Patterns and correlates of polytobacco use in the United States over a decade: NSDUH 2002-2011
Patterns and correlates of polytobacco use in the United States over a decade: NSDUH 2002-2011
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DOI：
10.1016/j.addbeh.2013.12.015
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发表时间：
2014-04-01
影响因子：
4.4
通讯作者：
Hyland, Andrew
中科院分区：
文献类型：
--
作者：
Fix, Brian V.;O'Connor, Richard J.;Hyland, Andrew
背景资料：很少有研究探讨了在一个大的，全国代表性的人口在一个较长的时期内使用多种烟草的模式和相关性。方法：本研究审查了10年的数据，从全国药物使用和健康调查（NSDUH），以建立时间趋势和相关性的独家和混合使用的香烟，无烟烟草（ESTA），雪茄和烟斗。结果：结果显示，从2002年到2011年，混合烟草的使用率基本保持不变（8.7%到7.4%），尽管一些产品组合，包括卷烟和雪茄，雪茄和雪茄，以及两种以上产品的使用有所增加。在26岁以下的烟草使用者中，使用多种烟草的比例增加，尽管烟草使用总体下降。与烟草使用者之间的混合烟草使用的因素包括性别，收入，教育，冒险/寻求行为，和外向指标的风险liability. Conclusions：调查结果提供了一个快照的趋势，单一和混合烟草产品的使用，以及产品使用的组合的趋势。需要进行纵向研究，以检查烟草制品使用的个人模式的顺序，并确定使用多种烟草是否会导致更大的尼古丁依赖，增加对有害和潜在有害成分的暴露和/或更大的烟草相关疾病风险。(C)2013爱思唯尔有限公司保留所有权利。
Background: Few studies have examined the patterns and correlates of polytobacco use among a large, nationally representative population over an extended period of time.Methods: This study examined 10 years of data from the National Survey on Drug Use and Health (NSDUH) to establish time trends and correlates for exclusive and mixed use of cigarettes, smokeless tobacco (SLT), cigars, and pipes.Results: Results show that rates of polytobacco use were essentially unchanged from 2002 to 2011 (8.7% to 7.4%), though some product combinations, including cigarettes and SLT, cigars and SLT, and use of more than two products have increased. In tobacco users under age 26, the proportion of polytobacco use increased, even as overall tobacco use declined. The factors associated with polytobacco use among tobacco users included sex, income, education, risk taking/seeking behaviors, and outward indicators of 'risk-liability'.Conclusions: Findings provide a snapshot of trends of single and polytobacco product use as well as trends in combinations of product use. Longitudinal studies are needed to examine the sequence of individual patterns of tobacco product use and to identify whether polytobacco use results in greater nicotine dependence, increased exposure to harmful and potentially harmful constituents and/or greater risk of tobacco related disease. (C) 2013 Elsevier Ltd. All rights reserved.