Prevalence and Factors Associated With Vaping Cannabidiol Among US Adolescents.
Prevalence and Factors Associated With Vaping Cannabidiol Among US Adolescents.
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DOI：
10.1001/jamanetworkopen.2023.29167
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发表时间：
2023-08-01
影响因子：
13.8
通讯作者：
Wang, Ming
中科院分区：
文献类型：
--
作者：
Dai, Hongying Daisy;Subramanian, Roma;Mahroke, Avina;Wang, Ming
这项横断面研究评估了美国青少年中蒸发大麻二醇的流行率及其相关因素，并根据电子烟的使用状况进行了评估。青少年吸食大麻二醇(CBD)的流行率是多少？与这种行为相关的因素是什么？在这项对28名 291青少年的横断面研究中，蒸发CBD的患病率很高，特别是在目前使用电子烟的人以及西班牙裔和性少数群体中。认为烟草有害，与蒸发CBD的可能性降低有关。研究结果表明，需要更严格的CBD法规来堵住现有的漏洞，并需要以证据为基础的教育运动和干预措施，以减少年轻人中CBD的蒸发。电子烟的使用和蒸发大麻在美国青少年中很受欢迎。大麻二酚(CBD)是一种在大麻植物中发现的化合物，最近使用量增加。调查青少年挥发CBD的患病率及其相关因素。这项横断面研究包括2022年1月至5月进行的2022年全国青年烟草调查中具有全国代表性的美国初中生和高中生(典型年龄为11-18岁)样本。人口统计特征，烟草使用的危害感知，以及蒸发行为。主要结果是对过去和当前(过去30天)CBD总体蒸发的加权患病率和人口估计，以及按电子烟使用状况的估计。多变量Logistic回归分析评估了当前蒸发CBD与人口因素和电子烟使用行为以及按当前电子烟使用状况分层的烟草使用行为之间的关系。这项研究包括28名 291参与者(51.1%男性；平均年龄14.5[2.0]岁)。在2448名当前电子烟使用者中，21.3%(95%可信区间，18.4%-24.1%)报告在过去一个月中曾蒸发过CBD，6.3%(95%可信区间，4.7%-7.8%)报告他们不知道自己是否蒸发过CBD。西班牙裔电子烟使用者比他们的非西班牙裔白人同龄人更有可能报告目前正在蒸发CBD(调整后的优势比[AOR]，1.9；95%CI，1.3-2.8)。使用频率较高(≥20天vs≤5天)和持续时间较长(2-3年或3年vs<；1年)的当前电子烟使用者更有可能报告当前正在蒸发的CBD(频率：AOR，1.5[95%CI，1.1-1.9]；2-3年：AOR，2.2[95%CI，1.2-3.9]；3年：AOR，3.2年[95%CI，1.7-6.1])。在25名 091非当前电子烟使用者中，1.2%(95%可信区间，1.0%~1.5%)表示正在使用电子烟，2.3%(95%可信区间，2.1%~2.6%)表示不知道。高中生(VS中学生；AOR，4.2；95%CI，2.8-6.1)和男女同性恋者(AOR，2.9；95%CI，1.6-5.4)或双性恋(AOR，2.7；95%CI，1.8-4.0)(VS异性恋)青少年更有可能报告吸烟性CBD，而那些认为烟草危险(VS非危险；AOR，0.4；95%CI，0.3-0.6)的年轻人报告吸烟性CBD的几率较低。在这项针对美国初中生和高中生的横断面研究中，年轻人蒸发CBD的流行率很高，特别是在电子烟使用者、西班牙裔和性少数群体中。研究结果表明，需要开展循证教育活动、干预措施和改变公共政策，以减少在发展中的年轻人中蒸发CBD可能带来的有害健康后果。
This cross-sectional study assesses the prevalence of and factors associated with vaping cannabidiol among adolescents in the US overall and by e-cigarette use status. What is the prevalence of youths vaping cannabidiol (CBD), and what are the factors associated with this behavior? In this cross-sectional study of 28 291 adolescents, the prevalence of vaping CBD was high, particularly among current e-cigarette users and Hispanic and sexual minority populations. Viewing tobacco as harmful was associated with a reduced likelihood of vaping CBD. The findings suggest that tighter CBD regulations to close existing loopholes and evidence-based educational campaigns and interventions are needed to reduce CBD vaping among youths. e-Cigarette use and vaping marijuana (cannabis) are popular among US adolescents. Cannabidiol (CBD) is a compound found in the cannabis plant that has recently increased in use. To examine the prevalence of and factors associated with youths vaping CBD. This cross-sectional study included a nationally representative sample of students from middle and high schools (typical age, 11-18 years) in the US from the 2022 National Youth Tobacco Survey, conducted from January to May 2022. Demographic characteristics, harm perception of tobacco use, and vaping behaviors. The main outcomes were weighted prevalence and population estimates of ever and current (past 30-day) vaping of CBD overall and by e-cigarette use status. Multivariable logistic regression analyses were conducted to estimate the association of currently vaping CBD with demographic factors and e-cigarette and tobacco use behaviors stratified by current e-cigarette use status. The study included 28 291 participants (51.1% male; mean [SD] age, 14.5 [2.0] years). Among 2448 current e-cigarette users, 21.3% (95% CI, 18.4%-24.1%) reported any past-month vaping of CBD and 6.3% (95% CI, 4.7%-7.8%) reported that they did not know whether they had vaped CBD. Hispanic e-cigarette users were more likely than their non-Hispanic White peers to report currently vaping CBD (adjusted odds ratio [AOR], 1.9; 95% CI, 1.3-2.8). Current e-cigarette users with higher frequency (≥20 days vs ≤5 days) and longer duration (2-3 years or >3 years vs <1 year) of use were more likely to report currently vaping CBD (frequency: AOR, 1.5 [95% CI, 1.1-1.9]; 2-3 years: AOR, 2.2 [95% CI, 1.2-3.9]; 3 years: AOR, 3.2 [95% CI, 1.7-6.1]). Among 25 091 noncurrent e-cigarette users, 1.2% (95% CI, 1.0%-1.5%) reported currently vaping CBD and 2.3% (95% CI, 2.1%-2.6%) reported that they did not know. High school students (vs middle school students; AOR, 4.2; 95% CI, 2.8-6.1) and gay or lesbian (AOR, 2.9; 95% CI, 1.6-5.4) or bisexual (AOR, 2.7; 95% CI, 1.8-4.0) (vs heterosexual) youths were more likely to report vaping CBD, while those who perceived tobacco as dangerous (vs not dangerous; AOR, 0.4; 95% CI, 0.3-0.6) had lower odds of reporting vaping CBD. In this cross-sectional study of US middle and high school students, the prevalence of youths vaping CBD was high, particularly among e-cigarette users and Hispanic and sexual minority populations. The findings suggest that evidence-based educational campaigns, interventions, and public policy changes are needed to reduce the harmful health outcomes possible with vaping CBD among developing youths.
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