What are kids vaping? Results from a national survey of US adolescents.

What are kids vaping? Results from a national survey of US adolescents.
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DOI:
10.1136/tobaccocontrol-2016-053014
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发表时间:
2017-07
期刊:
影响因子:
5.2
通讯作者:
Johnston LD
Johnston LD
中科院分区:
医学2区
文献类型:
--
作者:
Miech R;Patrick ME;O'Malley PM;Johnston LD

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检查什么物质美国青年vape.数据来自监测未来,这是一项针对美国12年级、10年级和8年级学生的年度全国代表性调查。受访者报告了他们最后一次使用电子烟等蒸发器时蒸发的物质。在曾经使用过汽化器的学生中,65-66%的人在12年级、10年级和8年级最后一次使用“只是调味品”,超过了所有其他回答的总和。在所有三个年级中,男性、女性、非洲裔美国人、西班牙裔美国人、白人和学生以及父母中没有大学学位的学生使用“只是调味品”的比例都超过57%。尼古丁的使用排在第二位,12年级和10年级约为20%,8年级为13%。考虑到最后一次使用尼古丁的年轻人,在过去30天内,烟草/尼古丁流行率的国家估计值比吸烟增加了24%-38%,这是相当大的,但远低于假设所有汽化器用户吸入尼古丁的估计值。这些结果挑战了所有雾化器使用者吸入尼古丁的普遍假设。他们(a)质疑将汽化器和电子烟指定为ENDS(“电子尼古丁输送系统”),(B)表明最近青少年汽化器使用的增加并不一定表明尼古丁流行,(c)表明汽化器使用者可以成为一级预防计划的候选人。最后,结果表明,与用于蒸发器的上市物质的监管相比,为蒸发器器械的监管制定不同的依据非常重要。
To examine what substances U.S. youth vape. Data come from Monitoring the Future, an annual, nationally-representative survey of U.S. 12th, 10th, and 8th grade students. Respondents reported what substance they vaped the last time they used a vaporizer such as an e-cigarette. Among students who had ever used a vaporizer, 65–66% last used “just flavoring” in 12th, in 10th, and in 8th grade, more than all other responses combined. In all three grades the percentage using “just flavoring” was above 57% for males, females, African-Americans, Hispanics, whites, and students both and without a parent with a college degree. Nicotine use came in a distant second, at about 20% in 12th and 10th grade and 13% in 8th grade. Taking into account youth who vaped nicotine at last use increases national estimates of tobacco/nicotine prevalence in the past 30 days by 24%–38% above and beyond cigarette smoking, which is substantial but far less than estimates that assume all vaporizer users inhale nicotine. These results challenge the common assumption that all vaporizer users inhale nicotine. They (a) call into question the designation of vaporizers and e-cigarettes as ENDS (“Electronic Nicotine Delivery System”), (b) suggest that the recent rise in adolescent vaporizer use does not necessarily indicate a nicotine epidemic, and (c) indicate that vaporizer users can be candidates for primary prevention programs. Finally, the results suggest the importance of developing different rationales for the regulation of vaporizer devices as compared to regulation of substances marketed for vaporizer use.