NHANES (National Health and Nutrition Examination Survey) 2013–2014, 5423 adults and 895 adolescents (aged 13–17 years) were included in this analysis. Demographic, tobacco use, and drug use information were self‐reported. Recent e‐cigarette use (within the previous 5 days) was stratified by smoking status. Of 125 e‐cigarette users, 116 participants were aged ≥18 years, corresponding to 2.6% (95% confidence interval [CI], 2.0–3.1) and 1.21% (95% CI, 0.3–2.1) prevalence of e‐cigarette use among US adults and adolescents, respectively. E‐cigarette adult users were current smokers (68.1%), former smokers (23.7%), and never smokers (8.2%). The highest prevalence of e‐cigarette use was among current smokers (8.2%; 95% CI, 6.3–10.1), followed by former smokers (2.7%; 95% CI, 1.4–4.1), and then never smokers (0.4%; 95% CI, 0.2–0.6). After adjusting for age, sex, and ethnicity, e‐cigarette users had higher odds of being exposed to secondhand smoke (odds ratio: 6.3; 95% CI, 3.6–11.1) and drinking alcohol (odds ratio: 4.2; 95% CI, 1.8–10.0) and lower odds of having at least a college education or a higher income, compared with tobacco nonusers. Between 2013 and 2014, e‐cigarette use in the United States was more common among younger people, those with low socioeconomic status, and current and former smokers. These findings will help inform future research as well as public policy and regulatory actions.