Widespread use of flavored e-cigarettes and hookah tobacco in the United States
Widespread use of flavored e-cigarettes and hookah tobacco in the United States
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DOI：
10.1016/j.pmedr.2019.100854
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发表时间：
2019-06-01
影响因子：
2.8
通讯作者：
Soulakova, Julia N.
中科院分区：
文献类型：
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作者：
Owens, Victoria L.;Trung Ha;Soulakova, Julia N.
2009年，美国食品和药物管理局禁止在美国销售调味香烟（不包括薄荷醇），但调味电子烟（FE）和调味水烟（FHT）的销售仍然是法律的。在这项研究中（2018年10月至2019年2月期间在美国进行），我们估计了使用者社会人口统计学特征（例如，年龄、性别、种族/民族），并确定了与使用FE和FHT相关的烟草使用者的关键特征。我们分析了2014-2015年烟草使用补充当前人口调查数据，目前电子烟（n = 3691）和水烟（n = 658）使用者。在电子烟使用者中，65.5%使用FE;在水烟使用者中，87.3%使用FHT。在电子烟使用者中，18-24岁的FE使用率显著高于45岁以上的成年人;女性高于男性;南方居民高于东北居民;从不吸烟的普通香烟比目前吸烟的普通香烟（所有调整后的p < 0.05）。在水烟使用者中，女性的FHT使用率显著高于男性，从不吸烟者的FHT使用率显著高于目前吸烟者（所有校正的p < 0.05）。由于香料烟草产品的可用性和可及性可能会促进烟草使用，修订有关FE和FHT的制造和分销的监管指南可能有助于降低新兴烟草产品的普及程度。在电子烟使用者中，66%的人消费调味电子烟;在水烟烟草使用者中，87%的人消费调味水烟烟草。调味产品的使用在年轻人、女性或从不吸烟和曾经吸烟的普通香烟使用者中特别常见。许多不同口味的新兴烟草产品的可用性可能是烟草使用开始和停止常规吸烟后继续使用烟草的原因。
In 2009, the U.S. Food and Drug Administration banned the sale of flavored cigarettes (excluding menthol) in the U.S. However, the sale of flavored e-cigarettes (FE) and flavored hookah tobacco (FHT) is still legal. In this study (conducted in the US in the period from October 2018 to February 2019), we estimated the prevalence of use of FE and FHT across users' sociodemographic characteristics (e.g., age, sex, race/ethnicity) and identified the key characteristics of tobacco users associated with use of FE and FHT. We analyzed the 2014-2015 Tobacco Use Supplement to the Current Population Survey data for current e-cigarette (n = 3691) and hookah tobacco (n = 658) users. Among e-cigarette users, 65.5% used FE; and among hookah tobacco users, 87.3% used FHT. Among e-cigarette users, the prevalence of use of FE was significantly higher for 18-24 year-old than 45+ year-old adults; women than men; Southern than Northeastern residents; and never smokers of regular cigarettes than current smokers of regular cigarettes (all adjusted p's < 0.05). Among hookah tobacco users, the rates of FHT use were significantly higher for women than men, and never smokers of regular cigarettes than current smokers (all adjusted p's < 0.05). Because availability and accessibility of flavored tobacco products may promote tobacco use, revising regulatory guidelines concerning manufacturing and distribution of FE and FHT may help reduce the popularity of emerging tobacco products.Implications: Among users of emerging tobacco products such as e-cigarettes and hookah tobacco, use of flavored products is very common. Among e-cigarette users, 66% consumed flavored e-cigarettes; and among users of hookah tobacco, 87% consumed flavored hookah tobacco. Use of flavored products was especially common among users who were young adults, women, or never and former smokers of regular cigarettes. Availability of emerging tobacco products in many different flavors could be a reason for tobacco use initiation and continued use of tobacco after cessation of regular-cigarette smoking.