Bidirectional associations of e-cigarette, conventional cigarette and waterpipe experimentation among adolescents: A cross-lagged model.
Bidirectional associations of e-cigarette, conventional cigarette and waterpipe experimentation among adolescents: A cross-lagged model.
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DOI：
10.1016/j.addbeh.2018.01.010
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发表时间：
2018-05
影响因子：
4.4
通讯作者：
Urbán R
中科院分区：
文献类型：
--
作者：
Pénzes M;Foley KL;Nădășan V;Paulik E;Ábrám Z;Urbán R
随着烟草产品市场的日益多样化，必须了解产品实验的轨迹，以便设计有效的预防方案。本研究旨在探索传统香烟，电子烟和水管实验在大样本青少年中的双向关联。在2014年秋季，对1，369名9年级学生（基线时平均年龄=14.88 SD=0.48）进行了传统香烟，电子烟和水管使用开始的纵向评估，并在6个月后使用在线自我报告问卷进行了重新评估。在结构方程模型框架内进行自回归交叉滞后分析，以同时估计这些产品在六个月内的开始，控制年龄，性别和参与干预计划，以减少传统的香烟开始。烟草产品的终生使用在样本中普遍存在：传统香烟（48.4%），电子香烟（35.8%）和水管（20.8%）。在6个月的随访中，尝试传统香烟预测尝试电子烟（调整后的比值比（AOR）=3.78，CI 95%：2.66-5.37）和尝试水管（AOR=2.82，CI 95%：2.00-3.97）。尝试电子烟预测尝试传统香烟（AOR=3.57，CI 95%：1.96-6.49）和尝试水烟（AOR=1.51，CI 95%：1.07-2.14）。虽然尝试水管可以预测在随访时尝试电子烟（AOR=2.10，CI 95%：1.30-3.40），但其使用并不能预测尝试传统香烟（AOR=0.55，CI 95%：0.24-1.30）。高比例的混合烟草使用和烟草产品试验的双向性要求全面的烟草控制和预防计划，以解决针对青少年的日益多样化的烟草产品市场。
With an increasingly diverse tobacco product market, it is imperative to understand the trajectories of product experimentation in order to design effective prevention programs. This study aims to explore the bidirectional associations of conventional cigarette, e-cigarette and waterpipe experimentation in a large adolescent sample. Longitudinal assessment of conventional cigarette, e-cigarette and waterpipe use initiation was conducted in a school-based cohort of 1,369 9th graders (mean age=14.88 SD=0.48 at baseline) during fall 2014 and reassessed 6-months later using online self-reported questionnaires. Autoregressive cross-lagged analysis within structural equation modeling framework was performed to simultaneously estimate the initiation of these products over a six-month period, controlling for age, gender, and participation in an intervention program to reduce conventional cigarette initiation. Tobacco product lifetime use was prevalent at baseline in the sample: conventional cigarettes (48.4%), e-cigarettes (35.8%), and waterpipe (20.8%). At six-month follow-up, trying conventional cigarettes predicted trying e-cigarette (adjusted odds ratio (AOR)=3.78, CI95%: 2.66–5.37) and trying waterpipe (AOR=2.82, CI95%: 2.00–3.97). Trying e-cigarette predicted trying conventional cigarette (AOR=3.57, CI95%: 1.96–6.49) and trying waterpipe (AOR=1.51, CI95%: 1.07–2.14). Although trying waterpipe predicted trying e-cigarette at follow-up (AOR=2.10, CI95%: 1.30–3.40), its use did not predict trying conventional cigarette (AOR=0.55, CI95%: 0.24–1.30). The high rates of poly-tobacco use and the bidirectionality of tobacco product experimentation demands comprehensive tobacco control and prevention programs that address the increasingly diverse tobacco product market targeting adolescents.
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影响因子：
4.7
作者：
Amrock, Stephen M.;Zakhar, Joseph;Weitzman, Michael
通讯作者：
Weitzman, Michael
影响因子：
5.2
作者：
Miech, Richard;Patrick, Megan E.;Johnston, Lloyd D.
通讯作者：
Johnston, Lloyd D.
电子烟的使用与青春期早期燃烧烟草产品吸烟的启动。
DOI：
10.1001/jama.2015.8950
发表时间：
2015-08-18
期刊：
JAMA
影响因子：
--
作者：
Leventhal AM;Strong DR;Kirkpatrick MG;Unger JB;Sussman S;Riggs NR;Stone MD;Khoddam R;Samet JM;Audrain-McGovern J
通讯作者：
Audrain-McGovern J
DOI：
10.1093/ntr/ntw308
发表时间：
2017-08-01
期刊：
Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco
影响因子：
--
作者：
Nădăşan V;Foley KL;Pénzes M;Paulik E;Mihăicuţă Ș;Ábrám Z;Bálint J;Csibi M;Urbán R
通讯作者：
Urbán R
影响因子：
4.6
作者：
Nădăşan V;Foley KL;Pénzes M;Paulik E;Mihăicuţă Ş;Ábrám Z;Bálint J;Urbán R
通讯作者：
Urbán R