Rural-urban differences e-cigarette ever use, the perception of harm, and e-cigarette information seeking behaviors among US adults in a nationally representative study
Rural-urban differences e-cigarette ever use, the perception of harm, and e-cigarette information seeking behaviors among US adults in a nationally representative study
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DOI：
10.1016/j.ypmed.2019.105898
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发表时间：
2020-01-01
影响因子：
5.1
通讯作者：
Han, Yunan
中科院分区：
文献类型：
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作者：
Lewis-Thames, Marquita W.;Langston, Marvin E.;Han, Yunan
与城市居民相比，生活在农村地区的成年人使用烟草相关产品的风险和因烟草相关疾病而死亡的风险更高。使用电子烟的危害和好处是混合的，关于这些危害和好处的类似模糊信息对电子烟的吸收和感知产生了关键影响。然而，人们对成人电子烟日常使用率的城乡差异知之甚少。使用健康信息全国趋势调查-食品和药物管理局（HINTS-FDA）周期1和2，我们进行了加权逻辑回归，以评估成人电子烟日常使用，感知危害和电子烟信息寻求行为的流行率的城乡差异。该分析包括美国18岁及以上的成人（N = 4229）。农村和城市受访者都报告了类似的电子烟使用历史。农村受访者比城市受访者更有可能信任宗教组织和领导人以及烟草公司提供有关电子烟的信息。农村和城市受访者同样可能认为电子烟会上瘾，认为电子烟的使用是有害的，并认为电子烟比烟草卷烟更有害。受访者同样有可能寻找有关电子烟、电子烟对健康的影响和戒烟的信息;并从医疗保健专业人员、家人和朋友以及健康组织和团体那里寻求电子烟信息。鉴于我们的研究结果，继续研究电子烟使用的潜在危害并制定准确的健康传播信息以避免吸烟相关结果的城乡差异将是相关的。
Adults living in rural areas, compared to their urban counterparts, are at an increased risk of using tobacco-related products and mortality due to tobacco-related diseases. The harms and benefits of e-cigarette use are mixed, and similarly obscure messaging about these harms and benefits have a critical influence on e-cigarette uptake and perceptions. However, little is known about rural-urban differences in the prevalence of adult e-cigarette daily usage. Using the Health Information National Trends Survey-Food and Drug Administration (HINTS-FDA) cycles 1 and 2, we conducted weighted logistic regressions to assess rural-urban differences in the prevalence of adult e-cigarette daily usage, perceived harm, and e-cigarette information seeking behaviors. This analysis included adults aged 18 years and older in the United States (N = 4229). Both rural and urban respondents reported a similar history of e-cigarette use. Rural respondents were significantly more likely than urban respondents to trust religious organizations and leaders and tobacco companies for information about e-cigarettes. Rural and urban respondents were equally as likely to believe e-cigarettes are addictive, perceive e-cigarette use as harmful, and believe e-cigarettes are more harmful than tobacco cigarettes. Respondents were equally as likely to look for information on e-cigarettes, the health effects of e-cigarettes, and cessation; and, to seek e-cigarette information from healthcare professionals, family and friends, and health organizations and groups. Given our findings, it will be pertinent to continue to research the potential harms of e-cigarette use and develop accurate health communication messages to avoid rural-urban disparities observed for cigarette smoking-related outcomes.