Longitudinal analysis of cigar use patterns among US youth and adults, 2013-2019.

Longitudinal analysis of cigar use patterns among US youth and adults, 2013-2019.
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DOI:
10.1186/s12889-023-16253-y
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发表时间:
2023-08-18
期刊:
影响因子:
4.5
通讯作者:
--
中科院分区:
医学2区
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--
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香烟有一系列的包装数量,这与要求香烟以20包或更大的包装出售的规定形成对比。较小的包装可能与引发的增加有关,而较大的包装可能导致消费者吸烟更多。本研究的目的是通过检查购买的常规雪茄包装数量是否与青少年和成年人四种雪茄类型的使用,开始和停止相关,以告知包装数量法规:优质雪茄,大雪茄,雪茄和过滤雪茄。我们分析了成人的第1-5波(2013-2019)和青年人口烟草与健康评估(PATH)研究的第2-5波(2014-2019)。样本包括那些对包装数量项目做出回应并在所有波中提供数据的样本(成人:优质雪茄[N = 536]、大雪茄[N = 1,272]、小雪茄[N = 3,504]、过滤雪茄[N = 1,281];青少年:优质雪茄[N = 55]、大雪茄[N = 217]、小雪茄[N = 1514]、过滤雪茄[N = 266])。广义估计方程模型研究了香烟包装数量对雪茄使用、开始和停止的人群平均影响。成人包装数量与每月使用优质雪茄的天数呈正相关(B:0.23,95% CI:0.11,0.34),大雪茄(B:0.17,95% CI:0.08,0.25)、小雪茄(B:0.12,95% CI:0.003,0.24)和过滤雪茄(B:0.07,95% CI:0.04,0.10),并且与所有雪茄类型的每日吸烟量呈正相关。对于优质雪茄(B:0.88,95% CI:0.33,1.43)、大雪茄(B:0.79,95% CI:0.43,1.15)和小雪茄(B:0.17,95% CI:0.01,0.34),青年包数量与每月使用天数呈正相关。成人开始与过滤雪茄的包装数量相关(B:-2.22,95% CI:-4.29,-0.13),因为与未开始该波的人相比,开始购买的包装数量较少。包装数量与成人或青少年的停药无关。雪茄的使用量增加了,因为年轻人和成年人购买的雪茄类型的数量增加了。包装数量的小幅增加(例如,一根额外的雪茄)可能导致每月消费少于一天的额外消费,尽管更大的增加(例如,每包10支额外的雪茄)可能会导致更多的使用。在线版本包含补充材料,可在10.1186/s12889-023-16253-y获得。
Cigars are available in a range of pack quantities, which contrasts regulations requiring cigarettes to be sold in packs of 20 or greater. Smaller packages may be associated with increases in initiation while larger packs may lead consumers to smoke more. The purpose of this study was to inform pack quantity regulations by examining whether usual cigar pack quantity purchased was associated with use, initiation, and discontinuation among youth and adults for four cigar types: premium cigars, large cigars, cigarillos, and filtered cigars. We analyzed waves 1–5 (2013–2019) of the adult and waves 2–5 (2014–2019) of the youth Population Assessment of Tobacco and Health (PATH) Study. Samples included those responding to the item on pack quantity and providing data at all waves (adults: premium cigars [N = 536], large cigars [N = 1,272], cigarillos [N = 3,504], filtered cigars [N = 1,281]; youth: premium cigars [N = 55], large cigars [N = 217], cigarillos [N = 1514], filtered cigars [N = 266]). Generalized estimating equation models examined the population-averaged effects of pack quantity on cigar use, initiation, and discontinuation. Adult pack quantity was positively associated with the days used per month for premium cigars (b: 0.23, 95% CI: 0.11, 0.34), large cigars (b: 0.17, 95% CI: 0.08, 0.25), cigarillos (b: 0.12, 95% CI: 0.003, 0.24), and filtered cigars (b: 0.07, 95% CI: 0.04, 0.10), and positively associated with amount smoked per day for all cigar types. Youth pack quantity was positively associated with days used per month for premium cigars (b: 0.88, 95% CI: 0.33, 1.43), large cigars (b: 0.79, 95% CI: 0.43, 1.15), and cigarillos (b: 0.17, 95% CI: 0.01, 0.34). Adult initiation was associated with pack quantity for filtered cigars (b: -2.22, 95% CI: -4.29, -0.13), as those who initiated purchased smaller pack quantities compared to those who did not initiate that wave. Pack quantity was not associated with discontinuation for adults or youth. Cigar use increased as usual pack quantity purchased increased across cigar types for youth and adults. Small increases in pack quantity (e.g., one additional cigar) are likely to result in consuming less than one additional day per month, though larger increases (e.g., 10 additional cigars per pack) may result in greater use. The online version contains supplementary material available at 10.1186/s12889-023-16253-y.
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