Youth who use e-cigarettes regularly: A qualitative study of behavior, attitudes, and familial norms

Youth who use e-cigarettes regularly: A qualitative study of behavior, attitudes, and familial norms
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DOI:
10.1016/j.pmedr.2018.11.011
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发表时间:
2019-03-01
影响因子:
2.8
通讯作者:
Lee, Youn Ok
Lee, Youn Ok
中科院分区:
医学3区
文献类型:
--
作者:
Alexander, Jennifer P.;Williams, Peyton;Lee, Youn Ok

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描述经常使用电子烟的年轻人的研究有限,包括尼古丁水平、对健康的影响和未来使用计划的知识。这项定性研究探讨了这一群体的使用模式、社会和家庭规范以及对健康影响的认知。14-17岁的青少年(N=43)自称为经常使用电子烟的人,于2016年2月在佛罗里达州迈阿密和北卡罗来纳州罗利参加了4次焦点小组讨论。青少年经常使用从朋友或家人那里获得的设备开始或继续使用电子烟,通常没有自己的设备。他们指出,电子烟的味道和把戏是他们最初使用电子烟的两个主要原因。许多人报告说,他们的家人知道他们使用电子烟,他们从家人那里收到了含蓄和明确的信息,对电子烟的使用持积极态度。他们意识到尼古丁的负面影响,包括成瘾,但不确定他们正在使用不含尼古丁的电子液体。参与者报告说,当他们意识到电子烟对健康的负面影响时,他们将停止使用电子烟。父母和家庭成员是预防运动和健康信息的重要目标受众,因为他们自己的使用和接受可能会鼓励他们开始和继续使用电子烟。年轻人正在使用含有尼古丁的产品,并可能会上瘾,即使他们不会选择使用含有尼古丁的电子果汁。提高对健康负面影响的认识可能会鼓励年轻人预防和停止使用电子烟。
Limited research exists describing youth who use e-cigarettes on a regular basis, including knowledge of nicotine levels, health effects, and plans for future use. This qualitative study explored the patterns of use, social and familial norms, and perceptions of health effects among this group.Youth (N=43), 14-17 years old, who described themselves as regular e-cigarette users, participated in 4 focus group discussions in Miami, Florida, and Raleigh, North Carolina in February 2016.Youth often initiated or continued e-cigarette use with a device obtained from a friend or family member, and often do not own their own device. They cite the flavors and doing tricks as the two main reasons they initially used e-cigarettes. Many reported that their family members are aware they use e-cigarettes, and that they have received implicit and explicit messages from family members that are positive toward ecigarette use. They are aware of the negative effects of nicotine, including addiction, but not confident that they are using e-liquids without nicotine. Participants reported they will stop using e-cigarettes when they become aware of reported negative health effects.Parents and family members are an important target audience for prevention campaigns and health messaging, given that their own use and acceptance could be encouraging initiation and continuation. Youth are using products containing nicotine and may be becoming addicted, even if they would not choose to use nicotine-containing e-juice. Increased awareness of negative health effects may encourage prevention and cessation of ecigarette use among youth.