Housing status as a social determinant of disparities in adolescent smoking, vaping, and dual use of cigarettes and e-cigarettes.
Housing status as a social determinant of disparities in adolescent smoking, vaping, and dual use of cigarettes and e-cigarettes.
复制标题
住房状况是青少年吸烟、电子烟以及卷烟和电子烟双重使用差异的社会决定因素。
DOI：
10.1016/j.addbeh.2023.107631
复制
发表时间：
2023
影响因子：
4.4
通讯作者：
Calzo,JerelP
中科院分区：
文献类型：
--
作者：
Felner,JenniferK;Calzo,JerelP
关于青少年的各种住房情况如何与吸烟和电子烟的不同模式有关，人们知之甚少，这些信息对烟草预防和控制工作具有实际意义。我们分析了参与基于人口的加州健康儿童调查（N = 931，355; 2017-2019）的青少年在过去30天吸烟，vaping以及香烟和电子烟/vape产品双重使用中的住房状况差异。分类结果的广义线性混合模型量化了各种住房情况下青少年与生活在一个或多个父母/监护人或其他亲属家中的同龄人之间仅吸烟，仅吸电子烟和双重使用的患病率和调整后的比值比（AOR）的差异。我们的研究结果表明，生活在朋友家的青少年;生活在酒店，汽车旅馆，庇护所，汽车，露营地或其他过渡或临时住房的青少年;以及生活在寄养家庭，集体护理或等待安置的青少年在过去30天吸烟方面存在明显差异。（AOR：3.16-3.40，ps < 0.0001）和香烟和电子烟/其他尼古丁vape产品的双重使用（AOR：3.73-5.83，ps < 0.0001）相对于与一个或多个父母/监护人或其他亲戚一起生活的同龄人。仅使用电子烟的差异虽然显著，但相对较小（AOR：1.53-1.88，ps < 0.0001）。这些研究结果强调住房是青少年吸烟，vaping和双重用途差异的社会决定因素，并对多层次预防干预措施的发展产生影响。
Little is known about how various housing situations among adolescents may be associated with differential patterns of smoking and vaping—information with practical relevance for tobacco prevention and control efforts. We analyzed disparities by housing status in past 30-day smoking, vaping, and dual use of cigarettes and e-cigarettes/vape products among adolescents participating in the population-based California Healthy Kids Survey (N = 931,355; 2017–2019). Generalized linear mixed models for a categorical outcome quantified differences in prevalence and adjusted odds ratios (AORs) of smoking only, vaping only, and dual use among adolescents in various housing situations relative to their peers living in a home with one or more parents/guardians or other relatives. Our findings suggest adolescents living in a friend’s home; adolescents living in a hotel, motel, shelter, car, campground, or other transitional or temporary housing; and adolescents living in a foster home, group care, or waiting placement evidenced pronounced disparities in past 30-day smoking only (AORs: 3.16–3.40, ps < 0.0001) and dual use of cigarettes and e-cigarettes/other nicotine vape products (AOR: 3.73–5.83, ps < 0.0001) relative to their peers living in a home with one or more parents/guardians or other relatives. Vaping only disparities, although significant, were relatively smaller (AORs: 1.53–1.88, ps < 0.0001). These findings emphasize housing as a social determinant of smoking, vaping, and dual use disparities among adolescents and have implications for multilevel preventive intervention development.